Uterine fibroids are a common disease in women, and are more common in adult women. Patients' fertility will be severely affected after the disease. In addition, with the current emphasis on health care knowledge, uterine fibroids have become one of the diseases that receive much attention. So let me introduce to you why uterine fibroids can affect fertility? What are the treatment measures for uterine fibroids?
1、 The reasons why uterine fibroids affect fertility function
1. According to the different locations of uterine fibroids, diseases can be divided into three categories, including subserosal fibroids, submucosal fibroids, and intramural fibroids. The probability of female infertility caused by submucosal fibroids is relatively higher. Due to the growth of fibroids, they can grow into the uterine cavity, causing deformation of the uterine cavity, but the appearance of the uterus does not change much. Submucosal fibroids are prone to infection, leading to insufficient blood supply to the endometrium and subsequently affecting the implantation of fertilized eggs.
During the continuous growth process of fibroids growing inside the moist ligaments, the fallopian tubes may become elongated and twisted, causing the lumen to be compressed and affecting the patency of the fallopian tubes. At the same time, it can cause the ovaries to shift and the distance between the ovaries and fallopian tubes to widen, which is not conducive to the release of eggs from the fallopian tubes and thus affects fertility.
3. After the occurrence of uterine fibroids, it can affect the patient's uterine contraction ability, such as frequency, time, amplitude, etc., causing interference during the implantation process of fertilized eggs and affecting the patient's reproductive function. In addition, generally speaking, there is a high possibility of miscarriage after successful implantation of the fertilized egg.
2、 Treatment measures for uterine fibroids
1. No treatment is needed. Generally speaking, uterine fibroids refer to benign tumors formed by the proliferation of uterine smooth muscle tissue. Patients who have not experienced any malignant transformation of their condition and have no obvious symptoms after falling ill usually need to undergo regular relevant examinations and do not require treatment.
2. Medication therapy, in fact, patients with uterine fibroids use medication less frequently during the treatment process. Because drugs such as mifepristone and danazol have limited effectiveness in controlling the growth of uterine fibroids, and there is a high possibility of uterine fibroids regrowth after discontinuation of medication.
3. Myomectomy is a very common treatment for uterine fibroids. The advantage of this surgical technique is that it can not only remove uterine fibroids, but also preserve the uterus. The patients receiving this treatment should be under 40 years old and can also meet the needs of patients who wish to retain their fertility to a certain extent. This method is suitable for patients with heavy menstrual flow and large fibroid volume. At the same time, if the patient experiences infertility due to tumor reasons, or if the patient has no obvious symptoms and the uterine fibroids have not worsened, the surgical treatment can be accepted, and the prognosis is better.
4. Hysterectomy, during the implementation process, the uterus needs to be removed first. Depending on the patient's condition, age, and other characteristics, two types of hysterectomy can be selected: total hysterectomy and subtotal hysterectomy. If the patient is older, it is generally recommended to undergo a total hysterectomy. But this method is mainly aimed at patients who do not have fertility requirements, or patients with suspected malignant transformation of uterine fibroids.
5. Uterine artery embolization, in which Xu Tao intervenes through radiation to place the arterial catheter at the uterine artery, ensuring that the embolic particles can be permanently injected and effectively suppressing the blood supply of fibroids. Furthermore, it can cause the fibroids to shrink and achieve the effect of fibroid disappearance. This method is mainly aimed at patients who experience symptoms such as anemia after illness. Focused ultrasound therapy mainly stimulates the inside of fibroids with ultrasound waves, and the temperature needs to be modulated above 65 ℃ to cause tumor necrosis and achieve the effect of treating the disease. This method can effectively cause fibroids to shrink, thereby relieving patients' symptoms, and there are no surgical scars, which is beneficial for patients' recovery. But there are some shortcomings, as patients are prone to symptoms such as skin burns and intestinal damage.
Uterine fibroids have a significant impact on female reproductive function, so after being diagnosed, we should adhere to the principle of early detection and treatment, actively cooperate with the treatment plan provided by doctors, and receive timely treatment.