How to treat uterine fibroid bleeding

Uterine fibroid bleeding can be treated through drug treatment, surgical treatment, interventional treatment, traditional Chinese medicine conditioning, lifestyle adjustment and other methods. Uterine fibroid bleeding is usually caused by factors such as abnormal hormone levels and increased fibroid size, and may be accompanied by symptoms such as increased menstrual flow and prolonged menstruation.

1. Drug treatment

For uterine fibroid bleeding, gonadotropin-releasing hormone analogs such as leuprorelin acetate microspheres, goserelin acetate sustained-release implants, etc. can be used as directed by the doctor to reduce estrogen secretion by inhibiting ovarian function. Antiprogesterone drugs such as mifepristone tablets can also be used to reduce the size of fibroids. Hemostatic drugs such as tranexamic acid tablets can reduce the amount of bleeding. Medication is suitable for patients who want to have children or are approaching menopause.

2. Surgical treatment

Myomectomy removes fibroid tissue through laparoscopy or laparotomy, preserving the structure of the uterus. Hysterectomy is suitable for patients who have no desire to have children, have multiple fibroids, or have severe symptoms. It includes total hysterectomy and subtotal hysterectomy. Surgical treatment can completely eliminate bleeding symptoms, but the surgical method needs to be selected based on age and fertility needs.

3. Interventional treatment

Uterine artery embolization blocks the blood supplying arteries of fibroids to cause ischemic necrosis. It is suitable for patients who want to preserve the uterus and whose fibroids are less than 10 cm in diameter. This treatment is less invasive but may cause ovarian function loss, and changes in hormone levels need to be monitored after surgery. Focused ultrasound ablation uses ultrasound waves to precisely ablate fibroid tissue and is suitable for the treatment of subserosal fibroids.

4. Traditional Chinese Medicine Conditioning

Traditional Chinese medicine believes that bleeding from uterine fibroids is mostly caused by qi stagnation and blood stasis. Chinese patent medicines such as Guizhi Fuling Capsules and Gongxuening Capsules can be taken to activate blood circulation and remove blood stasis. Acupuncture uses acupuncture points such as Guanyuan and the uterus to regulate the flow of qi and blood. Traditional Chinese medicine enema uses drugs to promote blood circulation and remove blood stasis through the rectum, combined with moxibustion to warm the meridians and dispel cold. Traditional Chinese medicine treatment requires long-term persistence and is suitable for people with mild symptoms to assist in conditioning.

5. Lifestyle adjustments

Avoid estrogen-containing supplements and foods such as royal jelly. Keep a regular schedule to reduce staying up late, and do moderate exercise such as yoga and walking to promote pelvic blood circulation. Avoid strenuous exercise and heavy physical labor during menstruation. Keep your vulva clean and dry and choose breathable cotton underwear. Record menstrual cycles and bleeding conditions, and review changes in fibroids regularly.

Patients with uterine fibroid bleeding should maintain a balanced diet on a daily basis and take appropriate amounts of animal liver, spinach and other iron-rich foods to prevent anemia. Avoid spicy foods and alcohol. Control your weight within a normal range. Obesity may aggravate hormone disorders. Monitor fibroid development with gynecological ultrasound every 3-6 months. If anemia symptoms such as dizziness and fatigue occur or bleeding continues to worsen, it is necessary to seek medical treatment in time to adjust the treatment plan.