What medicine should be taken to treat uterine fibroids?
Uterine fibroids are common benign tumors of the female reproductive system, and drug treatment is one of the common conservative treatments. This article will combine the hot topics and hot content on the Internet in the past 10 days to give you a detailed introduction to drug selection and precautions for treating uterine fibroids.
1. Common symptoms of uterine fibroids
Symptoms of uterine fibroids vary from person to person. Common symptoms include: increased menstrual flow, prolonged menstruation, a feeling of bloating in the lower abdomen, frequent urination and urgency, etc. Some patients may have no obvious symptoms and are only discovered during physical examination.
| Symptom type | Specific performance | incidence |
|---|---|---|
| Abnormal menstruation | Increased menstrual flow and prolonged menstrual period | about 60% |
| symptoms of oppression | Frequent urination, constipation | about 30% |
| pain | Lower abdominal pain, lower back pain | about 25% |
2. Commonly used drugs for treating uterine fibroids
According to recent medical research and clinical practice, the following drugs are commonly used in the treatment of uterine fibroids:
| drug class | Representative medicine | Mechanism of action | Applicable situations |
|---|---|---|---|
| gonadotropin-releasing hormone agonist | Lupron, goserelin | Inhibit estrogen secretion | Shrink fibroids before surgery |
| selective progesterone receptor modulator | Ulipristal | Block the effects of progesterone | symptomatic uterine fibroids |
| NSAIDs | Ibuprofen, naproxen | Relieve pain and inflammation | Mild symptom relief |
| Hemostatic drugs | tranexamic acid | Reduce menstrual bleeding | Menorrhagia |
3. Precautions for drug treatment
1.individualized treatment: Drug selection should be comprehensively considered based on patient age, symptom severity, reproductive needs and other factors.
2.Regular review: Ultrasound examinations should be performed regularly during drug treatment to evaluate changes in fibroids.
3.Monitoring of side effects: Some drugs may cause side effects such as hot flashes and osteoporosis, and should be used under the guidance of a doctor.
4.combination therapy: For patients with severe symptoms, a combination of medication and surgery may be needed.
4. Recent popular research progress
According to the latest medical literature, the following research developments deserve attention:
| Research direction | Main findings | Publication time |
|---|---|---|
| New targeted drugs | CDK4/6 inhibitors shown to inhibit fibroid growth in animal models | October 2023 |
| Traditional Chinese Medicine Research | The effectiveness of Guizhi Fuling Pills combined with western medicine increases by 15% | October 2023 |
| long term follow up | The recurrence rate after 5 years of drug treatment is about 30% | September 2023 |
5. Suggestions on lifestyle adjustments
In addition to medication, appropriate lifestyle adjustments can also help control the development of uterine fibroids:
1.diet modification: Reduce red meat intake and increase the proportion of vegetables and fruits.
2.weight management: Keep your BMI within the normal range. Obesity may aggravate symptoms.
3.moderate exercise: Regular aerobic exercise helps improve pelvic blood circulation.
4.stress management: Long-term mental stress may affect hormone balance, so it is important to reduce stress appropriately.
6. When is it necessary to consider surgical treatment?
Surgery may be considered when:
| Indications | Specific performance |
|---|---|
| Medication is ineffective | Symptoms persist for more than 6 months without improvement |
| Fibroids grow rapidly | Increase volume by more than 50% in a short period of time |
| severe anemia | Hemoglobin is less than 80g/L |
| Fertility disorders | Fibroids interfering with conception or maintenance of pregnancy |
In short, drug treatment of uterine fibroids needs to be formulated according to individual circumstances, and it is recommended to be carried out under the guidance of a professional doctor. Regular follow-up and comprehensive evaluation are key to ensuring treatment effectiveness.
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