"Doctor, I haven't given birth yet, and I'm afraid that surgery will affect fertility."
Ms. Wang, who consulted me some time ago, told me so, and I often encounter such questions: Do uterine fibroids have any effect on fertility? Are fibroid surgery risky? As a veteran Chinese medicine practitioner who has been practicing medicine for more than 30 years, I will share with you my views on the above questions from the perspective of Chinese medicine.
In Chinese medicine, uterine fibroids belong to the category of "fistula", often caused by stagnation, blood stasis, phlegm dampness, heat toxicity, more common in women aged 30-50, and the prevalence of women over 30 years old is 20%. As a common disease, patients do not need to panic after diagnosis, as long as they are actively and formally treated, they can always recover their health. However, if you feel that the tumor is small and left unchecked, it may have more serious consequences.
In general, uterine fibroids often manifest as increased menstrual flow, prolonged menstrual periods, lower abdominal masses, increased vaginal discharge and other clinical symptoms, which can lead to infertility, miscarriage, premature birth, and postpartum hemorrhage in severe cases. If uterine fibroids compress the entrance to the fallopian tubes, deforming the uterus and often causing infertility. Uterine fibroids during pregnancy are affected by progesterone, which grows fast, and excessive growth may cause deformation and contraction of the uterus, resulting in miscarriage and premature birth. For patients who want to get pregnant, or who are already pregnant, uterine fibroids have certain negative effects.
As for whether uterine fibroid surgery has an effect on pregnancy, it needs to be judged according to the specific situation (fibroid size, the site of growth, etc.), each person's physical condition is different, and the treatment effect in the later stage is different. Different uterine fibroid surgeries have an inconsistent degree of damage to the uterus, and it can only be said that pregnancy after surgery has certain risks and is prone to complications. And for patients who want to preserve fertility, the disadvantages of uterine fibroid surgery are also obvious: there is a greater chance of recurrence.
In contrast, the treatment of uterine fibroids in Chinese medicine follows the principle of "large accumulation and accumulation, and most of the decline stops" in the "Neijing", and the patient is not easy to relapse after treatment and conditioning, but will have the characteristics of long course of treatment and slow effect. However, dealing with uterine fibroids that have accumulated for a long time is a battle in itself. Patients who want to get pregnant, or who are already pregnant, will be better treated with traditional Chinese medicine.
I had a patient two years ago. According to her statement: Ms. Liu, 31 years old, miscarried due to uterine fibroids, and also had symptoms of lower abdomen pain, swelling and discomfort, because she was worried that surgery would affect reconception, so she came to me for treatment. Its examination report showed that "a large sarcoma can be seen in the myometrium", and combined with his miscarriage experience, it was dialectically stagnant and blood did not run smoothly. The fat side of the tongue has tooth marks, the tongue color is purple and dark with ecchymoses, and the tongue is white and thick, which is the image of phlegm and wet stasis.
After the dialectic, he prescribed her prescriptions: vinegar three edges, vinegar curcum, lulutong, wellingxian, danshen, seaweed, cantonese grass, qu wheat, guizhi, poria, luoshi vine, zeeland, astragalus, rhubarb, red peony, vinegar fuso, deer antler cream, piercing stone, fried chicken inner gold, beehive. The medicine used in this prescription contains the effects of dispersing stasis, activating blood and eliminating disease, and can also warm the menstruation and disperse cold, slowing down the accumulation of symptoms without harming the right.
Ms. Liu often gave me feedback after undergoing Chinese medicine conditioning: the abdominal pain improved significantly on the fourth day; Within a month, a lot of bruises and blood clots are discharged during menstruation, and my stomach feels small. I told her to pay attention to the warmth of her lower abdomen, and apply a warm compress to facilitate the discharge of bruises.
After her follow-up examination, Ms. Liu no longer felt abdominal pain and her fibroids were significantly reduced. I changed the recipe for it according to the situation: vinegar triangular, vinegar curcum, lulutong, wellingxian, deer antler cream, seaweed, cantonese grass, qu wheat, laurel branch, poria, roshi vine, zeeland, astragalus, rhubarb, red peony, vinegar fusso, piercing stone, fried chicken inner gold, beehive, earthen turtle worm. The formula did not change much, only replaced the salvia with an earthen turtle worm, but the effect of breaking blood and removing stasis was better, which was more suitable for Ms. Liu's situation at that time.
After one course of treatment, Ms. Liu's fibroids have disappeared, and there is no recurrence after six months of follow-up! Less than a year later, she told me she was pregnant again!
Every time a patient gives me good news, I feel a great sense of accomplishment. Patients can have a healthy body and a better life, which is what I have always hoped for. After TCM conditioning, Ms. Liu has a healthy and happy child, and I also appeal to patients who are suffering from uterine fibroids to seek medical attention as soon as possible to avoid more pain!
Note: The formula mentioned in the article is only the basic party, which varies according to individual circumstances, and the specific dosage needs to be determined according to dialectics