Uterine Fibroids and Vaginal Bleeding February 14, 2001

Uterine Fibroids and Vaginal Bleeding February 14, 2001

Cyclic bleeding is characteristic of uterine fibroids, with increased blood volume, abdominal pain, prolonged menstruation, shortened cycles, and sometimes accompanying systemic symptoms. The typical age of onset for fibroids is between 35 and 45 years. Endometrial hyperplasia, uterine cavity polyps, and uterine fibroids are all products of repeated estrogen stimulation; several conditions can coexist and occur concurrently. Surgical treatment is the preferred option, while traditional Chinese medicine often proves effective and can be used in conjunction with Western medications: ① Testosterone propionate 50 mg, intramuscular injection, once daily for 3 days; after bleeding stops, switch to methyltestosterone, a long-acting formulation called testosterone phenylpropionate 20 mg, administered intramuscularly once weekly. ② Nadazole (synthetic androgen) 2.5 mg, taken orally twice weekly. ③ Goserelin and norethisterone can lower estrogen levels. ④ Mifepristone: an anti-progestational drug, 10 mg daily, which can shrink uterine fibroids. Currently, surgical options include laparoscopic hysterectomy, open abdominal hysterectomy, and vaginal hysterectomy.