Preventing recurrence of uterine fibroids

Recurrence of uterine fibroids can be prevented by regular review, adjusting hormone levels, improving lifestyle, controlling weight, and avoiding estrogen exposure. Uterine fibroids are common benign tumors of the female reproductive system. Recurrence may be related to abnormal hormone levels, genetic factors, obesity and other factors.

1. Regular review

Gynecological ultrasound examination should be performed every 6-12 months after surgery or conservative treatment to monitor whether the fibroids regenerate or increase in size. If you experience abnormal symptoms such as increased menstrual flow or bloating in the lower abdomen, you need to seek medical attention promptly. Commonly used clinical review methods include transvaginal ultrasound, pelvic MRI and other imaging examinations.

2. Adjust hormone levels

Excessive estrogen levels are a key trigger of fibroid recurrence. Under the guidance of a doctor, you can use gonadotropin-releasing hormone analogues such as leuprorelin sustained-release microspheres, goserelin implants and other drugs to regulate hormones, or choose short-acting contraceptives such as desogestrel ethinylestradiol tablets, drospirenone ethinylestradiol tablets, etc. to control estrogen fluctuations.

3. Improve lifestyle

Staying up late for a long time and being under mental stress can lead to endocrine disorders. It is recommended to maintain a regular schedule, sleep 7-8 hours a day, and relieve stress through yoga, meditation, etc. Limit alcohol intake to no more than 15 grams of ethanol equivalent per day.

4. Control weight

When the body fat rate exceeds 30%, aromatase in adipose tissue promotes the conversion of androgens into estrogen. It is recommended to control the BMI in the range of 18.5-23.9 through a combination of aerobic exercise and strength training. Carry out 150 minutes of moderate-intensity exercise such as brisk walking, swimming, etc. every week.

5. Avoid estrogen exposure

Reduce the use of estrogen-containing cosmetics and health products, and carefully choose estrogen receptor modulators such as soy isoflavone supplements. Be careful with plastic products that may disrupt endocrine and avoid using plastic containers to heat food. People with a family history of breast cancer need to pay special attention to exposure to exogenous estrogen.

It is recommended to increase the intake of cruciferous vegetables such as broccoli and kale in daily diet. The indole-3-carbinol contained in them helps to metabolize estrogen. Appropriate supplementation of vitamin D3 can regulate cell proliferation, and the recommended daily intake is 400-800IU. Keep the perineum clean to avoid pelvic infection, change sanitary napkins frequently during menstruation, and reduce the use of tampons. Avoid heavy lifting and strenuous exercise for 3 months after surgery to prevent pelvic floor muscle damage.