Can women with uterine fibroids take short-term oral contraceptives?

Generally speaking, whether women with uterine fibroids can take short-term oral contraceptives depends on the specific condition of the fibroids and the patient's symptoms. If contraception is needed, it is recommended to consult a professional doctor. Detailed analysis is as follows:

If the uterine fibroid is small, asymptomatic, and grows slowly, short-term oral contraceptives may be taken under a doctor's guidance when contraception is required. Some short-term contraceptives contain progestin, which can suppress fibroid growth and reduce fibroid-related bleeding, while also providing effective contraception. As long as regular follow-up shows no abnormal changes in fibroid size, continued use is acceptable.

If the fibroid is large, accompanied by significantly increased menstrual bleeding, anemia, or rapid growth, taking short-term oral contraceptives is not recommended. Some of these contraceptives contain estrogen, which may stimulate fibroid growth, worsen bleeding symptoms, or even affect the nature of the fibroid. In such cases, treating the fibroid should be prioritized, followed by choosing alternative appropriate contraceptive methods.

Prior to taking short-term oral contraceptives, a doctor must evaluate the fibroid condition—self-medication is not allowed. Regular monitoring of fibroid size and relevant health indicators is necessary during treatment. If abnormal bleeding, abdominal pain, or fibroid enlargement occurs, discontinue the medication immediately and seek medical attention. Patients with a history of blood clots or abnormal liver or kidney function should inform their doctor in advance to rule out contraindications for the medication.