Why did uterine fibroids grow again after surgery?

Generally, the recurrence of uterine fibroids after surgery may be caused by hormonal fluctuations, unhealthy lifestyle habits, adenomyosis, polycystic ovary syndrome (PCOS), or hyperprolactinemia. If discomfort symptoms occur, it is recommended to seek timely medical evaluation and treatment at a reputable hospital. Specific analysis is as follows:

1. Hormonal fluctuations: In women of reproductive age, estrogen and progesterone are secreted actively. Residual fibroid cells can easily proliferate again under hormonal stimulation. Maintain regular sleep patterns, avoid staying up late, reduce intake of health supplements containing estrogen, and regularly monitor hormone levels.

2. Unhealthy lifestyle habits: Long-term high-fat diet and lack of physical activity can lead to metabolic disorders. Obesity increases estrogen levels, which may trigger fibroid recurrence. Adjust dietary structure by consuming more fruits and vegetables, engage in aerobic exercise 3–4 times per week, and maintain body weight within a healthy range.

3. Adenomyosis: This condition occurs when endometrial tissue invades the uterine muscle layer, causing hormone-dependent lesions that often accompany fibroid recurrence and are commonly associated with worsening dysmenorrhea. Under medical guidance, medications such as dydrogesterone tablets, ethinylestradiol-cyproterone acetate tablets, or gestrinone capsules may be prescribed to relieve symptoms.

4. Polycystic ovary syndrome (PCOS): Endocrine disorders lead to elevated androgen levels and abnormal ovulation, indirectly stimulating fibroid growth. Under medical supervision, spironolactone tablets, metformin hydrochloride sustained-release tablets, or drospirenone-ethinylestradiol tablets may be used to regulate endocrine function.

5. Hyperprolactinemia: Excessively high prolactin levels disrupt hormonal balance and promote fibroid cell proliferation, often accompanied by menstrual irregularities. Under medical guidance, bromocriptine mesylate tablets, vitamin B6 tablets, or cabergoline tablets may be prescribed. In severe cases, surgical removal of pituitary microadenomas may be required.

In daily life, maintain a light diet and avoid high-fat, high-sugar foods; adhere to regular作息 (daily routines) and avoid excessive fatigue; maintain emotional stability and reduce mental stress. After surgery, undergo gynecological ultrasound examinations every six months to one year for early detection and early intervention.