What medications should patients with uterine fibroids take?
Disease description:
Previously, during a hospital checkup, I was found to have uterine fibroids, but the condition was mild, and the doctor advised observation for now. Recently, I have been feeling unwell generally. After a consultation, the doctor said I need to take medication. I would like to know what medication I should take for my condition?
Doctor's answer (1)
Dr. Zhang Lu
The medications commonly used for treating uterine fibroids include progesterone receptor antagonists, androgenic drugs, oral contraceptives, and traditional Chinese medicine formulations.
Progesterone receptor antagonists, such as mifepristone, inhibit the effects of estrogen and can reduce the growth of fibroids. Androgenic drugs, including methyltestosterone and testosterone propionate, can effectively alleviate symptoms associated with uterine fibroids. However, specific dosages and administration methods should follow medical advice.
For smaller fibroids, oral contraceptives may help regulate the menstrual cycle and relieve symptoms, although their direct effect on reducing fibroid size is limited. Traditional Chinese medicine preparations such as Xuefu Zhuyu Pills, Guizhi Fuling Capsules, and Wuji Baifeng Pills have functions including promoting blood circulation to remove blood stasis and reducing inflammation, which can aid in the improvement of uterine fibroids. Additionally, nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can be used to manage pain and bleeding associated with uterine fibroids, although they do not directly affect fibroid size.
Before using any medication, it is recommended to consult a qualified gynecologist. The choice of treatment should be based on a comprehensive evaluation of factors including fibroid size and location, symptom severity, and the patient's reproductive plans.
