How to treat uterine fibroids compressing the rectum

Uterine fibroids compressing the rectum can be intervened through drug treatment, surgery and other methods. Uterine fibroids may be related to genetic factors, abnormal hormone levels and other factors, and usually manifest as lower abdominal distension, difficulty defecation and other symptoms.

1. Drug treatment

Mifepristone tablets can inhibit progesterone receptors and reduce the size of fibroids； Guizhi Fuling Capsule can activate blood circulation and remove blood stasis, relieve compression symptoms ； Lupron injection controls fibroid growth by reducing estrogen levels. Drug treatment is suitable for those with small fibroids or mild symptoms, and regular review of fibroid changes is required.

2. Focused ultrasound therapy

High-intensity focused ultrasound causes fibroid necrosis through targeted thermal ablation outside the body, which has the advantage of being non-invasive. Dull pain in the lower abdomen may occur after treatment, which usually resolves within 1-2 weeks. This technology has a better effect on intramural fibroids with a diameter of less than 5 cm.

3. Uterine artery embolization

Interventional embolization of uterine artery branches can block the blood supply of fibroids, causing ischemia and atrophy. You need to stay in bed for 24 hours after surgery to observe bleeding from the puncture point, and strenuous exercise is prohibited within 3 months. May cause temporary amenorrhea, and ovarian function usually returns within 6 months.

4. Myomectomy

Vaginal or laparoscopic removal of fibroids to preserve the uterus is suitable for those who want to have children. To prevent intrauterine adhesions after surgery, intrauterine devices or oral estrogen can be inserted. The probability of recurrence is related to the residual microfibroids, and ultrasound follow-up is recommended every six months.

5. Hysterectomy

It is suitable for those with multiple fibroids, large size or suspected malignant transformation. Total abdominal hysterectomy can completely relieve the compression, but hormone replacement therapy is required to maintain endocrine balance after surgery. Pelvic floor muscle exercises should be started as early as possible to prevent organ prolapse.

It is necessary to avoid taking estrogen-containing health products on a daily basis and control the intake of soy products. Maintain regular bowel habits and use lactulose oral solution to soften stools when constipated. Moderate brisk walking or swimming can help improve pelvic blood circulation, but strenuous exercise that increases abdominal pressure is prohibited. If persistent anal distension or bloody stool occurs, colonoscopy should be reviewed promptly.