Zhu Hanxiao, Lai Xiaoli, Wu Jinhong, Guan Chenan, Yu Junhui
Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai 317000, Zhejiang, China.
Department of Kidney Internal Medicine, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai 317000, Zhejiang, China.
J Oncol. 2022 Jul 31;2022:6114287. doi: 10.1155/2022/6114287. eCollection 2022.
Heavy menstrual bleeding (HMB), distress in the pelvis, infertile, and stressed feelings are all indications of fibroids in the uterus, the most prevalent type of benign uterine tumor. Nearly one-third of women with fibroid in the uterus seek medical help. The goal of this analysis is for a better understanding of the mechanisms that relate fibroids to these symptoms and to assess several treatment options, including the application of the gonadotropin-releasing hormone (GnRH) antagonist. We compiled the commonest as well as appropriate studies on the most common symptom of fibroids, as well as medicinal and surgical treatment options. Those who said they used GnRH antagonists orally were probed further. The underlying mechanisms myoma-caused menorrhagia as well as sterility were examined since those have been critical to understand the detailed mechanism as well as the targeted treatment modality. New treatments are determined by the amount, dimension cum localization of fibroids, and the women's age and also her choice on future childbirth. Myomas have considerable economic consequences with respect to direct expenditure, wage losses, as well as difficulties. In this context, medical, surgical, and nonsurgical techniques were examined. The novelty applied in this research article is the implementation of the GnRH antagonist-based methodology for the removal of fibroids in the uterine layer. The methodology is superior to the existing techniques for the treatment of fibroids in the uterine membrane. Novel medical techniques including GnRH antagonists were investigated and proved to be a viable new option. Alternatives to surgical-surgical modalities are desperately needed, specifically for those who are looking forward for future childbirth. GnRH antagonists have been shown to effectively alleviate the symptoms of fibroids and welcome new techniques for myoma treatment.
月经过多(HMB)、盆腔不适、不孕和压力感都是子宫肌瘤的症状,子宫肌瘤是最常见的良性子宫肿瘤。近三分之一的子宫肌瘤女性会寻求医疗帮助。本分析的目的是更好地理解子宫肌瘤与这些症状相关的机制,并评估几种治疗方案,包括促性腺激素释放激素(GnRH)拮抗剂的应用。我们收集了关于子宫肌瘤最常见症状以及药物和手术治疗方案的最常见且合适的研究。对那些表示口服过GnRH拮抗剂的人进行了进一步探究。研究了子宫肌瘤导致月经过多和不育的潜在机制,因为这些对于理解详细机制和靶向治疗方式至关重要。新的治疗方法取决于肌瘤的数量、大小和位置,以及女性的年龄和她对未来生育的选择。肌瘤在直接支出、工资损失以及困难方面具有相当大的经济影响。在此背景下,对医学、手术和非手术技术进行了研究。本文研究的新颖之处在于实施基于GnRH拮抗剂的方法来去除子宫层的肌瘤。该方法优于现有的治疗子宫膜肌瘤的技术。对包括GnRH拮抗剂在内的新型医学技术进行了研究,并证明是一种可行的新选择。迫切需要手术替代方案,特别是对于那些期待未来生育的人。GnRH拮抗剂已被证明能有效缓解子宫肌瘤的症状,并为肌瘤治疗带来新的技术。