Dietary Adjustments for Managing Uterine Fibroids: Tips and Supplements - Nutrition

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Diet for Uterine Leiomyoma


I am unmarried and have never been pregnant.
I experience significant pain during my menstrual cycles.
I went to Chang Gung Memorial Hospital for an examination, and the doctor said I have a 2.4 cm uterine fibroid.
I am scheduled for regular follow-ups.
How should I adjust my diet? Is it safe to take nutritional supplements, evening primrose oil, and vitamins A and E? Thank you.

ami, 30~39 year old female. Ask Date: 2003/09/17

Dr. Qi Minghua reply Nutrition


Due to uterine fibroids causing heavy menstrual bleeding, there is a tendency for anemia to occur.
It is advisable to replenish the iron loss by consuming iron-rich foods such as pork, beef, chicken, and other meats, as well as organ meats (liver, heart, etc.) and blood products like pig's blood and duck's blood.
Additionally, eating fruits high in vitamin C, such as pomegranates, citrus fruits, and tomatoes, alongside meals can enhance iron absorption.
As for evening primrose oil, it is rich in essential fatty acids, particularly gamma-linolenic acid (GLA), which plays a role similar to hormones and can alleviate premenstrual syndrome and menopausal symptoms, making evening primrose oil a beneficial dietary supplement.

Reply Date: 2003/09/17

More Info


When managing uterine fibroids, dietary adjustments can play a significant role in alleviating symptoms and potentially influencing the growth of fibroids. Uterine fibroids, also known as leiomyomas, are benign tumors of the uterus that can cause symptoms such as heavy menstrual bleeding, pelvic pain, and pressure symptoms. While the exact cause of fibroids is not fully understood, hormonal factors, particularly estrogen, are believed to play a significant role in their development.


Dietary Adjustments
1. Increase Fruits and Vegetables: A diet rich in fruits and vegetables provides essential vitamins, minerals, and antioxidants that can help reduce inflammation and support overall health. Aim for a variety of colors to ensure a wide range of nutrients. Cruciferous vegetables like broccoli, cauliflower, and kale may be particularly beneficial due to their potential to help balance estrogen levels.

2. Limit Red Meat and Processed Foods: Some studies suggest that high consumption of red meat and processed foods may be linked to an increased risk of fibroid development. Instead, consider incorporating lean proteins such as fish, poultry, and plant-based proteins like beans and lentils.

3. Healthy Fats: Include sources of healthy fats, such as avocados, nuts, seeds, and olive oil. Omega-3 fatty acids, found in fatty fish like salmon and flaxseeds, may help reduce inflammation.

4. Whole Grains: Opt for whole grains over refined grains. Whole grains provide fiber, which can help regulate blood sugar levels and may assist in hormone balance.

5. Limit Sugar and Refined Carbohydrates: High sugar intake can lead to insulin resistance, which may exacerbate hormonal imbalances. Reducing sugary snacks, beverages, and refined carbohydrates can be beneficial.

6. Stay Hydrated: Drinking plenty of water is essential for overall health and can help alleviate some symptoms associated with fibroids.


Supplements
Regarding supplements, it is essential to approach them with caution and ideally under the guidance of a healthcare provider. Here are some considerations:
1. Evening Primrose Oil (月見草油): This supplement is often taken for its potential benefits in managing menstrual discomfort. It contains gamma-linolenic acid (GLA), which may help reduce inflammation and improve symptoms related to menstrual pain. However, the evidence regarding its effectiveness specifically for fibroids is limited.

2. Vitamins A and E: Both vitamins are antioxidants and play roles in immune function and skin health. Vitamin E, in particular, has been studied for its potential to alleviate menstrual pain. However, high doses should be avoided unless prescribed by a healthcare professional.

3. B Vitamins: B vitamins, particularly B6 and B12, are essential for energy metabolism and may help reduce symptoms of PMS. A B-complex supplement could be beneficial, but it’s best to consult with a healthcare provider for personalized recommendations.

4. Iron: If you experience heavy menstrual bleeding, you may be at risk for iron deficiency anemia. In such cases, an iron supplement may be necessary, but this should be discussed with your doctor.


Conclusion
In summary, dietary adjustments can be a valuable part of managing uterine fibroids. Focus on a balanced diet rich in fruits, vegetables, whole grains, and healthy fats while limiting red meat, processed foods, and sugars. Supplements like evening primrose oil and vitamins A and E may offer some benefits, but it is crucial to consult with a healthcare provider before starting any new supplement regimen. Regular follow-ups with your healthcare provider are essential for monitoring your condition and making necessary adjustments to your management plan.

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