Managing Uterine Fibroids: Is Natto Safe for Cholesterol Control? - Obstetrics and Gynecology

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Health supplements for uterine fibroids?


Hello doctor, I have a history of uterine fibroids and underwent surgery for removal a few years ago.
Recently, I have discovered a few small fibroids have developed again.
During a recent health check-up, I found out that my cholesterol levels are high, and I am considering taking natto and red yeast rice for health benefits.
Is this appropriate?

Weiwei, 30~39 year old female. Ask Date: 2023/03/15

Dr. Huang Yuande reply Obstetrics and Gynecology


Small fibroids can generally be monitored, and as long as there is no excessive dietary restriction or significant consumption of natto or red yeast rice, they typically do not have an impact.

Reply Date: 2023/03/15

More Info


When it comes to managing uterine fibroids and addressing high cholesterol levels, the use of natto, a fermented soybean product, can be a beneficial addition to your diet. Natto is rich in nutrients, including protein, vitamins, and minerals, and is particularly known for its high content of vitamin K2 and a unique enzyme called nattokinase. This enzyme has been studied for its potential cardiovascular benefits, including its ability to help manage cholesterol levels and improve blood circulation.


Safety and Benefits of Natto for Cholesterol Control
1. Cholesterol Management: Natto has been shown to have a positive effect on cholesterol levels. The fermentation process increases the bioavailability of certain compounds that can help lower LDL (bad cholesterol) and increase HDL (good cholesterol). This is particularly important for individuals with high cholesterol, as maintaining a healthy lipid profile can reduce the risk of cardiovascular diseases.

2. Heart Health: The nattokinase enzyme in natto may help in breaking down fibrin, a protein involved in blood clotting, which can improve circulation and reduce the risk of heart disease. This is beneficial for individuals who are concerned about their heart health, especially if they have high cholesterol.

3. Nutritional Profile: Natto is also a good source of dietary fiber, which can aid in digestion and help in weight management. Maintaining a healthy weight is crucial for managing both uterine fibroids and cholesterol levels.


Considerations for Uterine Fibroids
While natto can be beneficial for cholesterol control, it is essential to consider its effects on uterine fibroids:
1. Estrogenic Effects: Some studies suggest that soy products, including natto, may have estrogen-like effects due to their phytoestrogen content. Since uterine fibroids are often sensitive to estrogen, it is advisable to monitor your body's response to natto if you have a history of fibroids. If you notice any changes in symptoms or if your fibroids seem to grow, it would be wise to consult your healthcare provider.

2. Dietary Balance: Incorporating natto into a balanced diet can be beneficial, but it should not be the sole focus. A diet rich in fruits, vegetables, whole grains, and lean proteins, along with regular physical activity, is essential for overall health and can help manage both cholesterol levels and fibroid symptoms.

3. Consultation with Healthcare Providers: Before making significant dietary changes, especially with a condition like uterine fibroids, it is crucial to consult with your healthcare provider. They can provide personalized advice based on your medical history, current health status, and any medications you may be taking.


Conclusion
In summary, natto can be a safe and beneficial food for managing high cholesterol levels, thanks to its unique nutritional properties. However, given your history of uterine fibroids, it is essential to approach its consumption with caution and to maintain open communication with your healthcare provider. They can help you monitor any potential effects on your fibroids and ensure that your dietary choices align with your overall health goals.

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