Diet for uterine fibroids: weekly menu, what not to eat

Diet is the rules of rational nutrition, following which creates a favorable background for recovery from somatic diseases. A properly designed dietary program prevents complications and stimulates the body to fight pathology. The therapeutic diet for fibroids is aimed at slowing growth and reducing benign formations in the uterus. A healthy diet is indicated both during conservative treatment and after surgical removal of myomatous nodes.

Why does uterine fibroid grow?

Myoma (leio-, fibromyoma) is a hormonal-dependent tumor in the uterus, which occurs when the ovaries are overactive. This is indicated by increased growth of tumors when taking contraceptives with estrogens. Hormones are also produced in small quantities by extragonadal tissues - adipose, bone, and brain.

Gynecologists identify a number of factors that affect the growth rate of myomatous nodes:

surgical termination of pregnancy;
endometriosis of the uterus;
metabolic disorders;
poor nutrition;
inflammation of the ovaries and fallopian tubes;
genetic predisposition;
endocrine disorders;
regular overeating;
abuse of contraceptives.

Uterine fibroids decrease during menopause, which is associated with the natural decline of the function of the gonads. As a result of a decrease in the level of estrogen in the body, benign tumors stop growing and begin to gradually dissolve.

About diseases

Uterine fibroids and endometriosis are fairly common gynecological diseases. Each of them has its own characteristics and requires careful monitoring by a specialist. Based on the tests performed, the doctor determines the method of treatment, which can be conservative (hormone therapy) or surgical (laser therapy, coagulation or surgery).

Myoma is a benign tumor formation that occurs on the smooth muscle tissue of the uterus. The reason for its appearance is the increased production of the hormone estrogen by the hypothalamic-pituitary system. The tumor is benign and almost never turns into cancer.

After diagnosing the disease, the doctor decides on a method to eliminate the tumor and advises following a special diet that will help the body cope with the symptoms of the disease and significantly improve the health condition.

Endometriosis also requires attention from the doctor and the patient. You cannot let the disease take its course, otherwise it can have dangerous consequences. Proper balanced nutrition will help you quickly defeat the disease and restore the body.

How can diet affect tumors?

A properly formulated diet for uterine fibroids can prevent the progression of the disease. To stop the growth of estrogen-dependent tumors, the diet includes foods that:

normalize metabolism;
stimulate fat burning;
restore the balance of hormones;
have antiestrogenic activity;
strengthen general and local immunity.

The therapeutic diet for fibroids is aimed at restoring the functioning of the organs of the reproductive and endocrine systems. A balanced diet prevents the growth of myomatous nodes in the uterus and increases the effectiveness of conservative therapy. As part of the dietary program, foods that accelerate the synthesis of estrogens, nourish tumors and disrupt the functions of the endocrine system are excluded from the menu.

What should the diet be like?

Nutrition for uterine fibroids, despite some prohibitions, should be varied. Gaining weight is undesirable, since this factor contributes to the development of fibroids.

It is acceptable to use vegetable oils, including sunflower, olive, corn, and soybean. Vitamins are a priority. They can be obtained both from vegetables and fruits, and from vitamin and mineral complexes prescribed by a doctor. You need to regularly consume A, E, C. Get enough zinc, iodine, copper, iron, selenium, magnesium. Take fish oil in oil lozenges.

Plant foods are more useful because they contain the necessary fiber, antioxidants, fibers that free the blood and the body as a whole from cholesterol, toxins, and prevent the activity of free radicals. Normal bowel function is the main factor that favorably influences the outcome of tumor treatment.

Bran helps reduce cholesterol levels and protect against saturated fatty acids. Wheat and oatmeal are useful. They provide few calories, but they saturate the body with useful substances. Due to this, weight is reduced.

Nutritionists for fibroids recommend eating a lot of fish. You can bake it, boil it. It is permissible to prepare dishes from both sea varieties and river fish. Choose low-fat fish. This product contains omega-3 polyunsaturated fatty acids, which prevent the aging process and remove waste and toxins. It is especially important for women to eat fish during menopause. It is worth paying attention to mackerel, halibut, tuna, salmon, cod, and sardines.

Don’t let the name “fermented milk products” alarm you. They are very useful for fibroids. Must be used:

They normalize the activity of the gastrointestinal tract and help the body strengthen its protective functions.

If there are no contraindications for the consumption of beans, beans, peas (these products cause bloating and colic in intestinal diseases in many people), it is advisable to include them in the diet. Bean soups and peas are useful.

Nuts also contain useful vitamins and microelements. More preferable:

Any type of nuts removes toxins and cholesterol. When consumed, the endocrine system works better and metabolic processes are improved. You shouldn't eat a lot of nuts. 3-5 pieces per day are acceptable.

Factors that contribute to an increase in estrogen levels

If the diet is not followed, the level of female sex hormones in the body does not decrease, so uterine fibroids quickly reach large sizes. To prevent complications, limit the consumption of certain food groups and bioactive substances.

Eating fats

Animal fats are a substrate for intestinal bacteria that synthesize the enzyme beta-glucuronidase. It splits off glucuronic acid from waste estrogens. As a result, “renewed” hormone molecules are again absorbed into the systemic circulation through the intestinal wall. This leads to an increase in the level of estrogen in the body and, as a result, the growth of tumors in the uterus.

As part of the diet, it is recommended to limit the consumption of animal fats. Therefore, reduce consumption as much as possible:

lamb;
pork;
sausages;
sausage;
cheeses;
margarine;
chicken skin;
cream;
fast food;
semi-finished meat products.

A balanced diet for fibroids leads to a decrease in the level of steroid hormones in the blood. Therefore, if you follow a diet, the growth of tumors in the uterus stops.

Nutritionists advise completely eliminating smoked and fatty meats from your diet. They contain carcinogens that increase the risk of malignancy of tumors in the uterus.

Carbohydrate intake

Simple (fast) carbohydrates are a breeding ground for pathogenic bacteria that produce the enzyme beta-glucuronidase. Their excess in the diet leads to the activation of estrogen-dependent tumors in the uterus. And the rapid growth of tumors on a thin stalk is fraught with torsion. Malnutrition of the myomatous node is dangerous due to tissue necrosis - necrosis.

As part of the diet, if possible, exclude simple carbohydrates from the menu:

White rice;
confectionery;
sugar;
pasta;
sweet berries and fruits;
beets;
honey.

With a deficiency of fiber, simple carbohydrates provoke various estrogen-dependent diseases in women - fibroids, uterine endometriosis, mamoplasia (breast enlargement), etc.

Obesity

If the body fat content exceeds 28%, the risk of fibroids increases significantly. Adipose tissue is a kind of “endocrine gland” that stimulates the production of sex steroids. Therefore, obesity is fraught with:

menstrual irregularities;
the formation of malignant tumors in the breast;
accelerating the growth of hormonal-dependent formations in the uterus.

With the participation of adipose tissue, male sex hormones are converted into female ones. Fat is a depot of estrogens, which provoke tumor diseases. Therefore, in obese people, uterine fibroids reach large sizes literally within 1-3 months.

Xenoestrogens

This group includes chemicals with estrogen-like effects. Like endogenous sex hormones, they affect the rate of fibroid growth. Therefore, foods high in xenoestrogens are excluded from the diet:

Black tea;
coffee;
eggs;
milk.

Hazardous substances are contained in polymer materials. They get into any products packaged in plastic containers.

In recent years, xenoestrogens have become actively used in animal husbandry. Hormone-like substances are present in meat and dairy products.

Symptoms

Uterine fibroids occur during reproductive age, and myometrial growth can be suspected by the following signs:

irregular menstrual cycle: the time between periods is reduced, the discharge becomes more abundant, and vice versa;
vaginal bleeding;
sudden sharp pain in the lower abdomen, regardless of the stage of the cycle;
abdominal enlargement, depending on the size of the tumor;
Sometimes urination and bowel movements are difficult or painful;
weakness, pale skin, dizziness, tinnitus, darkening of the eyes;
inability to get pregnant.

These signs should alarm the woman and become a reason to go to the antenatal clinic for examination.

Factors contributing to decreased estrogen levels

The therapeutic diet for fibroids involves the use of foods that do not increase the content of estrogen in the body, have an antitumor effect and speed up metabolism. To get rid of tumors in the uterus, adhere to a balanced diet until menopause.

Cellulose

Dietary fiber slows down the formation of beta-glucuronidase. If your diet contains enough healthy fiber and a moderate amount of fat, the risk of reabsorption of hormone-like substances from the intestines into the bloodstream will decrease.

Dietary fiber is found in large quantities in:

wheat bran;
apples;
beans;
dried apricots;
figs;
peas;
artichokes;
lentils

As part of the diet, it is recommended to consume a lot of free fluid. Its deficiency when consuming large amounts of fiber can lead to constipation.

Dairy and fermented milk products

Fermented milk products contain a lot of lactobacilli - beneficial bacteria that reduce the concentration of beta-glucuronidase in the intestines.

To stop the growth of tumors in the uterus, the diet includes:

homemade yoghurts;
low-fat sour cream;
hard cheeses;
fermented baked milk;
serum;
homemade milk.

Regular consumption of fermented milk products reduces the risk of tumor processes in the organs of the reproductive system by 15-25%.

Phytoestrogens

For fibroids, the diet includes phytoestrogens - non-steroidal compounds of plant origin that provide a double anti-estrogenic effect:

competitively bind to target cells in the uterus, preventing the accumulation of endogenous hormone in the myometrium;
prevent the conversion of androgens into female sex hormones in the fat depot.

Plant estrogens are found in large concentrations in:

pomegranates;
apples;
flax seeds;
wheat;
lentils;
bourbon.

In excessive quantities, phytoestrogens stimulate ovarian function. Therefore, the diet should be prepared with the participation of a nutritionist or endocrinologist.

Cabbage

To reduce fibroids in the uterus, different types of cabbage are introduced into the diet. It contains Indole-3-Carbinol, a substance that:

converts estradiol into a water-soluble form;
slows down tumor processes in the uterus;
stimulates metabolism;
removes toxins from the body.

Therefore, for estrogen-dependent diseases, different types of cabbage are included in the diet - red, cauliflower, Brussels sprouts, white cabbage.

Proteins (proteins)

A protein diet stimulates the metabolism of steroid hormones, which leads to a decrease in their levels in the blood. To stop the growth of fibroids, the following is added to the diet:

lean meats;
tofu;
chickpeas;
almond;
chia seeds;
green algae.

For fibroids, the daily protein content in the diet should not exceed 60 g.

Mistake #2. Taking calcium without normalizing vitamin D and magnesium

Calcium

- an important mineral that maintains the good condition of bones and teeth, is responsible for blood clotting and growth, and maintains muscle tone and nervous system. Sufficient calcium intake is necessary for the prevention and treatment of osteoporosis, as well as arterial hypertension.

But calcium is not absorbed if the body is deficient in vitamin D and magnesium. Taking calcium in this case is simply pointless.

Rules for a healthy kitchen with uterine fibroids

For hormone-dependent tumors in the uterus, a balanced diet is followed for from 3 months to several years. Therefore, the diet must be balanced, that is, it contains all the necessary bioactive components.

Healthy kitchen rules:

Fractional meals. Main meals are taken every 1.5-2 hours. The last time is eaten 1.5 hours before bedtime.
Heat treatment. If you have fibroids, it is not advisable to eat fried meat and vegetables. In accordance with the diet, preference is given to boiling, baking and steaming dishes.
Avoiding sweets. Confectionery, jam, and honey are temporarily excluded from the diet. They contain a lot of sugars, which are a favorable environment for the proliferation of pathogenic bacteria.

To reduce tumors in the uterus, the menu is enriched with permitted vegetables and fruits. They contain bioactive substances that have anticarcinogenic properties.

Useful products with antitumor or antiestrogenic effects:

soy;
carrot tops;
sage;
tomatoes;
barley;
grenades;
buckthorn;
hemp seeds;
soy milk;
propolis;
garlic and spices.

The diet must contain a sufficient amount of microelements, so the menu includes products with:

iodine – seaweed, mussels, sea fish;
selenium - peanuts, barley, peas, pistachios;
germanium – tomatoes, milk, legumes;
potassium – dried apricots, kelp, prunes;
zinc – pine nuts, buckwheat, yeast.

Women with fibroids suffer from iron deficiency anemia due to heavy and acyclic bleeding. To increase the hemoglobin content in the blood, eat spinach, corn, oatmeal, cashews, and pistachios.

Approximate menu

Many foods are allowed in the diet, so you can create a varied menu for the week from them. If a woman leads a sedentary lifestyle, limit bakery products, sugar, and honey to the maximum.

Sample menu for the week

Days of the week	First breakfast	Lunch	Dinner	Afternoon snack	Dinner
Monday	Buckwheat porridge, toast with low-fat sour cream, vegetable juice	Homemade yogurt	Cabbage soup with lean beef, fish quenelles, sliced cucumbers and tomatoes, green tea	Fruit salad	Cheesecakes, low-fat kefir
Tuesday	Oatmeal, weak green tea	Baked apple	Puree soup with broccoli, baked hake with vegetables, pomegranate juice	Homemade yogurt, oatmeal cookies	Lenten borscht, boiled skinless chicken, sliced vegetables, rosehip decoction
Wednesday	Semolina porridge with soy milk, pomegranate juice	Sandwich with hard cheese	Beetroot soup without meat, baked pollock with carrots, vegetable side dish, sage decoction	Homemade yogurt, oatmeal cookies	Curd casserole with dried apricots, fermented baked milk
Thursday	Protein omelet, toast with low-fat sour cream, green tea	Homemade yogurt	Crepe soup with broccoli, chicken cutlets, buckwheat porridge, rosehip infusion	Cottage cheese casserole with dried apricots	Cheesecakes, fermented baked milk
Friday	Oatmeal, sage decoction	Baked apple	Bean soup, fish cutlets, tomato and cucumber salad	Fruit salad	Lazy cabbage rolls with soy sauce, weak green tea
Saturday	Brown rice porridge with figs, vegetable juice	Baked apple	Lenten borscht, boiled duck, carrot juice	Oatmeal cookies, fermented baked milk	Vegetable stew, fruit salad, kefir
Sunday	–	–	–	–	–

For hormonal-dependent tumors in the uterus, one of the days is made unloading. The only foods you are allowed to eat are unsweetened fruits, boiled vegetables and a little kefir or homemade yogurt.

A balanced diet for uterine fibroids is one of the effective methods of combating tumor processes in the body. Following a diet has a beneficial effect on the functioning of not only the reproductive, but also the endocrine and immune systems.

Using oils to treat fibroids

Among the ways to cure uterine fibroids without surgery , they are increasingly resorting to the use of oils that are of natural origin. They serve as an excellent remedy for compresses and tampons, as they have anti-inflammatory, astringent and immunostimulating effects. The following types of oils are used in the fight against fibroids:

Cumin for fibroids . Black cumin oil is used to resolve nodes. It has a positive effect on the thymus gland, which is responsible for the active functioning of the lymphatic system. The increased number of lymphocytes formed prevents further growth of the tumor;
Fir oil. This product has a large number of healing qualities, which are indispensable in the treatment of uterine fibroids. It affects the composition of the blood and helps normalize the body's immune functions. Compresses with fir oil should be used under the supervision of a doctor;
Camphor oil. This remedy has long been used by traditional healers. This oil is extracted from pine nuts. It is used to treat many diseases, including uterine fibroids. To do this, soak a tampon in oil and insert it into the vagina for 1 hour. The procedure is done daily and compresses with other types of oils are used in parallel. This treatment helps relieve pain and improve blood circulation.
Basil oil. This remedy has the following properties: anti-inflammatory, astringent, normalizes metabolic processes and the menstrual cycle. To treat fibroids, it is recommended to use this remedy together with rose oil.

In addition to oils, mummy is used to treat nodular fibroids. The medicine is prepared as follows:

1 tablespoon of the main ingredient is poured with 4 tablespoons of water;
stir well.

Tampons are soaked in this liquid and placed before bed. At the same time, you should drink mumiyo internally, 2 glasses a day. The course of such treatment is 1.5 weeks. After interrupting for 3 days, therapy can be repeated.

There are a lot of positive reviews about taking natural remedies for treatment. The main thing is to choose the appropriate option and coordinate everything with the gynecologist. This is the only way to avoid surgery.

The use of flaxseed oil for fibroids: myths and reality

A balanced diet does not lead to the resorption of fibroids, but prevents its further growth. To speed up recovery, flax seeds are included in the diet. They contain a large number of useful substances:

dietary fiber – stimulates intestinal motility, suppresses the proliferation of pathogenic bacteria;
lignin – improves the functioning of the gastrointestinal tract, prevents constipation;
phytoestrogens – restore the balance of steroid hormones in the body;
polyunsaturated fats – lower cholesterol levels in the blood and stimulate lipid metabolism.

By consuming healthy foods for fibroids, it is possible to increase the effectiveness of drug therapy.

Doctors' opinions on the benefits of flax for fibroids

According to reviews of obstetricians-gynecologists, reproductive specialists and nutritionists, flax has a beneficial effect on the functioning of many vital systems. But neither seeds nor oil are able to completely eliminate tumors in the uterus. Although with systematic use of flax it is possible to:

influence hormonal levels;
improve bowel function;
reduce the rate of fibroid growth;
normalize the functioning of the sex glands.

But seeds or oil cannot be eaten in large quantities, as this can lead to diarrhea and disruption of the intestinal microflora. When fighting fibroids, infusions and decoctions are included in the diet.

Application of seeds

The therapeutic diet for estrogen-dependent tumors is aimed at reducing the level of steroid hormones in the blood. Therefore, nutritionists do not prohibit adding flax seeds to food. To stop the growth of fibroids, they are eaten in the morning on an empty stomach, 1 tbsp. l. If desired, the seeds are added to a glass of kefir or fermented baked milk.

Flax seed infusion

It is recommended to drink the drink instead of tea up to 2 times a day. The infusion is prepared according to this recipe:

1 tbsp. l. seeds are steamed with 250 ml of boiling water;
leave in a container under a closed lid for half an hour;
filter through cheesecloth or a sieve;
drink 25-30 minutes before meals.

The drink is especially useful at the initial stage of fibroids, as well as when it is combined with endometriosis.

Flaxseed decoction

When drinking the drink, the fibroids in the uterus will not shrink, but its growth will slow down. The decoction is prepared simply:

4 tbsp. l. seeds are soaked in 200 ml of warm water;
after an hour the liquid is drained;
the seeds are poured into a saucepan;
pour ½ liter of water;
boil over low heat for 5-7 minutes;
The cooled drink is filtered through cheesecloth.

For large myomatous nodes, drink 150 ml of decoction three times a day 30 minutes before meals. The duration of the course varies from 3 to 5 weeks.

Linseed oil

If you don’t want to bother with preparing folk remedies for fibroids, use ready-made oil. It can be purchased at pharmacies and points of sale of herbal medicines.

How to properly eat flaxseed oil for tumors in the uterus:

single dose – 1 tbsp. l. (15 ml);
frequency of administration – 2 times a day;
time of administration – 30 minutes before meals;
Course duration is from 2-3 weeks.

If desired, oil can be added to main courses or seasoned with vegetable salads.

Fibroids - how to treat without surgery

To get rid of fibroids at home, improvised means are often used. For example, treating fibroids with soda . This product is considered an important component of farming. It is involved in the preparation of various dishes, and is also used to cleanse the surrounding household environment. In addition, soda is actively used for medicinal purposes. The following recipe has a lot of positive reviews:

For 2000 ml of water you need to take 1 dessert spoon of the product;
the water temperature must be at least 38 degrees;
Dissolve baking soda well in liquid.

This is how you douche with soda for fibroids . It is aimed at reducing the level of pain. The treatment procedure begins on the first day of the menstrual cycle and ends on the last. Sessions are held in the morning and evening for a quarter of an hour. The duration of such treatment is at least six months. The liquid should be inserted into the vagina very carefully so as not to damage the walls with the bulb. Treatment with soda should not be a panacea, so it should be under the supervision of a gynecologist.

In addition to baking soda, you always have garlic on hand at home. Fibroids and garlic are incompatible, so this product is often used to reduce the growth of fibroids. Prepare the tincture as follows:

half a glass of the main ingredient is crushed;
pour in all 2/3 glasses of vodka;
leave in a dark place for 21 days;
filtered.

A tincture of a product such as garlic for uterine fibroids is taken half a teaspoon diluted in a small amount of water. Drink liquid before meals half an hour three times a day. Garlic has cytostatic properties, that is, it has the ability to adversely affect the growth of malignant or benign tumor cells. In addition, this product has antimicrobial and antiseptic properties, so it is recommended to eat it fresh daily to reduce the number of unpleasant symptoms of the disease.

Various fats have proven themselves well in the treatment of fibroid-shaped nodules: fish, goose and goat. Fish oil against fibroids is used for tampons and compresses. The cotton wool needs to be moistened in the product and applied to the body, then wrapped with a gauze bandage and made several more of the same layers. Such compresses should be applied daily for 180 minutes. To prepare a solution for tampons, mix fish oil and honey in equal parts. Moisten the prepared tampon generously into the mixture and insert it into the vagina for the whole night. The duration of such treatment is 2-3 months, but positive results can be noticeable after 14 days. Honey and fish oil for fibroids help the nodules quickly resolve. To get rid of fibroids as quickly as possible, you need to drink a glass of goat's milk daily, after diluting 1 tablespoon of goat fat in it with the addition of a few chopped cloves of garlic. This treatment takes a couple of months.

In addition to goat and fish fat, goose fat is also used to treat fibroid nodules. For this:

melt 50 grams of fat;
add 10 grams of calendula inflorescences to the resulting mixture;
simmer everything over low heat for 30 minutes;
let cool;
strain off the liquid.

Use this decoction by soaking tampons in it and placing them in the vagina for 10 days. The course of treatment consists of three approaches, between which there is a break of one and a half weeks.

A good remedy for treating fibroids at home is the use of various juices, including:

You should drink a glass of freshly squeezed juice daily, alternating between the above types. You can prepare a mixture of juices. For this:

grate the beets on a fine grater;
squeeze the juice out of the pulp;
place in the refrigerator for 120 minutes without covering with a lid;
Three times more carrot juice is added to beet juice for fibroids

For uterine fibroids, drink this three times a day before eating, 250 ml.

Potato juice is very beneficial for the whole body. It reduces inflammation, pain, heals wounds and removes inflammation. You need to take this juice very carefully, because an overdose can be harmful. Those who have gastritis, diabetes mellitus and gastrointestinal dysfunction should not consume the juice of this vegetable. You need to drink the prepared drink every day on an empty stomach, ½ glass for six months. When repeated treatment should be interrupted for several months.

Features of nutrition after tumor removal

The diet after removal of the uterus with fibroids must be strictly followed. During the first half a day, women are recommended to fast. 12-15 hours after abdominal surgery, the following is slowly introduced into the diet:

low-fat meat broths;
unsweetened fruits;
steamed vegetables.

After removal of fibroids, foods that cause gas formation and increased intra-abdominal pressure are excluded from the diet for at least 2 weeks:

cabbage;
apples;
Chinese salad;
legumes;
carbonated drinks;
artichokes;
mushrooms.

A gentle diet after removal of fibroids is aimed at normalizing digestion. To make bowel movements easier, the menu includes:

pumpkin porridge;
boiled beets;
dried fruits.

Immediately after the operation - until the appearance of the first independent stool - flour products and baked goods are excluded from the diet.

Risk factors for developing fibroids during menopause

Can fibroids appear during menopause? Yes, although this rarely happens.

Provoking factors are:

frequent stress;
obesity;
late first pregnancy or no pregnancy at all;
early onset of menstruation;
belonging to the Negroid race.

Also, fibroids often occur during menopause in women who have often encountered inflammatory and infectious gynecological diseases, had abortions, or taken oral contraceptives without a doctor’s prescription.

Diagnosis of pathology

If the patient has one or more small myomatous nodes, they do not give specific symptoms and it is difficult to diagnose the pathology. Women have no complaints, so they rarely go to the doctor.

During a preventive examination of conscious patients, the doctor conducts an ultrasound examination, during which myomatous nodular formations are detected. The echo picture of fibroids is marked by the following features:

the echographic contour is smooth;
echoscopically the object is heterogeneous.

To determine the exact location of the node and its size, a contrast agent is used - it makes it possible to identify both an isolated node and multinodular pathology, calcification.

In rare cases, a magnetic resonance imaging scanner is used if necessary, but a blood test for hormones is a necessary study, which allows you to get a picture of the patient’s hormonal status and see changes in the amount of female sex hormones. If the diagnosis requires it, the gynecologist performs a hysteroscopy and collects biomaterial for research.

Postmenopause is a rather dangerous period, since the tumor can either decrease or increase in size. When diagnosing a small myomatous node, doctors prefer to observe, since after menopause ends, tumor growth stops in many patients. In this case, repeated diagnostics will be required to observe the behavior of the tumor. If degeneration is suspected, an additional blood test for tumor markers, hysteroscopy, and curettage are performed for diagnostic purposes. The final treatment decision is made after an accurate diagnosis has been made.