Does uterine fibroids require a hysterectomy?

Patient's question:

Female, 21 years old. I have been menopausal for the past two years, but recently I have been experiencing severe itching in my external genitalia and vaginal opening, and the odor of my discharge is also quite strong. Please ask: Do uterine fibroids require a hysterectomy?

Doctor's answer:

Generally, uterine fibroids smaller than 5.0 cm do not require surgery, but the specific treatment plan needs to be confirmed based on individual age, clinical presentation, and endocrine status. However, if the size of the uterine fibroid is 3 cm or larger and it has abundant blood supply, surgery should be performed as early as possible. Uterine fibroids are relatively common in clinical diagnosis with a high incidence rate, and surgery is currently the main treatment method. There are traditional surgical treatments and minimally invasive treatments for uterine fibroids. The different surgical methods will also result in different treatment costs.

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