Should multiple uterine fibroids be treated conservatively or surgically removed?

Patient's question:

I am a 50-year-old woman. Recently, when washing my underwear, I have been finding a lot of curd-like discharge on them, and it smells very bad. I also feel that my private area is always damp and a bit itchy, and my lower abdomen is uncomfortable. Please ask: For multiple uterine fibroids, should conservative treatment be adopted or surgical removal performed?

Doctor's answer:

You have multiple uterine fibroids. Based on the size of the fibroids, the largest one is 5 cm, but it has now shrunk below 5 cm. If, in addition to changes in menstrual volume, your cycle length has also been prolonged, you will need surgical treatment. Moreover, with multiple uterine fibroids, it is best not to undergo a fibroid enucleation that preserves the uterus, as this condition is prone to recurrence. You can instead opt for a subtotal hysterectomy, which will not affect your normal sexual life.

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