How big does an uterine fibroid need to be for surgical treatment?

Patient's question:

I am a 47-year-old woman. Three months ago, a thorough examination revealed a tendency to develop uterine fibroids. I am particularly concerned about the potential negative impact on my health. I would like to ask, at what size do uterine fibroids require surgical treatment?

Doctor's answer:

How large a uterine fibroid requires surgery varies from person to person. However, in general, uterine fibroids larger than 5 cm are considered relatively severe and may require surgical removal. If the fibroid is less than 5 cm, medication can be used to control its growth. Uterine fibroids without symptoms do not require treatment. A single fibroid can be removed through surgery. If the fibroids are multiple and the patient has no desire to conceive, it is recommended to undergo a hysterectomy to prevent further growth of the fibroids. The treatment method for uterine fibroids needs to be determined based on individual age, clinical symptoms, and endocrine status. It is recommended to undergo examination in a professional hospital and clarify the treatment plan under the guidance of a doctor.

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