Is uterine fibroids better treated with surgery or medication?

Patient's question:

No symptoms. Test results: Subserosal fibroid 52mmx41mm, plus a small one 11mmx9mm. Previous treatment history and effectiveness: None. Concern: Is surgery better or medication?

Doctor's answer:

Hello, based on the current careful examination results, the fibroid is 52mm x 41mm, which is relatively large, and medication may not provide a good therapeutic effect. Surgery to remove it may be considered.
Advice: It is worth noting that if the age is advanced and there is no intention of having children in the future, a total hysterectomy can be performed directly, which can completely prevent the recurrence of fibroids after surgery. If it is simply the removal of the large fibroid, it cannot be ruled out that the fibroid may recur after surgery, which may lead to secondary or even tertiary surgeries. This requires attention.

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