Patient's question:
This year during the health check-up, my colleague had a thorough examination and discovered a uterine fibroid. Because she usually doesn't feel much discomfort, she wasn't too concerned. The doctor said it can be managed conservatively without the need for surgery. Now I'd like to ask, how large does a uterine fibroid need to be before surgery is required?Doctor's answer:
Uterine fibroids are the most common benign tumor in the female reproductive system. They are primarily caused by the fibrosis of uterine smooth muscle cells, with only a small amount of fibrous connective tissue present. They are more common in women of childbearing age between 30 and 50, with the highest incidence occurring between 40 and 50 years old. The incidence rate is 20% to 30%. Surgery is generally considered only if the fibroids are larger than 4 cm. It is recommended to regularly monitor with ultrasound. If the fibroids persistently shrink or continuously grow, surgery should be considered. The BBT coagulation knife can be used to treat uterine fibroids. It is a high-frequency electromagnetic wave with high buffering effects. Under ultrasound guidance, radiofrequency is delivered through the vagina and cervix to inject into the uterine fibroids or endometrium at fixed points, preventing additional damage to normal tissues.