I want to ask if uterine fibroids need surgical treatment?

Patient's question:

I have been experiencing severe abdominal pain for four days. Ultrasound results: fibroid uterus, size approximately 38mm34mm, uterus enlarged, round shape, capsule slightly rough, uterine wall slightly rough, uniform thickening of the uterine wall, loose muscle structure, showing heterogeneous focal and punctate strong echoes, left side of the uterine cavity, endometrium still clear, bilateral adnexa show no obvious mass echoes.

Doctor's answer:

Uterine fibroids are very common benign tumors in women, so don't worry too much. Your mother is already over 50, and female hormone levels will rise. Currently, the fibroids are not considered large, so irregular follow-up checks or conservative treatment can be considered. If the fibroids show a reduction, then surgical treatment can be reconsidered. Surgery can be considered as a minimally invasive outpatient procedure to preserve the uterus, as long as the size and location of the fibroids are suitable for it.
When patients face the harm of uterine fibroids, we should actively adopt treatment measures and not avoid seeking medical attention. If uterine fibroids do not respond to treatment, it is important to promptly adjust the treatment plan.

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