How big does an uterine fibroid need to be for surgery?

Patient's question:

My friend has been feeling unwell recently. Upon asking, I found out that her menstrual cycle has been irregular for a long time, and she hasn't had a proper period for quite some time—just a bit here and there. Her leukorrhea is also abnormal. After a thorough examination at the hospital, the doctor diagnosed her with uterine fibroids and recommended surgery for treatment.

Doctor's answer:

Hello. Generally, uterine fibroids smaller than 5.0 cm do not require surgery, but the specific treatment plan needs to be confirmed based on individual age, clinical presentation, and endocrine status. Your friend is 44 years old. If there are no further discomfort or abnormal conditions in the clinical diagnosis, it can be considered to carefully monitor or use medication to regulate the menstrual cycle. It is recommended that your friend visit a regular hospital's gynecology department for relevant examinations to determine the specific treatment plan.

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