Patient's question:
Previously, an ultrasound revealed two uterine fibroids, with the larger one measuring 3.2 cm and the smaller one measuring 1.7 cm. After taking medication for a period of time, a follow-up ultrasound showed that the larger one has grown to 4 cm, while the smaller one remains unchanged at 1.9 cm. I haven't given birth yet and don't want surgery to harm my uterus.Doctor's answer:
Whether uterine fibroids affect pregnancy depends on comprehensive evaluation factors such as the location where the fibroids grow and their size. If the fibroids are <2 cm and show no clinical symptoms, it is recommended to wait and see for 3-6 months with follow-up checks. As long as the growth rate is not fast, no treatment is necessary. Generally, we encourage patients to try pregnancy with the fibroids. If the first attempt is successful, after the doctor thoroughly examines and rules out other factors, it is confirmed that the fibroids are indeed the cause. In this case, removing the uterine fibroids would be beneficial for the patient's pregnancy. If pregnancy is not attempted first and the fibroids are surgically removed directly, the surgery is a double-edged sword. Due to the potential side effects of surgery, it may lead to lifelong infertility. Therefore, it is generally encouraged for patients to try pregnancy first.