Should women with uterine fibroids undergo immediate surgery?

Patient's question:

I had bilateral atypical hyperplasia of the breast removed in 2009. Recently, an ultrasound revealed two uterine fibroids measuring 4.6cm x 3.2cm x 3.4cm. Should I get checked? What solutions are available?

Doctor's answer:

Uterine fibroids are benign tumors that pose no significant harm to the body. However, if severe, they can cause menstrual disorders, excessive bleeding, and continuous discharge, ultimately leading to conditions like anemia. In terms of treatment, surgery is generally considered. The timing of the surgery depends on the size, number, and impact of the fibroids on the body. If the impact is not significant and there are no discomforts, surgery may not be necessary. If the impact is substantial, surgery is required. If there are multiple fibroids, considering your age of 50, a total hysterectomy might be an option. However, if the number of fibroids is small, a fibroid removal surgery could be considered.

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