Do uterine fibroids require surgery?

Patient's question:

I am 43 years old this year. I discovered uterine fibroids two years ago, and by this year, the size of the fibroids has reduced to 4mm. There are no significant pain symptoms, but my periods have been coming earlier.

Doctor's answer:

Hello, uterine fibroids are the most common benign tumors in the female reproductive system, with a very low risk of malignancy. Their etiology may be related to excessively high estrogen levels in the body and long-term estrogen stimulation. Generally, they are asymptomatic, but some may manifest as vaginal bleeding, palpable abdominal masses, and compression symptoms, among others. Treatment should be determined based on specific circumstances. Small fibroids usually do not require treatment, but if they are too large (diameter greater than 6 cm) and symptomatic, surgical treatment is recommended.

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