Can uterine fibroids be surgically treated

Patient's question:

During the physical examination, it was found that there is a 4.74 cm fibroid on the left posterior wall of my uterus, and another small one near the uterine cavity. I don't have any symptoms. Could you please ask the expert if surgery is recommended in this case?

Doctor's answer:

Hello: How old are you? If there are no discomforts, surgery may not be necessary, and it's important to monitor the rate of change.
Indications for Uterine Fibroid Surgery:
1. Uterine fibroids cause heavy bleeding, or prolonged menstrual periods leading to anemia that cannot be resolved with medication. In this case, surgical removal is an effective solution.
  2. Uterine fibroids grow to the size of a fist, compressing other organs in the pelvis. Surgical removal can alleviate symptoms, and larger fibroids have a higher risk of malignancy compared to smaller ones.
  3. The fibroids grow too rapidly, or after menopause, they do not shrink but instead enlarge.
  4. Women with infertility but normal results from other tests may have uterine fibroids as the cause. Uterine fibroids may also lead to habitual abortion.

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