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

Patient's question:

What is the size of uterine fibroids suitable for surgery?

Doctor's answer:

I. Follow-up Observation: If the fibroid is not large (〈3 months of pregnancy size) and asymptomatic, regular follow-ups can be scheduled. This is especially important for patients near menopause, as fibroids tend to shrink after menopause.
II. Surgical Treatment:
(1) Hysterectomy: Suitable for cases where the uterus is larger than 3 months of pregnancy size, or when the fibroid is not large but symptoms are significant, or when rapid growth cannot rule out malignancy.
(2) Myomectomy: Suitable for patients under 35, unmarried, or who have not been pregnant.

📌 Related Posts