How to deal with uterine enlargement and endometrial thickening due to uterine fibroids?

Patient's question:

In late October, I experienced mild lower abdominal pain and bloating. The ultrasound results showed: the uterine cross-section morphology was abnormal, the volume was enlarged, longitudinal diameter 9.6cm, anteroposterior diameter 6.9cm, transverse diameter 7.6cm, the uterine cavity was central, endometrial thickness was 1.0cm, and a 2.92.6cm isoechoic mass was observed in the anterior wall muscle layer with unclear boundaries and heterogeneous internal echoes.
No significant abnormalities were found in the bilateral adnexal regions.
No abnormalities were observed in the Pouch of Douglas, with no anechoic areas.

Doctor's answer:

The occurrence of uterine fibroids is related to hormonal imbalance. Generally, fibroids smaller than 5 centimeters that do not cause frequent menstruation or excessive menstrual flow do not require surgery and can be treated with medication to control their growth. Fibroids larger than 5 centimeters are usually recommended for surgical treatment. A single fibroid can often be removed through surgery, but for multiple fibroids in patients who have not yet entered menopause, it is recommended to remove the uterus to prevent the fibroids from growing back.

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