Should uterine fibroids be operated on immediately?

Patient's question:

Detailed medical condition and consultation purpose:
I have had uterine fibroids for ten years, which are multiple on the anterior wall, measuring 6.5x5.5 cm, etc. The last internal examination suggested that the adnexa might also be affected. My last menstrual period was on November 16, and I had another one on November 30. This time, the flow was light and dark red. Is it menopause or a change in the condition? I would like to ask the expert if I should have surgery immediately. Thank you!
Current general condition: A slight chill in the lower abdomen.

Doctor's answer:

Hello, generally if the uterine fibroid is larger than five centimeters or if it is multiple uterine fibroids with the largest one being over three centimeters, surgical treatment needs to be considered. It is important to pay attention to this matter. If it is below this level, then drug (conservative drug treatment) can be used. Although uterine fibroids are benign tumors, allowing them to develop unchecked can also be harmful to a woman's health. It is important to pay attention to this matter. Even if the criteria for surgery are not met, regular follow-up examinations need to be conducted.

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