Should uterine fibroids require surgery?

Patient's question:

Early menstrual irregularity, upon examination via ultrasound, it was found that there was a uterine fibroid. Later, no medication was taken, and recently, the menstruation has also been abnormal, delayed by 10 days. Additionally, lower back pain frequently occurs. Recently, a follow-up ultrasound was performed, and it was discovered that the uterine fibroid had grown to 3.6×3.9cm, an increase of 0.5cm compared to before June.

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 in some cases, they may manifest as vaginal bleeding, palpable abdominal masses, and compression symptoms. Treatment depends on the specific situation. Small fibroids usually do not require treatment, but if they are large (diameter greater than 6 cm) and symptomatic, surgical treatment is recommended.

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