Patient's question:
[Condition Description: 3 years old, Treatment history and effect in Inner Mongolia Autonomous Region: Untreated, size 5.56.2 What kind of help do you want: Can minimally invasive surgery be performed?Doctor's answer:
The size and severity of symptoms of uterine fibroids are important indicators for determining whether surgery is necessary. Generally, if the fibroid is larger than 5 cm, or if the symptoms are more pronounced, such as rapid growth, significant bleeding, abdominal pain, or issues affecting fertility, immediate surgical treatment is required.First, the size should be examined. If the fibroid is larger than 5 cm, the uterus may appear enlarged, resembling a pregnancy of three months. Next, symptoms should be evaluated. If excessive menstrual bleeding, secondary anemia, urinary frequency or difficulty urinating due to bladder compression, or bowel issues due to rectal compression occur, surgical treatment is necessary regardless of the fibroid size. Additionally, growth rate is a factor. If the fibroid grows rapidly in a short period, with ultrasound indicating rich blood flow, the possibility of malignancy cannot be ruled out.
Furthermore, fertility impact must be considered. If there is a need for childbirth but the fibroid diameter exceeds 4 cm, making pregnancy difficult. The growth location is also crucial. Fibroids growing in the submucosal layer of the uterine cavity are more likely to cause excessive menstrual bleeding; those located at the cervix or fallopian tube openings can affect fertility and require surgical treatment. Complications, such as ascites or pleural effusion caused by uterine fibroids, also necessitate surgery.
Therefore, whether uterine fibroids require surgery is influenced by many factors. It is essential to consider all aspects carefully before making a decision. The most critical factor is to follow medical advice and listen to the doctor.