Does fibroid require surgery? Can it be treated conservatively?

Patient's question:

Does this require surgery? Can it be treated conservatively? How big is the fibroid?

Doctor's answer:

Discovery of irregular or uniform enlargement of the uterus, such as subserous fibroids that can be palpated as single or multiple nodular protrusions on the surface of the uterus, with a hard texture; submucous fibroids may sometimes dilate the cervix, allowing the lower part of the intracavitary fibroid to be touched through the cervix; if hanging in the vagina, the tumor can be seen and its pedicle can be palpated.
Guidelines:
Indications for drug treatment
1. Young women who wish to preserve fertility. Due to infertility or miscarriage caused by fibroids during the childbearing age, drug treatment can lead to fibroid shrinkage, promoting conception and fetal viability.
2. Premenopausal women with fibroids that are not too large and have mild symptoms. Drug treatment can cause uterine atrophy and menopause, leading to fibroid shrinkage and avoiding surgery.
3. Patients with surgical indications but currently have contraindications that require treatment before surgery. Comparison chart of uterine fibroids
4. Patients with concurrent medical or surgical conditions who cannot undergo surgery or are unwilling to have surgery.

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