Why is it necessary to remove an uterine fibroid if it's not large?

Patient's question:

I was doing fine physically before. When I was pregnant, the prenatal check-up detected a uterine fibroid. However, it was observed that there was no change, so during the C-section, the fibroid was surgically removed. But now my menstrual cycle is irregular, and I have a feeling of pressure pain in my lower abdomen. The gynecological examination again showed a uterine fibroid, but it wasn't large. The doctor still notified me to have it surgically removed.

Doctor's answer:

Hello, small uterine fibroids without symptoms generally do not require treatment, especially for postmenopausal women. Postmenopausal uterine fibroids can gradually shrink or even disappear. Follow-up observation can be conducted. Monitor every three to six months. Surgical treatment is the most common method for treating uterine fibroids. It is mainly divided into hysterectomy and myomectomy. Hysterectomy is primarily used for patients who do not require preservation of fertility or who may be at risk of malignancy. Myomectomy can preserve fertility.

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