Is it necessary to have surgery for a uterine fibroid of about 4 cm?

Patient's question:

Female, 46 years old, in good health. Five years ago, a 1 cm tumor was detected. In recent years, I haven't paid attention to it. A few days ago, during my follow-up check, I found that the tumor had grown to 3.9 cm x 3.0 cm. There are no other symptoms, but my period comes 4-5 days earlier than usual. The doctor recommended surgery.

Doctor's answer:

It's better for you to have surgery, because the surgical indications for uterine fibroids are patients with a uterus enlarged to the size of two and a half months of pregnancy, obvious symptoms, and secondary anemia. Your uterine fibroid is already 4 cm in size, and you also have obvious menstrual abnormalities and symptoms of secondary anemia. Therefore, it is recommended to have surgery early to avoid serious complications.

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