Is uterine fibroids necessarily require surgery?

Patient's question:

One month ago
Menstruation had a lot of blood clots
Tired all day

Doctor's answer:

It's important to distinguish between the severity and urgency of uterine fibroids, whether to take medication or have them surgically removed. Generally, if the uterus is of normal size and there are single or multiple small fibroids inside, treatments like Gongtiao Xiaoyao or Guizhi Fuling Wan, which promote blood circulation and remove blood stasis, can be used. If the uterus is enlarged and accompanied by multiple fibroids, with the largest being over 5cm, and if medication is ineffective, surgical removal may be considered to prevent further growth and its impact on menstruation. For patients with uterine fibroids accompanied by adenomyosis, if medication is ineffective and the woman has no desire for fertility, a hysterectomy may be a viable option.

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