Should a 4 cm uterine fibroid require surgery?

Patient's question:

Doctor, I have had uterine fibroids for several years. Before, there were no symptoms, but in the past two years, I have been bleeding. The size of the fibroid is about 4 cm, and I am 40 years old. My menstrual period is heavy and prolonged. I experience menstrual cramps immediately after the start of my period, and I have anemia with a hemoglobin level of 5 g. I am not sure how to treat it better, should I consider surgical treatment?

Doctor's answer:

Uterine fibroids larger than 5 centimeters require surgical resection. For smaller fibroids, it is important to undergo regular check-ups. Treatment methods such as ultrasound, hysteroscopy, or surgery should be chosen based on symptoms and whether there are fertility requirements.

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