How is it better to treat uterine fibroids without pregnancy

Patient's question:

Hello, I have multiple uterine fibroids, three in total, with the largest being 3 cm and the smallest two being slightly more than a centimeter. I am 25 years old and have not given birth yet. My menstrual flow is not very heavy, and I only sometimes experience lower abdominal pain. My periods sometimes come a few days earlier. In the past few months, I have felt a bit tired in my waist and suspect my kidneys might be a bit weak. Since I don't have children, how should I treat my uterine fibroids?

Doctor's answer:

Generally, fibroids smaller than 5 centimeters that do not cause symptoms such as frequent menstruation or excessive menstrual flow do not require surgery and can be treated with medication to control their growth. Fibroids larger than 5 centimeters are usually recommended for surgical treatment. A single fibroid can often be removed through surgery. For multiple fibroids, especially in patients who have not yet entered menopause, it is advisable to remove the uterus to prevent the fibroids from regrowing.

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