Patient's question:
In 2007, a 1.4 cm uterine fibroid was discovered, which gradually increased in size each year. In 2010, uterine adenomyosis was detected, with thickened endometrium and anterior displacement. In 2011, three uterine fibroids were found. In September 2013, a B at the Third Municipal Hospital showed: the uterus measured 7.77.28.1 cm, with an endometrium thickness of 0.7 cm and anterior displacement. An 4.34.4 cm isoechoic mass was observed on the posterior wall, with unclear boundaries and patchy low echo. Additionally, a 3.13.0 cm and 2.11.9 cm low echo mass was seen at the left uterine angle and the left posterior wall at the cervix-body junction, with clear boundaries and slight outward protrusion.Current symptoms: Frequent urination and rectal fullness, long-term menstrual pain. Menstruation occurs every 22-24 days, with normal flow.
Doctor's answer:
The occurrence of uterine fibroids is related to hormonal imbalance. Generally, fibroids smaller than 5 centimeters that do not cause 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, but for multiple fibroids in patients who have not yet entered menopause, it is recommended to have the uterus removed to prevent further growth.