What symptoms could this ultrasound examination result indicate?

Patient's question:

Lower abdominal pain, dull ache that worsens with movement of the body, swollen and painful labia minora. Went to the hospital for an ultrasound examination, the results were: uterus in mid-position, uterus size 504236mm, normal shape, smooth capsule, uniform muscle layer echoes, endometrial thickness 8mm. Left ovary 4730mm, no significant abnormal echo masses detected in the right adnexal region. Ultrasound findings: left ovary volume enlarged, no significant abnormalities noted in the uterus or right adnexal region, recommend follow-up examinations regularly.

Doctor's answer:

Hello, uterine fibroids are common benign gynecological tumors. Under normal circumstances, fibroids less than 5 cm in size can be treated conservatively, as they may shrink on their own when estrogen levels in the body decline. Uterine fibroids larger than 5 cm require surgical removal. For small fibroids, it is important to undergo regular check-ups, and treatment methods such as ultrasonic, hysteroscopy, or surgery should be chosen based on symptoms and fertility needs.

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