Does uterine fibroids necessarily require surgery?

Patient's question:

Earlier, there was menstrual irregularity. After an ultrasound examination, uterine fibroids were found. Later, no medication was taken, and recently, the menstruation has also been abnormal, delayed by 10 days. Additionally, lower back pain has frequently occurred. Recently, a follow-up ultrasound was performed, and it was discovered that the uterine fibroids had increased in size to 3.6×3.9cm, growing by 0.5cm compared to June.

Doctor's answer:

Hello, uterine fibroids are the most common benign tumors in the female reproductive system, with a very low risk of malignancy. Their etiology may be related to excessively high estrogen levels in the body and long-term estrogen stimulation. Generally, they are asymptomatic, but in some cases, they may manifest as vaginal bleeding, palpable abdominal masses, and compression symptoms. Treatment should be determined based on specific circumstances. Small fibroids often do not require treatment, but if they are large (diameter greater than 6 cm) and symptomatic, surgical treatment is recommended.

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