What measures should be taken for a 48-year-old woman with uterine fibroids, size 4.9

Patient's question:

Anteriorly positioned uterus, size 10.56.27.1cm, heterogeneous uterine wall echoes, multiple low-echo nodules, the largest measuring 4.93.7cm, located at the fundus. Endometrial thickness 0.5cm, IUD positioned centrally, cervical thickness 3.1cm, heterogeneous echoes. Right ovary not visualized, left ovary size 2.31.5cm, bilateral adnexal regions show no obvious abnormalities. No fluid accumulation at the posterior uterus.

Doctor's answer:

Generally, uterine fibroids smaller than 5 centimeters that do not cause symptoms such as frequent menstruation or excessive menstrual flow do not require surgery. Guaizhi Fuling Pill can be taken orally for treatment. After menopause, small uterine fibroids may shrink and disappear on their own. If the fibroids are larger than 5 centimeters and accompanied by symptoms, surgical treatment is necessary.

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