Do you need surgery for uterine fibroids?

Patient's question:

Born in 1960, with uterine fibroids for 4 years. Not yet menopausal. No treatment. Multiple fibroids, the largest is 3.9 cm.

Doctor's answer:

Hello, uterine fibroids still need to be differentiated based on urgency and severity, whether medication should be taken or surgical removal is required. Generally, if the uterus is of normal size and there are single or multiple small fibroids inside, treatments like Gongtuo Xiaoyao or Guizhi Fuling Pill, which promote blood circulation and remove blood stasis, can be used. If the uterus is enlarged and accompanied by multiple fibroids, with the largest being over 5cm, medication is ineffective, and surgical removal should be considered to prevent excessive growth from affecting menstruation. For patients with uterine fibroids accompanied by adenomyosis, if medication is ineffective and the woman has no desire for fertility, a hysterectomy may be a viable option. It is recommended that you clearly describe your condition so that a targeted analysis can be provided.

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