Do uterine fibroids require surgery? Under what circumstances do uterine fibroids require surgery?

In recent years, the incidence of uterine fibroids has been increasing, and the patients are getting younger and younger. Many women in their twenties and thirties have discovered uterine fibroids during routine physical examinations. These young patients still want to have children. Some women are worried that surgical removal of uterine fibroids will affect their fertility, so they have been hesitant about whether to remove uterine fibroids. How many surgeries are needed for uterine fibroids? Will not having surgery affect the condition?

It is understood that the current treatment methods for uterine fibroids include conservative treatment and surgical treatment, which are mainly determined by the patient's condition, such as the number, size, location of the fibroids, the patient's age, fertility status, etc. Conservative treatment includes drug treatment and placement of intrauterine rings, which are more suitable for patients with milder conditions, under 40 years old, and with fertility needs. For patients with more complicated conditions, no fertility needs, and a single uterine fibroid with a diameter of more than 5 cm, it is best to consider surgical treatment.

Surgical treatment is divided into myomectomy and hysterectomy. Myomectomy is only for the removal of fibroids and maintaining fertility, but it is easy to recur and is more suitable for patients with small size and small number and fertility needs. Patients with any of the following cases are best to choose hysterectomy:

1. The diameter of a single uterine fibroid exceeds 5 cm;

2. Uterine fibroids increase rapidly in a short period of time, and excessive growth may lead to cancer;

3. Fibroids grow on the endometrium, causing mucosal bleeding, long menstrual periods, heavy menstruation, and severe anemia;

4. Uterine fibroids compress other organs such as the bladder or cause other diseases;

5. The tumor grows in a special location and is very dangerous.