How big does a uterine fibroid have to be to be operated on, and what are the other indications for this surgery?

Generally, when the diameter of uterine fibroids exceeds five centimeters, they can be surgically removed as soon as possible. However, the size of the fibroids is not the only criterion for determining whether surgery is necessary. If the fibroids are small, but there are multiple fibroids, the fibroids are located under the mucosa, the uterus is significantly enlarged, the discomfort symptoms are obvious, there is a tendency for malignancy or malignancy, they should be surgically removed as soon as possible.

If the fibroids in the uterus are small and there are no obvious symptoms, conservative treatment or regular observation is generally sufficient. If the fibroids are large, doctors will recommend surgery to remove the fibroids to avoid excessive bleeding due to stimulation from the fibroids, which can cause complications such as anemia and seriously endanger health. So, how big should uterine fibroids be before surgery can be performed?
1. How big does a uterine fibroid need to be to be operated on <br/>Generally speaking, when the diameter of a uterine fibroid exceeds five centimeters, doctors will recommend that the patient undergo surgery as soon as possible. Because the fibroids in the uterus are too large, they often lead to increased menstrual flow and prolonged menstruation. Over time, they often lead to anemia and discomfort symptoms such as abdominal pain, which are very harmful to physical health. However, the size of the uterine fibroid is not the only criterion for determining whether surgery is necessary. For some patients whose fibroids are small, if there are indications for surgery, surgery should be arranged as soon as possible.
Other indications for uterine fibroid surgery
1. Multiple fibroids <br/>Although the diameter of a single fibroid is small, if there are too many fibroids, it is generally recommended to undergo surgery as soon as possible when multiple fibroids appear. Because the fibroids are small, intrauterine curettage can generally achieve good treatment results.
2. Submucosal fibroids <br/>If the fibroids appear under the mucosa, regardless of the size of the fibroids, it is recommended to undergo surgery as soon as possible. For fibroids in this position, myomectomy under hysteroscopy can achieve good results.
3. The uterus is significantly enlarged <br/>Although the diameter of the fibroids does not exceed five centimeters, the presence of the fibroids causes the uterus to enlarge. If the uterus exceeds that of a uterus that has been pregnant for more than ten weeks, surgical treatment is required as soon as possible.
4. Obvious symptoms of discomfort <br/>Although the fibroids are small, if the patient's symptoms of discomfort are particularly obvious, such as heavy menstrual flow, continuous bleeding, anemia, or accompanied by symptoms such as urgency, frequent urination, abdominal pain, etc., it is recommended to undergo surgical treatment as soon as possible.
5. Tendency to become malignant <br/>Uterine fibroids are benign tumors with a low chance of becoming malignant, but some patients may experience malignant changes. If a pathological examination shows that the fibroids have become malignant or are in the precancerous stage, it is best to have surgery to remove the fibroids as soon as possible to reduce the harm of the disease to your health.