How big does a uterine fibroid need surgery? Uterine leiomyoma is a benign tumor, so not all women with uterine fibroids need treatment and surgery. Most of them just need to adhere to regular checkups. Generally speaking, uterine leiomyomas over 5.0 cm need to be surgically removed in time. Here are a few surgical indications for uterine fibroids: 1. If the uterine fibroids grow too fast, of course, the premise is that the patient should pay attention to the examination. Or after menopause, the fibroids not only do not shrink, but become larger. 2. If uterine fibroids grow rapidly and exceed 3-4 cm in a short period of time, it will cause compression of other organs in the pelvis. It is recommended to undergo surgery to remove the fibroids. 3. Because uterine fibroids cause heavy bleeding, or long-term excessive menstrual flow, prolonged menstrual periods, and even anemia, medication cannot cure them. At this time, surgical removal is an effective method. 4. In addition, if a woman is infertile but all other tests are normal, then a major cause of infertility is uterine fibroids, and surgery should be performed at this time. Because even if she gets pregnant in this case, it is very likely that she will have habitual miscarriage due to the influence of uterine fibroids. 5. When acute abdomen occurs or chronic pelvic pain occurs, uterine fibroids should be removed as soon as possible. The surgical method can be myomectomy or hysterectomy, depending on the patient's age, fertility requirements and the growth of uterine fibroids. |
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