When should uterine fibroid surgery be performed? How big a uterine mass is required for surgery?

When to perform uterine fibroid surgery

Uterine fibroids are benign tumors that develop in the wall of the uterus. For most patients, uterine fibroids are asymptomatic and do not require treatment. However, in some cases, surgery may be necessary. So, when should uterine fibroid surgery be performed? This article will discuss various aspects and give relevant suggestions.

1. Surgery is needed when symptoms occur

Uterine fibroids are a common gynecological disease that may cause some clinical symptoms. If the patient has persistent or periodic lower abdominal pain, excessive or prolonged menstrual flow, irregular menstruation, dysuria and other symptoms, then surgery is likely necessary. The appearance of these symptoms may affect the patient's life and work, so surgery can help relieve symptoms and improve the quality of life.

2. The tumor grows rapidly and requires surgery when it exceeds a certain size

The size of uterine fibroids is also an important indication for surgery. Usually, patients with uterine fibroids smaller than 5 cm do not need surgery and can be controlled through drug treatment. However, if the tumor grows rapidly, exceeds 5 cm, or even exceeds 10 cm, and is accompanied by worsening symptoms, surgery is necessary. Continuously enlarging tumors may affect the function of the uterus and even cause infertility, so surgery can help remove the tumor and restore uterine function.

3. Other Indications

In addition to the above two points, there are some other situations where surgical treatment may be considered. For example, if uterine fibroids grow rapidly after menopause, timely surgery is recommended. Because after menopause, estrogen levels drop and the growth of uterine fibroids usually stops or slows down. If the lump is still found to be enlarged at this time, further examination and consideration of surgical treatment may be required. In addition, if the patient plans to become pregnant, but the location and size of the uterine fibroids will affect the smooth progress of conception or pregnancy, then surgery is also necessary.

Summary: The timing of surgery for uterine fibroids depends mainly on symptoms and the size of the mass. When symptoms occur, surgery can relieve pain, control bleeding, and improve quality of life. When the mass grows rapidly and exceeds a certain size, surgery can help remove the lesion and prevent complications. In addition, the decision to perform surgery can also be made based on specific circumstances, such as rapid growth after menopause or planning to get pregnant.

In general, the timing of surgery for uterine fibroids should be determined by the doctor based on the patient's specific situation. For those who need surgical treatment, surgery can help relieve symptoms, restore uterine function, and improve quality of life. Therefore, it is crucial to see a doctor and consult a professional doctor as soon as possible.