Is the increase in menstrual volume during menopause a uterine fibroid? Under what circumstances does uterine fibroid require surgery?

Patients with uterine fibroids will worry about how suitable uterine fibroids are for surgery. Everyone wants to have a bottom line in their hearts to avoid delaying treatment and burying hidden dangers for their health. Although uterine fibroids are a benign tumor, it is a disease in the final analysis. In a woman's important organ, it is inevitably disturbing.

Be careful if your menstrual flow increases before menopause

About three years ago, Ms. Ai, 50, suddenly had a high-profile "period" and her menstrual flow increased and continued. The patient thought it was a symptom of menopause, delayed early treatment, and ultimately failed to maintain her uterus. Ms. Ai regretted very much that when she found out she had uterine fibroids, she did not pay attention and took risks, thinking that she was about to enter menopause at the age of 50 and would soon have amenorrhea, and that the uterine fibroids would shrink on their own, so she delayed and did not continue to go to the hospital for follow-up examinations.

In the past year, Ms. Ai found that her menstrual flow increased, thinking it was irregular menstruation due to menopause; her abdomen enlarged, and she also thought it was a manifestation of menopausal fat, and she was completely unaware that her uterine fibroids were out of control and growing wildly. Until recently, she went to the hospital until she felt her stomach was hard and could touch the abdominal mass with her hands. The examination found that Ms. Ai's uterine fibroids were at least more than 3 kilograms, and she could only choose laparotomy and could not keep her uterus.

Most of the symptoms of uterine fibroids are not obvious. It usually occurs in women between the ages of 30-50. Uterine fibroids have tended to increase in recent years. Although uterine fibroids are a benign tumor, if not discovered in time, uterine fibroids can endanger multiple organs of the body and can also cause infertility. For uterine fibroids, a very common gynecological disease, if the location of the uterine fibroids is different, it will also lead to different types of uterine fibroids, and the symptoms of uterine fibroids will also be very different.

What surgery should be done for uterine fibroids?

Many patients will ask how big the fibroids need to be before surgery. In fact, the size of the fibroids is not the only criterion for determining whether surgery is needed. It mainly depends on whether the patient has symptoms, fertility requirements, psychological burden, and the growth rate of the fibroids. You can observe first and check regularly. If the uterine fibroids reach 5.0cm or more, related symptoms require treatment, but the specific treatment plan needs to be based on personal age, clinical manifestations, and endocrine. The size of uterine fibroids of 5cm is not an absolute factor. It depends on related symptoms (such as low back pain, infertility, menstrual changes, constipation, frequent urination and other compression symptoms) to determine whether treatment is needed.

In fact, the vast majority of patients with uterine fibroids can coexist peacefully with them without taking any treatment measures. Most uterine fibroids do not require surgical treatment. If the uterine fibroids do not show symptoms and do not affect normal life, it is completely possible to coexist peacefully with it by taking regular follow-up measures.