Three criteria for uterine fibroids requiring surgery

Uterine fibroids are benign lesions of the uterine basement tissue. As long as they do not cause cancer, they are not harmful to health. Among women's diseases, uterine fibroids are quite common, but most women do not seem to know much about them. Here are some questions that women often ask and their answers.

Three criteria for uterine fibroids requiring surgery

The size of the fibroid is not an indicator for deciding surgery. It depends on the following circumstances:

1. Location of fibroid growth

Those under the mucosal layer of the uterine cavity are more likely to cause excessive menstrual bleeding; those growing at the entrance of the fallopian tube will affect conception and require surgical removal of the fibroids.

2. Severity of complications

Usually, 60 to 90% of fibroids have no symptoms. Complications caused by uterine fibroids include excessive menstrual bleeding, pain, infertility, miscarriage, premature birth, and compression symptoms such as frequent urination or difficulty urinating. Medical reports point out that 41% of miscarriages are related to uterine fibroids, and there is still a 19% chance of miscarriage after fibroid surgery.

3. The risk of cancer

27% of fast-growing fibroids develop into carcinoma. Some fibroids grow on the side of the uterus or protrude from the surface of the uterus. The fibroids have a pedicle connected to the uterus. Some fibroids are indistinguishable from ovarian tumors, so doctors recommend surgical removal. Some fibroids can cause ascites and pleural effusion, which also require surgery.

Most fibroids do not require surgery. If surgery is required, it is only to remove the fibroids. Only patients with more serious cases need to have their uterus removed. Patients with uterine fibroids combined with adenomyosis often have complications such as severe pain or excessive menstrual bleeding, which are different from simple fibroids. The severity of the complications, the patient's age, and the desire to have children are the key factors in deciding whether to have a hysterectomy.

Experts remind that if uterine fibroids appear for a long time, it is recommended to go to a regular hospital for diagnosis and treatment, and do not delay, so as not to aggravate the condition of uterine fibroids.