Uterine fibroids over 6cm do not necessarily require surgery. The need for surgery for fibroids over 6cm is related to age, clinical symptoms, and comorbidities.
Uterine fibroids are associated with excessive secretion of estrogen level, which leads to excessive menstruation, dribbling menstruation, lower abdominal distension and pain, frequent urination, lumbago and other adverse reactions. Whether uterine fibroids over 6cm need surgery is related to the following factors:
1. Age: women who have entered menopause or have already gone through menopause, due to the decline of ovarian function and low level of estrogen secretion, fibroids will not continue to grow, and the tumor may gradually shrink, at this time, you can carry out observation first, no need for surgery for the time being, and regular ultrasound examination.
2. Clinical symptoms: If uterine fibroids do not have symptoms such as heavy menstruation, prolonged menstruation, lower abdominal pain, frequent urination, etc., they can be observed and treated with medication first. If there is heavy bleeding, lower abdominal pain, anemia, etc., surgical removal is needed.
3. Comorbidity: uterine fibroid 6cm, highly suspected of malignant transformation, need to be surgically removed as early as possible, good preoperative examination, can be open surgery, laparoscopic surgery to remove the fibroid or total hysterectomy.
Uterine fibroid more than 6cm, if accompanied by clinical symptoms, need to go to the hospital in time to improve the relevant examination, under the guidance of professional doctors targeted treatment.