The exact cause of uterine fibroids is not known. Although 40% of patients with uterine fibroids have no clinically significant self-reported symptoms, the telltale signs of fibroids can be observed in daily life with attention. The most common symptom is a change in menstruation, with shortened cycles, increased menstrual flow, prolonged periods, and irregular vaginal bleeding. Due to the growth of an extra tumor on the uterus, the abdomen is distended and there is a lump in the middle of the lower abdomen when stroked, and it is easier to feel a very hard irregularly shaped lump when the bladder fills up early in the morning pushing the uterus upwards. Other symptoms include abdominal pain, back pain, lower abdominal swelling, increased leucorrhea, infertility and secondary anemia. If you find yourself with the above symptoms, it is not difficult to go to the hospital for diagnosis. Experienced gynecologists can usually make a clear diagnosis by doing gynecological examination based on clinical symptoms and auxiliary ultrasound examination. Uterine fibroids treatment should be personalized The treatment of uterine fibroids is more complicated and requires the doctor (fibroids evaluator) to consider the patient’s occupation, age, fertility requirements, symptoms, size of fibroids, etc. in a comprehensive manner and then personalize the treatment for the patient. Follow-up observation is an important treatment for fibroids. Many patients do not understand the need for observation when they are sick with fibroids and think that they should be treated with surgery as soon as they are found. In fact, if the fibroids are small and asymptomatic, they will not have much impact on the body and usually do not need treatment, especially in patients nearing menopause, where the level of estrogen is low and the fibroids can shrink or disappear naturally, the biggest problem for patients at this time is the psychological problem, always worrying that the fibroids will continue to grow and become malignant. If the fibroids increase in size or symptoms become apparent during the follow-up period, further treatment should be considered. Many patients have high expectations of drug treatment, but in fact the effect of drugs on fibroids is limited and uncertain. Some of the drugs currently available for the treatment of leiomyosarcoma are inaccurate, but the ones that have a definite effect are hormones, which should not be taken for more than six months because of their serious complications, otherwise liver damage can occur. Long-term consumption of such drugs can cause women to develop unrecoverable male characteristics such as beard and low voice. Surgery is the most traditional form of treatment for fibroids. It includes three procedures: myomectomy, hysterectomy and hysterectomy. These procedures have advantages and disadvantages and require good communication between the doctor and the patient. Patients under 35 years old who are unmarried or married without children and wish to preserve the uterus are suitable for myomectomy. Although the uterus can be preserved, the tiny fibroids cannot be removed, so they are prone to recurrence, with a recurrence rate of 20%-50% 2-5 years after surgery. Hysterectomy, which preserves the cervix, will not affect sexual life, but has lost fertility and has a certain impact on endocrine. Hysterectomy is currently the most used operation, and patients who do not need to preserve their reproductive function or have suspicion of malignant changes choose this method, thinking that removing the uterus is the end of the story. However, in reality, women who have their uterus removed even though both ovaries are preserved age 4 years earlier than women in the same age group, and menopause comes earlier with 34.6% more symptoms. The most advanced treatment Interventional therapy, also known as uterine artery embolization, is a common treatment for uterine fibroids in developed countries. It is performed by inserting a special catheter into the blood supplying artery of the fibroid and blocking the blood vessel with embolism, so that the fibroid can be “starved to death”, and after 1-3 months, it is observed that the fibroid shrinks significantly and the body expels the necrotic fibroid through its inherent absorption function. After 1-3 months, the fibroids are observed to shrink significantly, and the body expels the necrotic fibroids through its inherent absorption function, so that the fibroids “evaporate without trauma” in the body. The recurrence rate is about 1% and does not affect fertility. The patient can move freely within 6 hours after the surgery. In contrast, the recurrence rate is 20%-50% 2-5 years after surgery. The first thing that should be clear is that most fibroids are benign and have very little chance of malignancy. Patients can make the following preparations: have an ultrasound examination in a regular hospital to clarify the location, size and number of fibroids; tell your relatives and friends about your doctor’s professional treatment advice, preferably consult patients who have already received the same treatment; tell your doctor about your treatment requirements (such as the need to preserve the uterus, etc.) and work out a “personalized treatment plan” with your doctor. The best thing to do is to tell your doctor about your treatment requirements (e.g., the need to preserve the uterus, etc.) and work with him/her to develop a “personalized treatment plan.