Uterine fibroid 5cm usually means the diameter of fibroid is 5cm, the incidence of uterine fibroid is very high, belongs to the common disease. 5cm fibroid belongs to the larger ones, there are indications for surgery, in reality, whether it is necessary to operate or not, according to the patient’s age, symptoms, fertility status. The type of fibroid is also an important factor. For example, a 5cm fibroid that grows towards the uterine cavity may cause a significant increase in menstrual flow, resulting in more severe anemia, and in young patients, it may also affect pregnancy and require surgery to relieve the pain. A 5cm fibroid growing in the cervix will cause more obvious pressure symptoms than a fibroid of the same size in the uterus, and the risk of surgery is also greater. If it occurs in pregnant women during labor and delivery, it is also easy to lead to difficult labor. In terms of age, the same 5cm fibroid is more likely to continue to grow in young patients, and even if there are no symptoms for the time being, it is also preferred to be actively treated. For patients of menopausal age or those who are close to menopause, under the premise that the fibroid does not have any obvious symptoms and grows slowly, it can be treated conservatively first and waited for the fibroid to atrophy and get smaller after menopause, and most of them can also avoid surgery. Most of them will be able to avoid surgery as well.