Can uterine fibroids live peacefully with patients Uterine fibroids are the most common benign tumors of the female genitalia, occurring mostly in women between the ages of 30 and 50. Most patients with fibroids are asymptomatic or have mild symptoms and are most often detected by gynecologic ultrasound during a physical exam. When your medical report indicates fibroids, your first concern must be “Will fibroids affect my health? Do I need to be treated? Should I have surgery? I am so torn and scared”. In the face of fibroids, don’t be afraid, don’t be torn, and listen to me slowly with you whether you and your fibroids can get along peacefully. The actual type of fibroids and the possible symptoms. Uterine fibroids are divided into subplasma fibroids, interstitial fibroids and submucosal fibroids depending on their location. Subplasmalemma grows on the surface of the uterus, towards the abdominal cavity, which has a large space, so it can grow to more than 10 cm without any conscious symptoms. Interstitial fibroids grow between the walls of the uterus and are asymptomatic when the fibroids are small. When they grow, they may cause increased menstrual flow and prolonged menstrual periods, leading to anemia in severe cases. Submucosal fibroids grow toward the uterine cavity and protrude into the uterine cavity. Patients may have irregular vaginal bleeding, increased vaginal discharge or even large amount of purulent leucorrhea. II. Treatment 1. Observation and waiting. Uterine fibroids found by physical examination or by chance, without any symptoms and small fibroids (usually less than 125px) generally do not require treatment. If the patient is a near-menopausal woman and the fibroid size is about 125px, the fibroid can shrink or disappear due to the decrease of estrogen level in post-menopausal women, so it can be left untreated and reviewed regularly. The chance of fibroids becoming malignant is small, only 0.4%-0.8%. If the fibroids are found to be growing too fast during the follow-up, the possibility of malignancy should be considered and treated in time. It is recommended to follow up every 3-6 months. 2.Medication. The indications for drug treatment are narrower, only for women with mild symptoms, small fibroids and near menopause. The main drugs used are gonadotropin-releasing hormone analogues (such as leuprolide) and mifepristone, and the fibroids gradually increase to their original size after stopping the drug. 3.Surgical treatment. Surgery is the most common treatment for symptomatic fibroids. Surgical treatment is recommended in the following cases: ① secondary anemia due to excessive menstruation ② irregular vaginal bleeding due to submucosal fibroids ③ severe abdominal pain, painful intercourse or chronic pain ④ acute lower abdominal pain due to torsion of a tipped fibroid ⑤ excessive growth of fibroids, suspected sarcoma transformation ⑥ fibroids ≥125px ⑦ determined that fibroids are the sole cause of infertility and recurrent miscarriage. Surgical treatment of fibroids mainly includes myomectomy and hysterectomy. The specific treatment plan should take into account the patient’s age, fertility desire, severity of symptoms, size of fibroids, and location of fibroids. After myomectomy, there is a 50% chance of recurrence, and about 1/3 of patients need to be operated again. The above knowledge of fibroids, in most cases, fibroids can live with us peacefully, but if fibroids start to “attack” us, we should never be “soft”.