A 48-year-old woman with multiple fibroids should be treated conservatively, medically or surgically according to the size of fibroids and related symptoms.
1. For patients with the largest fibroid not more than 5cm, if they do not have symptoms such as increased menstrual flow, prolonged menstrual period, anemia, etc., they can have ultrasound examination every 3 months and regular follow-up, and the fibroid may shrink after menopause, so there is no need for special treatment.
2. For patients with fibroids larger than 5cm, which may be combined with heavy menstrual flow, anemia, abdominal pain and other discomforts, according to the severity of the symptoms and the patient’s own will, medication can be used, such as GnRH agonist injection.
If the symptoms are severe, the patient is recommended to be treated by surgery, which should be taken according to the patient’s desire to have or not to have children and to preserve the uterus, such as myomectomy or hysterectomy.
For patients with multiple fibroids detected at the age of 48, it is recommended that they go to the gynecology department of a regular hospital and choose the appropriate treatment under the guidance of the doctor in order to obtain the best treatment results.