Patient: Multiple fibroids were found in June 2009. The fibroids were removed during a transabdominal operation on July 7, but three months later, they were found again during a postoperative ultrasound. What is the appropriate treatment plan? Dr. Liu: Hello! My daughter is still unmarried and has multiple fibroids. In June this year, multiple fibroids were found during the physical examination of the unit, and on July 7, the fibroids were removed and more than 10 fibroids were removed, the largest of which was 7mm, but three months later, the ultrasound was repeated and there were many more fibroids. What is the impact on future pregnancy? What should I do? Please help us, Dr. Liu! After reading your article, I feel the importance of women’s uterus. In my daughter’s case, she is not married yet, and she wants to save her uterus, and she just had an operation. Is there any good treatment? Interventional method or other conservative treatment with medication? (I will upload the 3 ultrasounds before and after the surgery to you, please help analyze and provide a treatment plan, thank you very much!) Whether the menstruation is regular: regular Age of first menstruation: 13-14 Number of days per period: 4-5 days Average number of days of menstrual cycle: 28 Menstrual volume, color, abdominal pain: normal, sometimes with dysmenorrhea Date and condition of last menstruation: 10.28 – 10.31 Marriage age: unmarried Number of pregnancies: number of miscarriages: number of births: Liu Ping, Department of Obstetrics and Gynecology, Southern Hospital of Southern Medical University: Hello. During surgery, only the larger fibroids will be removed, like some small 1-2cm fibroids are not necessary to be removed, because this small fibroids removal is very damaging to the uterus, like your daughter so many fibroids, if all the small soy-sized fibroids are removed, her uterus will be very damaged, there are many wounds, basically the uterus left is full of sores, so it will do more harm than good, so In addition, there are some fibroids that are so small that they grow in the myometrium and cannot be detected or removed during surgery. It is not possible to determine the cause of the fibroids, so it is not necessary to bother about it for the time being, and it is enough to review the ultrasound regularly to observe whether the fibroids are increasing. Small fibroids usually have little effect on pregnancy and childbirth, and can be used for normal pregnancy and childbirth. However, during pregnancy, the fibroids may increase in size, become red and twisted, and need to be treated accordingly. Tell your daughter not to worry too much and to pay attention to regular review. Patient: Dr. Liu: Hello! Thank you very much for your reply! Your detailed answer cleared up a lot of my doubts and put my mind at ease a little bit when I was overwhelmed. My daughter has been in good health since she was a child and has never had any disease, but this time, I don’t know what happened, but she has so many fibroids, and there are still so many after the surgery, so we are really helpless. I hope Dr. Liu will continue to help us, and the whole family would like to thank you! After the last surgery, the doctor instructed us to get married and have children 1 year after the surgery, in order to relieve the worries. According to this calculation, even if we arrange to get married after 1 year after surgery, we still have 8 or 9 months to go, what should we do better during this period? Should we take medicine and injections to control the growth of fibroids? Last Friday, my doctor prescribed 2 bottles of “Pingxiao Capsules” and I am now taking them, and he also suggested to take CnRH-a injection. I’m not sure if it’s possible to use the interventional method if the fibroids have grown. I also hope that Dr. Liu points out, thank you! The side effects will have some, but generally will not affect too much. The side effects will be some, but generally will not affect greatly. After the myoma grows, let’s talk about it, whether the intervention can be performed according to the specific situation, do not worry too much. Patient: Yes, thank you very much for your reply! Thank you, Dr. Liu!