According to statistics, about 15% of middle-aged women over 35 years of age have fibroids. The chance of fibroids getting worse is very small, usually below 1%. Therefore, most fibroids do not need to be operated on and only require regular follow-up examinations. Surgery is indicated when: 1) the fibroids cause heavy bleeding, or prolonged heavy or prolonged periods leading to anemia, which cannot be cured by medication. In this case, open surgery is an effective solution. 2.Uterine fibroids grow to the size of a fist and cause pressure on other organs in the pelvis, so surgical removal can relieve the symptoms, and the chance of deterioration of large fibroids is greater than that of small fibroids. 3, myoma grows too fast, or after menopause, myoma not only does not shrink, but becomes bigger. 4.When a woman is infertile and all other tests are normal, the cause of infertility may be fibroids. Fibroids may cause habitual miscarriage. Does removal of fibroids require removal of the uterus? This depends on the location and size of the fibroids, as well as the patient’s age, fertility status, and severity of symptoms. As for whether to remove the ovaries and fallopian tubes, it is more important to be careful. Since the ovaries are the main organ for maintaining female characteristics, removal of both ovaries will eliminate the main source of female hormones and require injections or medication to supplement the hormonal deficiency. Some patients believe that the hysterectomy will not affect their sex life if the cervix is left intact. In fact, with total hysterectomy, the vagina is not shortened and the lubricating secretions needed for sex come mainly from the vaginal wall and the baroque glands near the vulva, and have nothing to do with the uterus. Therefore, removal of the cervix has no effect on sexual life. In addition, cervical cancer is the first ranked cancer of the reproductive system, thus there is no need to preserve the cervix while removing the uterus.