Patient: Asymptomatic None Please tell me whether it is better to have surgery or to maintain it. Surgery is mainly afraid that it will not be easy to recover. The doctor suggested removing the uterus and ovaries, saying that at this age, I am afraid of having problems with the ovaries in the future, so they are removed together. Do you think it is necessary? At present, I still have menstruation, should I wait for the end of menstruation or treat it immediately? Thank you, Hao Quan, Department of Gynecological Oncology, Tianjin Cancer Hospital: Generally speaking, if a perimenopausal woman finds a fibroid of about 5 cm and has no symptoms, we suggest observing it because it will gradually shrink after menopause, but considering the large size of your fibroid (and I don’t know if you have frequent urination, urgent urination or can’t hold urination, constipation or other symptoms), even after menopause, the fibroid may still appear Even after menopause, fibroids can still degenerate, continue to grow, or have a 1% chance of malignancy, so hysterectomy is still recommended. As for the ovaries, if you do not have a family history of ovarian, breast or colon cancer, I would suggest exploring them during surgery, and if there is no abnormality, you can keep them, which is good for maintaining your quality of life, but you should have regular checkups in the future to prevent problems before they occur, because probabilistically, every woman’s ovaries can have problems during her lifetime, and according to this, we should not cut out all the ovaries of every woman and choke on them. What do you think? Because ovarian function is critical to a woman’s quality of life, but regular checkups are essential to prevent problems before they happen.