Patient: Examination and laboratory tests: uterine body size 11.3*12.4*6.6 cm, myometrial echogenic distribution is not uniform, multiple hypoechoic masses are seen in the myometrium, the larger one is located in the posterior arm, the size is about 7.0*6.1 cm with clear border, the internal echogenicity is not uniform, CDFI shows that blood flow signal is visible in it. The endometrial line was centered and intrauterine echogenicity of the birth control ring was seen with normal position. CDFI and PW showed no significant abnormal blood flow signal in the bilateral adnexal area. Treatment: The myoma has been there for several years, it has been very small and the doctor did not let treatment, it has been waiting, now it is this big Medical history: None . 1. What should be the treatment, conservative treatment or surgery? What is the treatment? I’m 50 years old, my periods are normal, but the volume is not too much, and the fibroids are not symptomatic. 2. 3. Which of these two procedures is better for me? Thank you, doctor! Shao Feng, Department of Gynecology and Oncology, Zhejiang Cancer Hospital: After reading your medical history, there are multiple fibroids in the uterus and individual fibroids are large in size. It is necessary to clarify whether the fibroids have recently increased rapidly, if so, surgery is recommended to avoid malignant tumor, if they have been increasing evenly, because at present 50 years old, menstruation is still normal, some women do not menopause until 55 years old, and the fibroids further increase in 5 years time, when symptoms appear, surgery will be more difficult and traumatic, so you can also choose surgery. In your age, you have no need to have children, and considering that the fibroids are many, I personally suggest removing the uterus instead of the fibroids. If you have multiple fibroids, the uterus may be full of holes if the fibroids are removed, which actually increases the surgical trauma and prolongs the recovery time, and it is possible that the fibroids are adjacent to the endometrial layer and may enter the uterine cavity when they are removed, resulting in endometriosis and dysmenorrhea after surgery. After removal, it is impossible to have the above diseases. The above comments are for your reference. Patient: Hello! Dr. Shao. Thank you for your careful and detailed reply. After reading your reply, not only can you answer questions and solve problems, but also from reading between the lines, I can always feel the doctor’s responsibility, thoughtfulness and care for the patient. Thank you, Dr. Shao, for your hard work and generous love for our patients. I wish you a good life!