What cases of fibroids require treatment?

  Uterine fibroids are common benign gynecological tumors that can occur in up to 30% to 50% of women of childbearing age, and the incidence can be higher in black women. If the diagnosis of fibroids is accurate, many fibroid patients only need to be observed regularly, such as having an ultrasound examination every six months to a year to understand the changes in fibroids and to notice any changes in menstrual flow. Usually, fibroids may need to be considered for treatment when the following conditions occur: 1. when the menstrual flow increases, or when the menstrual period is prolonged, or even when there is anemia, which is confirmed to be caused by the fibroids; 2. when the fibroids are large and cause obvious pelvic compression symptoms, such as frequent urination, constipation, palpable lumps in the lower abdomen, and lower abdominal pain, etc., which are considered to be caused by the fibroids on clinical examination. Usually, the largest diameter of fibroids that cause obvious pressure symptoms is more than 8 centimeters.  3. When there is evidence that fibroids may have caused infertility or embryonic abortion; 4. When there are clinical manifestations or medical imaging features suggesting that the tumor on the uterus may not be a fibroid; Therefore, if a patient with fibroids does not have the above conditions, he or she only needs to be observed regularly, usually after menopause, the fibroids will gradually shrink and shrink, and many patients may have fibroids for life. and do not require treatment.