Fibroids are tumors that grow on the female uterus and are benign fibroid nodules formed by the abnormal proliferation of smooth muscle tissue in the uterus. They are generally common in women between the ages of 30 and 50, with an incidence of 20%-25%. The incidence of uterine fibroids is increasing, and the trend is younger. Many patients are confused as to whether they should have fibroids removed. It is very important for an unmarried woman with fibroids to have her personal life cut or not, because 40% of the patients with fibroids are infertile, and surgery on the uterus can damage the uterus and affect fertility and personal health, so the choice of treatment is especially important for women. The exact cause of uterine fibroids is not yet known. It has been clinically observed that it is related to high local estrogen, for example, consumption of food contaminated with high estrogen, such as chicken, duck, fish fed with hormonal feed and vegetables using growth hormones is an important social cause for the high incidence of fibroids. Although 40% of patients with uterine fibroids have no clinically significant self-reported symptoms, the telltale signs of fibroids can still be observed in daily life with attention. The most common symptoms are menstrual changes, such as shortened cycles, increased menstrual flow, prolonged periods, and irregular vaginal bleeding. Due to the growth of an extra tumor on the uterus, the abdomen is distended and there is a lump in the middle of the lower abdomen when stroking it, and it is easier to feel a very hard irregularly shaped lump when the bladder fills up early in the morning pushing the uterus upwards. Other symptoms include abdominal pain, back pain, lower abdominal swelling, increased leucorrhea, infertility and secondary anemia. If you find yourself with the above symptoms, it is not difficult to go to the hospital for diagnosis. Experienced gynecologists can usually make a clear diagnosis by doing gynecological examination based on clinical symptoms and auxiliary ultrasound examination. Uterine fibroids treatment should be personalized The treatment of uterine fibroids is more complicated and requires the doctor (fibroids evaluator) to consider the patient’s occupation, age, fertility requirements, symptoms, size of fibroids, etc. in a comprehensive manner and then personalize the treatment for the patient. Follow-up observation is an important treatment for fibroids. Many patients do not understand the need for observation when they are sick with fibroids and think that they should be treated with surgery as soon as they are found. In fact, if the fibroids are small and asymptomatic, they will not have much impact on the body and usually do not need treatment, especially in patients nearing menopause, where the level of estrogen is low and the fibroids can shrink or disappear naturally, the biggest problem for patients at this time is the psychological problem, always worrying that the fibroids will continue to grow and become malignant. If the fibroids increase in size or symptoms become apparent during the follow-up period, further treatment should be considered. Many patients have high expectations of drug treatment, but in fact the effect of drugs on fibroids is limited and uncertain. Some of the drugs currently available for the treatment of leiomyosarcoma are inaccurate, but the ones that have a definite effect are hormones, which should not be taken for more than six months because of their serious complications, otherwise liver damage can occur. Long-term consumption of such drugs can cause women to develop unrecoverable male characteristics such as beard and low voice. Surgery is the most traditional form of treatment for fibroids. These procedures have advantages and disadvantages and require good communication between the doctor and the patient. myomectomy is suitable for patients under 35 years old who are unmarried or married without children and wish to preserve the uterus. although the uterus can be preserved, the tiny fibroids cannot be removed, so they are prone to recurrence, with a recurrence rate of 20%-50% 2-5 years after surgery. Hysterectomy, which preserves the cervix, will not affect sexual life, but has lost fertility and has a certain impact on endocrine. Hysterectomy is currently the most used operation, and patients who do not need to preserve their reproductive function or have suspicion of malignant changes will choose this method, thinking that the removal of the hysterus is the end of the story. In fact, women who have their uterus removed, even if both ovaries are preserved, age 4 years earlier than women in the same age group and experience 34.6% more symptoms with earlier onset of menopause. The most advanced treatment Interventional therapy, also known as uterine artery embolization, is a common treatment for uterine fibroids in developed countries. A special catheter is inserted into the blood supplying artery of the fibroid and blocked with an embolus to cut off the blood to the fibroid, which will “starve” the fibroid. After 1-3 months, the fibroids are observed to shrink significantly, and the body expels the necrotic fibroids through its inherent absorption function, so that the fibroids “evaporate without trauma” in the body. The recurrence rate is about 3% and does not affect fertility. The patient can eat within 6 hours and move freely within 12 hours after surgery. The first thing that should be clear is that most fibroids are benign and have very little chance of malignancy. Patients can make the following preparations: have an ultrasound examination in a regular hospital to clarify the location, size and number of fibroids; tell your relatives and friends about your doctor’s professional treatment advice, preferably consult patients who have already received the same treatment; tell your doctor about your treatment requirements (such as the need to preserve the uterus, etc.), and work out a “personalized treatment plan” with your doctor. “The risk is shared.