If the ultrasound result suggests that the diameter of the fibroid is relatively small, usually a single fibroid with a diameter less than 5cm or so, and the patient has no self-conscious symptoms, the patient can be left untreated, and only need to review the ultrasound and gynecological examination once every 3-6 months. If the myoma is found to be significantly enlarged during the review, or conscious symptoms appear, such as abdominal pain, urgent pain in urination, difficulty in defecation, etc., then further treatment should be considered. If the examination reveals that the fibroid has increased in size, and the uterus has increased in size like the 2nd trimester of pregnancy, but the conscious symptoms are relatively mild, you can also use medication to treat the fibroid first. If the fibroids are large in diameter, causing heavy menstrual flow, even affecting urination and defecation, or growing so fast that medication is ineffective, then surgical treatment is needed. 45 year olds who have a strong desire to keep their uterus and have a single fibroid can be considered for a myomectomy. However, if there are too many fibroids, more than two, and the symptoms are obvious, and there is no desire to preserve the reproductive function, total hysterectomy can be performed.