Uterine fibroids require specific treatment options based on the patient’s own condition. Patients who do not need to preserve their reproductive function, are suspected of having malignant changes, or have more serious conditions are generally recommended to have their uterus removed, while patients with milder symptoms or those who wish to preserve their reproductive function do not usually need to have their uterus removed. Treatment options for uterine fibroids are primarily based on the patient’s condition, age, and reproductive needs. In the case of asymptomatic fibroid patients, a fibroid checkup every six months is usually sufficient, and treatment can be given when the fibroid has increased in size or symptoms have appeared. Patients with mild symptoms can use drugs such as gonadotropin-releasing hormone analogs and mifepristone to reduce the size of the fibroid, but these drugs should not be used for a long period of time as they may cause side effects. When the fibroid is too large patients may consider surgical treatment. Patients who wish to preserve their reproductive function can have the fibroid removed hysteroscopically or laparoscopically without removing the uterus. If the patient has no need for fertility, or if the number of fibroids is large and the diameter is >10cm, there may be a risk of malignancy, and hysterectomy will be needed for treatment. Patients are advised to choose the appropriate treatment according to their own situation and under the guidance of their doctors. The use of the above medications should be in accordance with medical advice.