What drugs can I take to shrink fibroids? This question is quite representative, and there are always many patients who ask me: “Professor Deng, I have fibroids, or Professor Deng, I have ovarian tumors, can you prescribe some medicine for me, and take medicine to make my tumor disappear.” I repeatedly explained to everyone: “Uterine fibroids, ovarian tumors take medicine treatment is not very meaningful, general drug treatment effect is poor.” So you should not expect that you can get rid of these tumors by taking medicine. Some patients may say, “My ovarian tumor will be cured by taking medicine.” In fact, the real situation is not that you get well with medicine, but that it disappears on its own. Some ovarian tumors under 5 cm are normal cysts, which will disappear by themselves or will disappear when they rupture, rather than the effect of medication. Therefore, for ovarian cysts and uterine fibroids, the significance of medication is limited and it is basically unrealistic to hope that medication will cure them. Perhaps some patients say, “I feel better after taking the medicine, the pain is lighter and the bleeding is less” “I am really well after taking the medicine, the fibroids are cured.” In fact, this is often an illusion. Patients do experience a certain degree of relief from the associated disease symptoms after using various medications, especially painkillers. For example, the medicine, uterine tumor elimination, can control the growth rate of the tumor during the use of the medicine, but after stopping the medicine, it often continues to grow and the symptoms will appear again. Some people say, “I took “so-and-so”, and after I ate it, I really got better, and the ultrasound examination was really completely normal. This is usually the case because she did not have fibroids at all, so it must be true that she got better after taking the medicine. And fibroids, ninety-nine percent of the patients with fibroids, do not feel, do not need surgery, do not need to take medicine. Only about 1% of myomas are really symptomatic and will have heavy menstrual flow, causing anemia, and in such patients, surgery is required. If the patient has fibroids but does not feel anything, does not have heavy periods, and does not have stomach pain, then there is no need for related treatment. Usually fibroids do not cause abdominal pain, but adenomyosis and adenomyoma can cause abdominal pain and menstrual cramps. Some patients may ask: “What if the fibroids have reached 6cm, 7cm, etc.? Do I need surgery? It is very difficult.” Again, the size of the fibroids is not the only indication for surgery. In practice, we refer more to whether the fibroids are causing increased menstrual flow, anemia or menstrual disorders. If the fibroids are 6cm or 7cm in size, but there is no sensation, and the menstrual flow is not too heavy and regular, surgery is usually not necessary. It is a benign tumor, not a malignant tumor, so we only need to follow up and observe it, so we don’t need to worry about it. If it is a submucosal fibroid that affects pregnancy, it needs to be treated surgically before trying to conceive.