Patient: On ultrasound, the uterus is enlarged in volume, posteriorly positioned, morphologically distorted, with a poorly smooth envelope and a poorly homogeneous echogenic myometrium. The larger ones are bulging outward toward the envelope, with the inner membrane centered and about 8 mm thick Q: How to treat? A: According to the information you provided, it is considered to be multiple small fibroids in the uterus. Uterine fibroids are the most common disease in gynecology. Most of them have no obvious symptoms. When the fibroids increase in size or submucosal fibroids will show changes of increased menstruation. Treatment options include surgery, medication, interventional therapy, and observation. The principle of treatment is determined by the patient’s age, the requirement for fertility and the condition. According to your current situation, if the menstrual flow is not heavy and there are no other symptoms, we suggest observation and regular follow-up review (every 3-6 months); if necessary, surgical treatment.