For women with fibroids at the age of 48, there are two options: 1. If the fibroids are small, less than 5 cm and have no symptoms, no menstrual changes, no symptoms of compression, and no secondary anemia, such patients can be observed and reviewed regularly. 2. If the fibroids are larger than 5 cm at the age of 48, or if there is pressure on the menstrual flow, prolonged menstrual periods, or pressure on the bladder or rectum, surgery is not recommended. In this case, it is not recommended to observe, and surgery is needed. 48 years old is a perimenopausal woman, and if the fibroids are large or large in number, and the location is not good, you can choose total hysterectomy, because there is no more fertility requirements, so you can choose to cut off the whole uterus, which can also avoid the recurrence of fibroids.