Many patients with adenomyosis are found to have fibroids when they have a checkup. Are fibroids serious? How should I treat them? What are fibroids? Uterine fibroids are the most common benign tumor in female reproductive organs and one of the most common tumors in the human body. Uterine fibroids are mainly caused by the proliferation of uterine smooth muscle cells, so they are also called uterine smooth muscle tumors. The majority of these fibroids are benign and very few are malignant. After 30 years of working in gynecology, I have only encountered one or two cases of malignant fibroids. The incidence of fibroids in women is very high, to what extent? If we do human anatomy, we will find that more than half of the women have fibroids, only the size, number and location of fibroids are different for each person. So it is normal for a patient with adenomyosis to be found to have fibroids. Symptoms of uterine fibroids: In fact, 99% of patients with uterine fibroids have no obvious symptoms, and the patients themselves do not feel anything. Usually patients with fibroids do not have menstrual cramps, and their periods are not particularly heavy and do not affect pregnancy. The vast majority of patients with fibroids do not require special treatment, surgery, or medication (at present, it is unscientific to say that medication will get rid of fibroids). If the fibroids are very large or not well located, they can still affect the patient. If the submucosal fibroids are infected, the patient may experience heavy menstrual flow and the menstrual cycle may be relatively short. However, the patient will not have stomach pain. There is also a condition where the fibroid grows outward into a subplasmalemmal fibroid. These fibroids do not interfere with menstruation, but if they grow too large, the patient may feel a round, hard mass on her abdomen (especially if she feels it in the morning before going to the bathroom). Fibroids that are too large or poorly positioned may also cause infertility. Large fibroids can cause deformation of the uterine cavity, preventing the implantation of the gestational sac and the growth of the embryo; compression of the fallopian tubes by fibroids can lead to dysfunctional lumen; submucosal fibroids can prevent the implantation of the gestational sac or affect the entry of sperm into the uterine cavity. The rate of spontaneous abortion is higher in patients with fibroids than in the normal population, with a ratio of about 4:1. Treatment: There are many treatment options for fibroids. However, it mainly relies on surgery rather than drugs. In the past, the old method was to cut the uterus, and the disease was completely cured without the uterus. We generally recommend the use of myomectomy. There are two common types, one is laparoscopic surgery and the other is open surgery. In comparison, laparoscopic surgery is more suitable for a single individual with distinct fibroids. Open surgery is more suitable for multiple fibroids, that is, fibroids that are more numerous and widely distributed. The treatment of multiple fibroids with laparoscopic surgery is often not clean, and even some of the remaining fibroids may grow back after surgery, and the patient faces the need for another surgery. In the case of adenomyosis combined with fibroids, the two can be removed together through U+ surgery and can be removed very thoroughly without the need for additional surgery. Uterine fibroids are hormone-dependent fibroids, which are more likely to occur when women have high estrogen levels. Fibroids rarely grow in women before puberty because the estrogen level in women’s bodies is relatively low at this time; while the estrogen level in women’s bodies gradually decreases around the age of 50 (menopause stage) and afterwards, fibroids under 5cm in the patient’s body will usually shrink naturally and disappear at this time. Therefore, as long as the fibroids are not very large and there are no symptoms, women in the menopause stage do not need surgery.