Uterine fibroids of 20cm can be preserved if the woman has reproductive requirements and the uterine bleeding is not severe. If the woman does not have fertility requirements and the bleeding is excessive causing anemia, hysterectomy may be considered.
Whether or not the uterus needs to be removed for a 20cm fibroid does not depend entirely on the size of the fibroid, but also on whether or not the woman has fertility requirements. If a woman has fertility requirements and the uterine bleeding is not severe, surgery to preserve the uterus may be attempted, as fibroids are likely to shrink after a woman goes through menopause.
Hysterectomy may be considered if a woman has no fertility requirements, if the fibroid is too large, if there is excessive bleeding causing anemia, or if the fibroid breaks down or becomes infected, or if the fibroid has a tendency to become malignant.
Fibroids of 20cm can be considered for surgical removal of the uterus if there is excessive vaginal bleeding or pressure symptoms, but you need to consult your doctor for the exact surgical plan. In order to detect uterine fibroids in time, it is recommended to have regular and proper medical checkups, and to have regular treatment as early as possible after detection.