I. What symptoms may fibroids cause in patients? The symptoms of uterine fibroids are relatively obvious. The main symptoms of uterine fibroids are as follows: a. Menstrual changes: the most common symptom, manifested as shortened menstrual cycle, increased menstrual volume, prolonged menstruation, irregular vaginal bleeding, etc. Second, abdominal mass: abdominal distension, swelling in the lower abdomen, accompanied by a feeling of falling. When the subplasmalemma is twisted, acute abdominal pain may appear when the myoma is red, abdominal pain is severe and accompanied by fever. Three compression symptoms: myoma grows forward or backward, which can compress the bladder, urethra or rectum, causing frequent urination, difficult urination, urinary retention or constipation. When myoma grows to both sides, it forms broad ligament myoma, which can cause ureteral or pelvic effusion when it compresses ureter; if it compresses pelvic vessels and lymphatic vessels, it can cause lower limb edema. Infertility: Myomas can distort the fallopian tubes or deform the uterine cavity to prevent the fertilization of eggs, resulting in infertility. Abdominal pain and leucorrhea abnormalities: fibroids usually do not cause pain, but when subplasmalemma myoma is twisted, it can cause acute abdominal pain; submucosal myoma can stimulate contractions and spasmodic pain, and when myoma is red and degenerative, it can cause severe pain. Uterine fibroids can also cause increased leucorrhea and infertility. Some people do not have any discomfort, but are found to have uterine fibroids after an ultrasound gynecological examination. The main reason for deciding whether or not to operate is the presence of fibroids. Is the decision to operate based on the size and location of fibroids or the presence of symptoms? If fibroids are found on physical examination, if there are no symptoms or fertility requirements, fibroids in the body of the uterus, whether single or multiple, <5cm in size, can be considered for observation and do not require surgery. The decision to operate is mainly based on the size, location and symptoms of fibroids. Surgery is needed in the following cases: 1. fibroids grow too large, exceeding the size of 3 months of pregnancy; 2. fibroids cause severe irregular bleeding, excessive menstruation, and have caused anemia; 3. fibroids compress the bladder and rectum and cause abnormal urination and defecation; 4. fibroids grow too fast and the possibility of malignancy is feared; 5. fibroids grow in locations such as cervical fibroids and broad ligament fibroids should be operated as soon as possible. 3. Can surgery cure fibroids? Will it become malignant without surgery? For single fibroids, the recurrence or reoccurrence rate is low after surgery, while for multiple fibroids, especially uniform fibroids of soy size, surgery is not easy to remove cleanly and easy to recur or reoccur after surgery. The rate of malignant change is 0.5-1%. Can uterine fibroids be treated medically? What is the effect? If uterine fibroids are found in physical examination, if there are no symptoms and fertility requirements, uterine fibroids in the body of the uterus, whether single or multiple, size <5cm, can be considered for observation and do not need surgery. Medication is also available, which can only control the growth process of fibroids for a short period of time, and the effect is individualized. Some drugs can shrink fibroids in the short term, but they can rebound and grow faster after stopping the drugs. V. How often should a patient with fibroids under temporary observation be re-examined? How fast does the growth rate need attention? Generally speaking, once every 3-6 months is sufficient. There is no absolute value for the growth rate of fibroids for the time being, which is usually one centimeter per year. Usually, if the fibroid is not significantly enlarged after 3 months, it usually means that it is not growing fast and can be observed. If it increases significantly, surgery is required. The most important thing is that you can get a good idea of what you're doing.