Uterine fibroids 5 cm

As for female uterine fibroids, since they are benign tumors, they are not particularly harmful to the body. As long as they are eliminated in time when they just start to attack, women can regulate their uterus. However, if the tumor has become very large when it is discovered, it must be removed surgically. So, is a uterine fibroid of five centimeters serious?

How big is a uterine fibroid considered serious? This is a question that many patients and their families are concerned about, and many friends have recently consulted on related issues. Because not all uterine fibroids require treatment and surgery, most of them just need to be followed up. However, since uterine fibroids will grow, doctors will still recommend treatment when they grow to a certain size. So, how big is a uterine fibroid considered serious?

Generally speaking, fibroids larger than 5.0 cm are considered serious and require prompt surgical removal. However, the specific treatment plan needs to be determined based on individual age, clinical manifestations and endocrine conditions. In general, if the fibroid is larger than 3 cm and has a rich blood supply, surgery should be performed as soon as possible.

In addition, if you meet the following six physiological indicators, it also indicates that your uterine fibroid symptoms are more serious and require surgery.

1. Symptomatic uterine fibroids:

(1) Due to uterine fibroids, patients may suffer from heavy menstrual flow, long menstrual periods, and long-term excessive menstrual blood loss, which may lead to secondary anemia and even anemic heart disease. In severe cases, patients may experience symptoms such as general fatigue, pale complexion, shortness of breath, and palpitations. It is more common in submucosal uterine fibroids and intramural uterine fibroids. In this case, it cannot be delayed arbitrarily. It is recommended that surgery be performed at the right time, which is an effective treatment method. Otherwise, it may be life-threatening. There was a patient with uterine fibroids in a remote mountainous area. Due to multiple uterine fibroids, she had heavy and long-term menstrual flow, increasingly severe anemia, fatigue, shortness of breath, and palpitations. She could no longer work and came to the hospital for treatment. The patient looked severely anemic, with a hemoglobin of only 40g/L. She was advised to be hospitalized, but she went home on her own. She fainted while going to the toilet at home and died. ;

(2) Myoma compresses pelvic organs and causes corresponding symptoms: such as compression of the bladder causing urgency, frequency, or even difficulty urinating; compression of the rectum causing rectal irritation symptoms or even difficulty defecation; low-lying myoma or cervical myoma or broad ligament myoma compresses the ureter and causes hydrops in the ureter and renal pelvis. People who experience symptoms of pelvic organ compression do not necessarily also have heavy menstrual flow or prolonged menstruation.

Generally speaking, surgical treatment should be considered once cervical fibroids, broad ligament fibroids, and submucosal fibroids are discovered.

2. Suspected malignant transformation of fibroids:

The chance of uterine fibroids becoming malignant is very small, generally less than 1%. It is more common in older people with large and fast-growing fibroids, especially when fibroids grow rapidly after menopause or reappear after menopause, you should be more vigilant. Therefore, although most uterine fibroids shrink after menopause, they should not be taken lightly and should still be checked regularly.

3. When the pedicle of subserosal fibroid is twisted:

It often manifests as acute lower abdominal pain. If surgery is not performed in time, the necrotic myoma may be twisted and secondary infection may occur. In severe cases, it may cause septic shock and may also lead to intestinal adhesions, intestinal obstruction, etc.

4. Fibroids cause infertility:

Fibroids in the uterine cornu amniotic fluid compress the entrance of the fallopian tube, hindering conception. In addition, patients with fibroids often suffer from ovarian dysfunction, leading to infertility. Uterine fibroids can deform the uterus and hinder the implantation of the fertilized egg. They can also affect the proliferation of the endometrium. Even if the embryo implants, miscarriage can easily occur due to the presence of fibroids. If a woman with uterine fibroids is infertile but all other examinations are normal, the cause of infertility may be uterine fibroids. If you suspect that fibroids are causing infertility, surgery should be performed promptly.

5. When uterine fibroids are difficult to distinguish from ovarian tumors:

Sometimes, when it is unclear whether it is a uterine fibroid or an ovarian tumor based on clinical symptoms, physical examination, or auxiliary examinations such as ultrasound, surgery should be performed promptly.