How big does a uterine cyst need to be to require surgery?

Uterine cyst is a very common gynecological disease, and many women of childbearing age will have cysts. When the cyst is small, people generally don’t feel anything. At this time, they may find out that they have a cyst during some gynecological examinations. At this time, generally no treatment is needed. When the cyst grows further, people will have symptoms such as abnormal vaginal discharge, and severe cases may lead to infertility. At this time, treatment should be given. So, how big does a uterine cyst need to be before it requires surgical treatment?

When suffering from chronic cervicitis, the cervical glands and surrounding tissues proliferate. When the gland duct is squeezed by the surrounding tissue and the gland opening is blocked, the secretions in the gland cannot flow out and are retained inside, causing the gland cavity to expand and form cystic tumors of varying sizes, which are called "cervical gland retention cysts" or Nabot's cysts. The cysts are generally small and scattered and may protrude from the surface of the cervix. The small ones are only the size of millet grains, and the large ones can be as big as corn kernels. They are bluish-white in color and may be accompanied by erosion, but they are also common in uteruses with smooth surfaces.

How big an ovarian cyst needs surgery? Generally speaking, it is divided clinically as follows: if the cyst diameter is less than 5 cm and the growth rate is relatively slow, you can go to the hospital for follow-up and observation of the condition regularly every 2 to 3 months; if the cyst diameter is larger than 5 cm, it is mostly an ovarian tumor and generally requires surgical treatment. If accompanied by progressively worsening dysmenorrhea and dyspareunia, and tender nodules in the pelvis, endometriosis should be considered. Different treatments can be adopted according to the specific circumstances.

Although 5 cm is often used as a dividing line in clinical practice, other conditions of the patient must also be considered, such as whether the cyst has ruptured and whether the patient has been infected and has developed more serious symptoms. Therefore, doctors need to consider comprehensively whether or not to perform surgery on ovarian cysts, rather than just considering the size of the cyst.

Generally, cysts that require surgical removal should be larger than five centimeters in diameter and grow at a relatively fast rate. Of course, the specific time to perform surgery to treat uterine cysts varies from person to person. Different people and different physical conditions require different treatments. Patients only need to follow the doctor's instructions and actively cooperate with the treatment.