How big is the uterine fibroid that requires surgery?

If uterine fibroids grow to a certain size, they need surgical treatment. This disease will affect women's reproductive health and fertility. If uterine fibroids grow larger and their diameter is greater than five centimeters, surgical treatment should be considered.

1. Torsion of fibroids: If the fibroids twist at the pedicle, it may cause acute abdominal pain in the patient. If it is not treated surgically in time, it may cause axial torsion of the uterus.

2. If menopausal patients with uterine fibroids continue to experience uterine bleeding, they should be alert to the presence of endometrial cancer and go to the hospital for examination in time.

3. Meet the conditions for surgical treatment: Uterine fibroid surgery is to remove the fibroids on the uterus. It is suitable for women who already have children, have larger fibroids with a diameter greater than 5cm, have heavy menstrual periods and are ineffective with conservative medication, or have compression symptoms, submucosal fibroids, or rapidly growing fibroids.

4. Severe pain: Severe abdominal pain, which is caused by the tumor compressing the nerves and producing radiating pain.

5. Symptoms of uterine fibroids

(1) Increased menstrual flow and prolonged menstrual period: This is more common in large intramural fibroids and submucosal fibroids. Fibroids enlarge the uterine cavity, increase the area of ​​the endometrium and affect uterine contraction and hemostasis during menstruation. In addition, fibroids may squeeze the veins near the tumor, causing congestion and dilation of the intrauterine venous plexus, thereby causing increased menstrual flow and prolonged menstrual period. The symptoms of submucosal fibroids are more obvious. If submucosal fibroids are accompanied by necrotic infection, there may be irregular vaginal bleeding or bloody purulent discharge. Long-term excessive menstrual flow may lead to anemia, fatigue, palpitations and other symptoms.

(2) Lower abdominal mass: When the fibroids are small, no mass can be felt in the abdomen. When the fibroids gradually increase in size and the uterus exceeds the size of a 3-month pregnancy, a hard mass can be felt in the abdomen, which is more obvious when lying flat in the early morning. Giant submucosal fibroids can prolapse outside the cervix or even outside the vagina, and patients may seek medical treatment due to prolapse of the vulva.