Do Endometrial Fibroids Need Surgery?

Whether endometrial fibroids require surgery depends on factors such as the size of the fibroids and the severity of symptoms. In most cases, small asymptomatic fibroids do not require surgery, but surgery is recommended if severe anemia, infertility, or rapid growth of fibroids occurs.

Endometrial fibroids are common benign tumors of the female reproductive system, composed of smooth muscle and connective tissue. When fibroids are small and do not cause obvious symptoms, they are usually treated with regular follow-up observations. Ultrasound examination can monitor changes in fibroids and should be reviewed every 6-12 months. At this stage, you can use hot compresses to relieve lower abdominal pain and avoid taking estrogen-containing health products. Some patients may experience a mild increase in menstrual flow and can prevent anemia by taking oral iron supplements, such as ferrous succinate tablets, polysaccharide iron complex capsules, etc.

When the diameter of fibroids exceeds 5 cm or causes severe clinical symptoms, surgical treatment needs to be considered. Fibroids compressing the bladder, causing frequent urination and urgency, or causing intractable constipation are clear indications for surgery. Infertile patients whose submucosal fibroids cause heavy menstrual bleeding, causing hemoglobin to fall below 80g/L, or causing recurrent miscarriage also require surgical intervention. Myomectomy is suitable for those who want to have children, while hysterectomy is mostly used for patients who do not want to have children and have adenomyosis. After surgery, you need to pay attention to supplementing high-quality protein to promote wound healing, such as fish, egg white, etc., and avoid weight-bearing and strenuous exercise within three months.

Maintaining a regular schedule and moderate exercise can help regulate endocrine levels. It is recommended to perform 150 minutes of moderate-intensity aerobic exercise every week. Limit the intake of red meat and animal offal, and increase phytoestrogen-regulating foods such as broccoli and soy products. If abnormal vaginal bleeding or severe pain in the lower abdomen occurs, you should seek medical attention promptly for review. Postoperative patients must complete pelvic ultrasound follow-up as directed by the doctor.