A 52-year-old premenopausal woman was diagnosed with 7cm uterine fibroids. Does it require treatment?

Uterine fibroids measuring 7 cm in a 52-year-old premenopausal woman usually require treatment. Treatment methods for uterine fibroids mainly include drug therapy, interventional therapy, and surgical treatment. The specific treatment methods need to be comprehensively evaluated based on symptoms, fertility needs, and the growth rate of fibroids.

Uterine fibroids are common benign tumors in the female reproductive system. Large fibroids up to 7 cm in size may cause symptoms such as increased menstrual flow, prolonged menstruation, anemia, frequent urination or pelvic pressure. If fibroids grow rapidly or are accompanied by abnormal bleeding, you need to be alert to the possibility of malignant transformation. For near-menopausal women, if the symptoms are mild and the fibroids are stable, conservative observation can be considered and ultrasound monitoring changes can be monitored every 3-6 months. However, the probability of spontaneous shrinkage of 7-cm fibroids is low, and their continued existence may increase the risk of complications.

Active intervention is recommended for those with obvious symptoms. Medication treatments such as mifepristone tablets and Guizhi Fuling capsules can control symptoms in the short term, but they cannot eliminate fibroids. Interventional treatments such as focused ultrasound ablation are suitable for those who wish to preserve the uterus. Laparoscopic myomectomy or hysterectomy is a radical solution, especially when fibroids are multiple, recurrent or suspected of malignant transformation. Hysterectomy in premenopausal women requires careful evaluation of the impact on ovarian function.

Regular gynecological examinations are recommended to monitor changes in fibroids and progression of symptoms. Maintain a balanced diet and limit foods high in estrogen. Avoid the risk of fibroid torsion caused by strenuous exercise, and seek medical attention promptly if you experience acute abdominal pain. All treatment plans must be formulated by specialists based on individual circumstances, and self-medication or delayed treatment is not allowed.