Uterine Fibroid Treatment : Is Surgery Always Necessary?
1 month ago
After experiencing pain for a long time, I visited a doctor and was told I have a 7 cm fibroid in my uterus. I was advised not to undergo surgery. Can it get better on its own with medication?
Answers (1)
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Based on years of research and scientific data, any fibroid larger than 5 cm is generally recommended to be surgically removed. Fibroids up to 5 cm may respond to medical treatment, but those larger than 5 cm usually give better results with surgery.
Today, fibroid surgery is very safe. Laparoscopic surgery can remove a 7 cm fibroid with just 3–4 small 1 cm incisions in the abdomen, and patients are usually discharged the same day. On the other hand, medical treatment for large fibroids can take months, and medications especially long-term hormonal pills may have side effects on the liver, bones, heart, and overall health.
So, my personal suggestion is that if a fibroid is large, surgery is the safer and more effective option. In the long run, your body responds much better after surgical removal.
For fibroids smaller than 5 cm, treatment depends on symptoms. If there are no significant symptoms, it may be left untreated. If the fibroid is causing pressure symptoms (for example, pressing on the bladder), excessive bleeding, or infertility, treatment is needed accordingly. In cases of infertility caused by fibroids, IVF can be an option, while hormonal treatment may help if bleeding is the main issue.
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