Is a 4.6 cm × 3.6 cm uterine fibroid considered large, and does it require surgery?
Uterine fibroids measuring 4.6 cm × 3.6 cm refer to fibroids approximately 4 cm in diameter, which are generally considered not very large. Whether surgery is needed depends on the specific condition. If there are no other discomfort symptoms, surgical treatment may be temporarily avoided. However, if the fibroids significantly affect daily life, surgery may be necessary. The details are as follows:
1. No Surgery
Uterine fibroids are benign tumors formed by abnormal proliferation of uterine smooth muscle tissue. If examination shows that the fibroid measures 4.6 cm × 3.6 cm, indicating a diameter of about 4 cm, it is typically not classified as a large fibroid, especially when it has not exceeded 5 cm. If the fibroid is not compressing surrounding tissues and does not interfere with the patient's daily activities, surgery can be postponed. Regular follow-up visits to the hospital for monitoring are sufficient.
2. Surgery
Although the fibroid may not be large in size, if its location causes compression of nerves or blood vessels within the uterus, it may lead to symptoms such as uterine bleeding or abdominal pain. In severe cases, it could result in heavy bleeding, endangering the patient's life. Under such circumstances, surgical intervention is required.
In daily life, patients should maintain good personal hygiene, ensure adequate nutritional intake, and engage in appropriate outdoor exercise, all of which help strengthen physical health and promote recovery.