How large must a uterine adenomyoma be before surgery is required?

When a uterine adenomyoma is larger than 5 cm, surgery is required. If obvious discomfort symptoms occur after the development of a uterine adenomyoma, it is recommended to seek medical attention promptly. Detailed analysis is as follows:

Uterine adenomyoma generally refers to nodules occurring in the uterine myometrium and is usually associated with factors such as changes in hormonal levels and gynecological inflammation. When an adenomyoma develops locally, if its size is smaller than 5 cm, there may be no noticeable symptoms, although some individuals might experience excessive menstrual bleeding, worsening dysmenorrhea, or prolonged menstruation. In such cases, medications such as Hongjin Xiaojie tablets, mifepristone capsules, or leuprolide acetate for injection may be used under medical guidance. However, if the adenomyoma exceeds 5 cm in size, timely medical intervention is recommended, typically involving surgical procedures such as abdominal hysterectomy or myomectomy. This is to prevent complications caused by the large adenomyoma compressing surrounding tissues, which could adversely affect health.

In daily life, it is advisable to maintain a light diet, avoid staying up late, practice good local hygiene, maintain a calm and positive mindset, and undergo regular follow-up examinations, all of which are beneficial for overall health.