Do uterine fibroids during menopause require surgery?
Menopause, also known as the perimenopausal period, is a physiological stage that women go through before and after menopause. Whether women in the perimenopausal period who are diagnosed with uterine fibroids require surgery depends on the size of the fibroids, associated symptoms, and pathological changes. Generally, small fibroids without obvious symptoms or risk of malignancy may not require surgical treatment. However, timely surgery is recommended if the fibroids are large, cause significant symptoms, or show signs of potential malignant transformation, to prevent more serious complications. Detailed analysis is as follows:
1. General Cases
When uterine fibroids are small and asymptomatic, the likelihood of malignant transformation is typically low. Additionally, for some women entering the perimenopausal period, due to declining estrogen levels, the growth of fibroids may slow down or even regress spontaneously. In such cases, surgery may not be immediately necessary. However, regular physical examinations and follow-up visits are essential to monitor any increase in size or development of compressive symptoms.
2. Specific Cases
1) Severe Symptoms: If fibroids continue to grow and cause significant symptoms—such as abnormal menstruation, frequent urination, or urgency—timely surgical intervention is necessary to prevent worsening symptoms and negative impacts on quality of life.
2) Suspected Malignant Changes: If during regular follow-ups in the perimenopausal period there are indications of pathological changes or cancerous risk in the fibroids, surgery should be promptly arranged to prevent further deterioration that could lead to cervical cancer, endometrial cancer, or other malignancies.
Patients who discover uterine fibroids should seek medical attention promptly. A healthcare provider will guide appropriate diagnostic tests and develop an individualized treatment plan based on the results. During treatment, it's important to maintain a positive mindset and avoid excessive fear or anxiety about the condition.
