Is surgery necessary for a 7-cm uterine fibroid?

Jul 11, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

A uterine fibroid measuring over 7 cm refers to a fibroid larger than 7 cm in size. When uterine fibroids reach or exceed 7 cm, surgery may be considered to alleviate symptoms and prevent disease progression if symptoms such as heavy menstrual bleeding leading to anemia, significant abdominal pain, pressure on the bladder or rectum causing difficulty in urination or defecation, or rapid increase in size within a short period occur. However, surgery may not be necessary if the patient is asymptomatic and nearing menopause.

　　A uterine fibroid measuring over 7 cm does not necessarily require surgical treatment. Surgery can be considered if there are obvious symptoms or rapid growth, while if there are no symptoms and the patient is approaching menopause, surgery may not be necessary. If any abnormalities occur, prompt medical attention is recommended. Detailed explanation is as follows:

　　For uterine fibroids larger than 7 cm, surgery may be considered if symptoms such as heavy menstrual bleeding leading to anemia, significant abdominal pain, pressure on the bladder or rectum causing difficulty in urination or defecation, or a rapid increase in size within a short period occur. Surgery can help alleviate symptoms and prevent disease progression.

　　If the uterine fibroid measures over 7 cm but there are no significant discomfort symptoms, and the patient is older and approaching menopause, surgery may not be necessary as the fibroid may shrink after menopause due to decreased hormone levels. In such cases, regular follow-up examinations to monitor changes are sufficient.

　　If a uterine fibroid measuring over 7 cm is detected, timely medical consultation is necessary. A healthcare professional should evaluate the specific condition and decide whether surgery is needed. Self-diagnosis and delayed treatment should be avoided.

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What should I do if I become pregnant with uterine fibroids?

In general, women who become pregnant with uterine fibroids should manage their condition through enhanced prenatal monitoring, adjustment of daily activities, attention to nutritional diet, awareness of physical symptoms, and cooperation with medical interventions. It is important to maintain a positive mindset during pregnancy and avoid excessive anxiety, as anxious emotions may affect hormone levels and jeopardize pregnancy stability. At the same time, maintain close communication with the physician to stay informed about both maternal and fetal conditions.

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Is uterine fibroid serious?

In general, the severity of uterine fibroids needs to be determined based on their size, symptoms, and growth pattern. Small fibroids without symptoms are usually not serious and do not require special treatment; however, fibroids that cause significant symptoms or grow rapidly are considered more severe and require timely intervention. In daily life, it is important to maintain a regular作息 (作息 should be translated as "routine" or "lifestyle rhythm"), avoid excessive fatigue, limit the intake of foods high in estrogen, and reduce the risk of fibroid growth.

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How are uterine fibroids caused?

Under normal circumstances, the main causes of uterine fibroids include hormonal changes, aging, endometritis, polycystic ovary syndrome, and adenomyosis. If discomfort symptoms occur, it is recommended to seek timely medical treatment at a正规 hospital. In daily life, one should maintain external genital hygiene and avoid unclean sexual activity; maintain a regular diet and balanced nutrition.

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What causes bleeding during ovulation?

In general, bleeding during the ovulation period may be caused by a temporary decline in estrogen levels, vigorous exercise, endometritis, cervical polyps, submucosal uterine fibroids, or other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Additionally, it is important to maintain menstrual hygiene, change sanitary products frequently, and avoid unclean sexual practices.