How to treat uterine fibroids most effectively

The optimal treatment for uterine fibroids should be determined by comprehensively considering factors such as the patient's age, symptoms, fertility requirements, and characteristics of the fibroids including type, size, location, and number. Generally, treatment options include follow-up observation, medication, surgical treatment, and other therapies such as interventional procedures or focused ultrasound treatment. 1. Follow-up observation is suitable for patients with asymptomatic fibroids without signs of malignancy, especially women approaching menopause, as fibroids often shrink after menopause. 2. Medical therapy is primarily used for women approaching menopause or those medically unfit for surgery. Commonly used medications include gonadotropin-releasing hormone analogs and mifepristone, which help regulate hormone levels and slow fibroid growth. 3. Surgical treatment is indicated for patients with large fibroids, severe symptoms, or fertility-related issues. Surgical options include myomectomy and hysterectomy, which can be performed via abdominal, vaginal, hysteroscopic, or laparoscopic approaches. The best treatment approach should be individualized, and patients are advised to make treatment choices under the guidance of a specialist.