Is uterine fibroid serious?

Generally, uterine fibroids are not considered serious when they are small, asymptomatic, or grow slowly. However, they may become more serious when they are large, cause noticeable symptoms, or grow rapidly.

When fibroids are small and located on the periphery of the uterine wall or other noncritical areas, they typically do not compress the reproductive system or cause obvious symptoms. These fibroids often appear asymptomatic or with only mild associated symptoms on B-ultrasound examinations and show no tendency toward malignancy. Doctors usually recommend regular follow-up examinations without special treatment.

When fibroids are large, they may compress surrounding organs such as the bladder or intestines, causing symptoms such as frequent urination, urgency, urinary retention, or constipation. Additionally, fibroids located within the uterine cavity may lead to heavy menstrual bleeding, dysmenorrhea, and in severe cases, may even cause fertility problems or pregnancy complications. Rapidly growing fibroids also carry a risk of malignancy. Doctors may recommend surgical removal of the fibroids to relieve symptoms and reduce the risk of malignancy. Treatment with medications such as Hongjin Xiaojie tablets, mifepristone capsules, or leuprolide acetate microspheres for injection may also be used under medical guidance.