Is a uterine fibroid measuring 55mm x 52mm serious?
Disease description:
During a recent physical examination, a uterine fibroid measuring 55mm × 52mm was detected. My menstrual flow has been particularly heavy lately, and I frequently experience lower back pain. Is this fibroid considered serious, and is immediate surgery necessary?
Doctor's answer (1)
Dr. Zhang Lu
In general, whether a uterine fibroid measuring 55mm x 52mm is serious mainly depends on its symptoms. If there are no obvious symptoms or only mild symptoms, it may not be serious. However, if the symptoms are significant, the condition could be more severe.
If the uterine fibroid is located within the uterine muscle layer or subserosally, and it does not compress the endometrium or affect the contraction and relaxation function of the uterus, its impact on menstruation and fertility is usually minimal. It generally does not cause significant clinical symptoms, or may only cause mild symptoms such as slight lower abdominal pressure or back pain, which have little impact on daily life. In such cases, the condition is usually considered not very serious.
However, if the uterine fibroid causes significant symptoms such as heavy menstrual bleeding, irregular vaginal bleeding, or abdominal pain, it indicates that the fibroid has considerably affected the patient's daily life and is considered relatively severe. At this stage, patients should follow their doctor's guidance and undergo targeted treatment based on the specific condition of the fibroid. Treatment options include medication and surgical interventions.
In daily life, patients are advised to have regular follow-up examinations to monitor changes in the fibroid and maintain close communication with their doctor, which helps in managing uterine fibroids effectively.
