Slide 9

Surgical interventions for fibroids are recommended if they cause symptoms like excessive bleeding or severe discomfort, affect fertility, or are larger than four centimeters. However, surgical interventions are not recommended for asymptomatic fibroids, fibroids located near the uterine vessels or broad ligament, or very large fibroids that could compromise the reconstruction of the uterus during surgery. So how do we know which intervention to take? Well, for the surgical interventions, the indications include having fibroids that are symptomatic, meaning they cause excessive uterine bleeding and severe discomfort, or fibroids that affect fertility, or ones that are larger than four centimeters. Contraindications to surgical interventions include asymptomatic fibroids, fibroids located in the region of the uterine vessels or the broad ligament, or very large fibroids that would compromise integrity of the reconstruction of the uterus during surgery.