Women's Conditions

When do fibroids need surgery? Gynecologist in Seoul, Korea

The short answer

The basic rule is: treat fibroids that cause symptoms such as heavy bleeding or pain, and monitor those that do not. Surgery is also considered if a fibroid keeps growing. Options are removing only the fibroid (myomectomy) or the uterus (hysterectomy), chosen with your doctor based on age and family plans.

Typical approach

  • No symptoms: yearly ultrasound
  • Symptoms, wants children: myomectomy, often after pregnancy if possible
  • Symptoms, family complete: myomectomy or hysterectomy

Non-surgical options such as HIFU are available at larger hospitals for selected cases. Fibroids usually shrink after menopause. Dami monitors fibroids and refers you for surgery when needed. See uterine fibroids.

Answered by Dami Women's Clinic (다미산부인과의원), Yeouido, Seoul · Dr. Ko Sang-hyun, OB/GYN. General information, not a diagnosis. Emergencies in Korea: call 119. Medical disclaimer · International Patient Center