Uterine fibroids - is surgery required?

Patient : I am 45 yrs female suffering from heavy bleeding during some periods. Sometimes normal. Scan shows uterine fibroids. Been advised sevista 60 for a month alternate days. Is surgery necessary? My utrascound scan report below: The uterus is anteverted, and measures 8.5 x 7.0 cm. An intramural fibroid of 4.7 x 4.5 x 4.0 cm is seen in the anterior wall of the fundus. Another intramural fibroid of 1.9 x 1.9 cm is seen in the anterior wall of the fundus mildly indenting the endometrium. The endometrial thickness is 6.2 mm. The right ovary has a smooth walled, clear cyst of 3.4 x 2.8 cm. The right tube is mildly dilated. The left ovary measures 2.4 x 2.5 cm and is normal sized. Two small clear paraovarian cysts of 1.9 and 0.9 cm are seen in the left adnexa. IMPRESSION : = Uterine fibroids. Simple cyst in the right adnexa. Minimal right hydrosalphinx. Small left para ovarian cysts.
Symptoms:  Sometimes heavy bleeding during periods
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