Uterine fibroids are not contraindicated for herbal medicine, but care is needed: ① avoid herbs that strongly nourish blood (Cortex moutan, Carthamus) which may stimulate fibroid growth, ② use blood-stasis-resolving herbs (Salvia, Carthamus, Cortex moutan low dose) instead, ③ regular ultrasound monitoring (every 6 months). Herbal therapy can stabilize or shrink fibroids while relieving dysmenorrhea. Coordinate with OB/GYN for fibroids over 5cm.