I am 64 YO female w/HBP. I also have a 4.1 AAA I see my GP this week and the Cardiologist next week. The Cardiologist originally found this on a catheterization in 2018. I am not sure if mine is growing or it stayed the same. However everything that I have read and researched indicated that < 4.5 is low risk of rupture and seems to grow at a slow pace. So I do not anticipate on my Cardiologist saying that I am a candidate for the repair and that we have to just monitor it. What I did find comfort in is that this is manageable with Cholesterol and BP controlled that will keep the dilation from getting larger. So that is what I am shooting for. My suggestion is to not focus so much on the AAA because there isn't a fix but to focus on what you can do keep the BP and Lipid Panel in check. Good Luck and God Bless