(1) Uterine bleeding is the main symptom of uterine fibroids, which occurs in more than half of patients. Among them, cyclical bleeding is more common, which can be manifested as increased menstruation, prolonged menstruation or shortened menstruation. It can also be manifested as irregular vaginal bleeding during menstruation. Uterine bleeding is common in submucosal fibroids and intramural fibroids, while subserosal fibroids rarely cause uterine bleeding. (2) Abdominal masses and compression symptoms Myomas grow gradually. When the uterus is enlarged for more than 3 months, when it is the size of a pregnant uterus or a large subserosal myoma located at the bottom of the uterus, the abdominal mass can usually be felt, and it is more obvious in the morning when the bladder is full. The mass is substantial, movable, and not tender. When myomas grow to a certain size, they can cause symptoms of compression of surrounding organs. Myomas on the anterior wall of the uterus close to the bladder can cause frequent urination and urgency; huge cervical myomas compressing the bladder can cause poor urination or even urinary retention; myomas on the posterior wall of the uterus, especially canyon or posterior lip of the cervix, can compress the rectum, causing poor defecation and discomfort after defecation; huge broad ligament myomas can compress the ureters and even cause hydronephrosis. (3) Pain Generally speaking, uterine fibroids do not cause pain, but many patients may complain of lower abdominal swelling and back pain. Acute abdominal pain occurs when the pedicle of a subserosal fibroid is twisted or when a uterine fibroid undergoes red degeneration. Endometriosis or adenomyosis is also common, and dysmenorrhea may occur. (4) Increased leucorrhea. The increase in the uterine cavity, the increase in endometrial glands, and pelvic congestion can increase leucorrhea. When the uterine or cervical submucosal fibroids ulcerate, become infected, or necrotic, bloody or purulent leucorrhea will occur. The above content is some basic information about multiple uterine fibroids. I hope that friends can learn more after reading it and get rid of this disease as soon as possible. |
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