Symptoms of uterine fibroids Are there no symptoms of uterine fibroids?

As the saying goes, location is important. It doesn't matter whether a person can do it or not, as long as it is placed in a key position, it will be very important. This is very suitable for explaining the symptoms of uterine fibroids, because whether uterine fibroids have symptoms and the severity of the symptoms are related to the growth site and size, especially the growth site. Uterine fibroids are located under the serosa on the outer surface of the uterus, and the abdominal cavity has a lot of room for development. Even if the tumor grows very large, sometimes there are no symptoms; uterine fibroids are located on the inner surface of the uterus, because it affects the function of the endometrium, even if it is very small, irregular vaginal bleeding will occur.

Generally speaking, uterine fibroids can cause the following common symptoms, but for every patient, it is impossible to have all the symptoms, but only one or more of them.

1) Vaginal bleeding: It should be the most common symptom of uterine fibroids. Uterine fibroids are located on the outer surface of the uterus, and there is usually no vaginal bleeding. When the intramural fibroids are larger, they will affect uterine contraction, or increase the area of ​​the endometrium, causing menorrhagia or prolonged menstruation. Submucosal fibroids in the uterus often cause irregular vaginal bleeding, bleeding menstruation, etc. Of course, there are many reasons for vaginal bleeding. It should be reminded that if this symptom occurs, do not think that it is too tired or menopausal in the near future.

2) Pelvic mass: Most of the time it is found by accident (such as bathing or sexual intercourse) or during gynecological examination. When the fibroids are too large or the patient is too thin, you can feel a hard solid mass in the lower abdomen, especially in the morning before urination, the bladder is easier to feel. Sometimes you may not be able to touch the tumor, but you will find that the waist circumference has increased, and some middle-aged and elderly people will naturally think it is fat. In remote rural areas with poor medical conditions, or some people in cities, fibroids can grow to a large size. For women of childbearing age, if a pelvic mass is found, the most important thing to consider is not uterine fibroids, but pregnancy, which is emphasized in textbooks.

3) Compression symptoms: Uterine fibroids can compress adjacent organs and cause symptoms. Again, symptoms vary depending on location (growth site) and size. Fibroids compress the bladder forward, causing frequent urination, urgency, or even inability to urinate (called urinary retention); if the fibroids grow on the posterior wall of the uterus, they can compress the rectum backwards and cause diarrhea or constipation; fibroids in the broad ligaments on both sides of the uterus can compress the ureters, internal and external iliac veins, and nerves, causing ureteral obstruction, hydronephrosis, lower extremity edema, or pain.

4) Infertility: Small fibroids or subserous fibroids located in the uterine wall usually do not affect pregnancy. However, some fibroids may change the shape of the uterine cavity, or hinder the implantation of the fertilized egg, or grow in the corners of the uterus, compressing the opening of the fallopian tube into the uterus, hindering the rising sperm from entering the fallopian tube, and causing infertility.

5) Abdominal pain: Uterine fibroids rarely cause abdominal pain. If the fibroids excessively compress the pelvic nerves, or if acute ischemia causes red degeneration, or if a pedunculated subserosal uterine fibroid torsions, it can cause severe abdominal pain.

6) Increased leucorrhea: This is more common in submucosal fibroids in the uterine cavity. When the fibroids are separated from the cervix or vaginal opening, ulceration and necrosis and increased leucorrhea will appear on the surface. If combined with infection, purulent leucorrhea may occur. If the intramural fibroids are large, they can increase the uterine cavity area, endometrial secretion and pelvic congestion, which can also lead to increased leucorrhea.

7) Circulatory system symptoms: Long-term excessive menstruation can cause secondary anemia. Severe anemia may lead to anemic heart disease.

If a woman has the above symptoms, she needs to go to the hospital for further examination. For women who have regular physical examinations, uterine fibroids can be easily found by ultrasound examination, and many people have no symptoms. When the above symptoms appear, it is usually a signal that treatment is needed.