What are the common uterine fibroids? What are the symptoms of uterine fibroids?

Uterine fibroids are usually discovered through gynecological examinations. The daily symptoms of uterine fibroids are not obvious, and some fibroids are even relatively small and cannot be found at all. Therefore, most female friends are reminded to pay attention to regular gynecological examinations to prevent and detect diseases as soon as possible.

Common symptoms of uterine fibroids include uterine bleeding, an abdominal mass, vaginal discharge, and pressure:

1. Abdominal mass: Uterine fibroids are very harmful and are easily ignored in the early stages. Since the uterus is located deep in the pelvic cavity, the fibroids cannot be felt in the abdomen in the early stages. When uterine fibroids gradually increase in size, the size of the uterine pregnancy exceeds 3 months, or it is located under the serosa at the bottom of the uterus, the fibroids are easier to touch from the abdomen. The mass is located in the middle of the lower abdomen, is practical and movable, but not very active, without tenderness, and grows slowly. If the abdominal wall is thick, the uterus is enlarged, or exceeds the size of the pelvic cavity or even 4 to 5 months of pregnancy, it is still difficult for the patient to find it. Therefore, it is rare for patients with uterine fibroids to have abdominal masses.

2. Uterine bleeding: Uterine bleeding is a very common symptom of uterine fibroids. Clinical manifestations include menorrhagia, periodic bleeding, increased menstrual volume, often accompanied by prolonged menstruation. This type of bleeding is the most common; frequent menstruation, shortened menstrual cycle, increased menstrual volume, irregular bleeding, loss of normal menstrual cycle, long duration, time and dripping are more common in submucosal fibroids. Uterine bleeding is common in submucosal fibroids and intramuscular fibroids.

3. Compression symptoms: Uterine fibroids can cause compression symptoms on surrounding organs. Fibroids on the anterior uterine wall close to the bladder can cause bladder irritation symptoms, manifested as frequent urination and urgency; when cervical fibroids grow forward to a considerable size, they can also cause bladder pressure, leading to upper pubic discomfort, frequent urination, urinary retention or overflow incontinence. Fibroids on the posterior uterine wall, especially giant fibroids in the canyon or posterior lip of the cervix, fill the vagina and compress the rectum backwards, which can lead to posterior pelvic swelling and poor defecation. Broad ligament fibroids or giant cervical fibroids embedded in the pelvic cavity compress the ureter and block the upper urinary tract, causing ureteral dilatation and even hydronephrosis.

4. Vaginal discharge: Uterine submucosal fibroids or cervical submucosal fibroids can cause increased leucorrhea. Once the tumor is infected, there may be a large amount of purulent leucorrhea. If there is ulceration, necrosis and bleeding, there may be bloody or purulent vaginal discharge with a foul odor.

5. Physical signs: Myomas in a uterus with a gestational age of less than 3 months are generally not easy to touch through the abdomen. Those that are touched are generally in the middle of the lower abdomen, hard, and uneven. The anterior or posterior wall of the uterus is protruding, and multiple myomas can touch multiple smooth, hard spherical masses; the uterus is obviously uniformly enlarged and hard, and may be hidden in the uterus or submucosal myomas of the cervix. If the cervix is ​​relaxed, the smooth spherical tumors can often be touched by inserting fingers, and some are exposed in the cervix or even protruding into the vagina. The growth site of the myoma will also affect the position of the uterine body and cervix.

6. Pain: Generally, uterine fibroids do not cause pain symptoms. If the pain symptoms are mainly caused by the pathological changes of the fibroids themselves or other pelvic diseases, the pathological changes of the uterine fibroids themselves and the combination of other pelvic diseases.

Uterine fibroids have a great impact on women's health, and may even undergo malignant changes in the later stages. Therefore, after understanding the symptoms of uterine fibroids, patients are reminded to seek treatment as soon as possible to maintain health.