What are the symptoms of uterine fibroids? Clinical manifestations of uterine fibroids

Symptoms: The symptoms of uterine fibroids and their severity mainly depend on the location, size, number and complications of the fibroids. Some fibroids are small, grow slowly, have no symptoms, and can never be found in a lifetime. In recent years, due to the widespread use of B-ultrasound examinations, many patients are found to have uterine fibroids through B-ultrasound examinations during routine physical examinations, but they are asymptomatic. Most patients come to see a doctor because they have symptoms. Common symptoms of uterine fibroids include uterine bleeding, abdominal masses, vaginal discharge, compression, etc. Recommended reading: How to judge uterine fibroids?

Uterine bleeding: Uterine bleeding is the most common symptom of uterine fibroids. The clinical manifestations are menorrhagia, cyclical bleeding, increased menstrual volume, often accompanied by prolonged menstruation, which is the most common type of bleeding; frequent menstruation, shortened menstrual cycle, increased menstrual volume; irregular bleeding, loss of normal menstrual cycle, long duration, less time, dripping, more common in submucosal fibroids. Uterine bleeding is common in submucosal fibroids and intermuscular fibroids, and subserosal fibroids rarely cause uterine bleeding. According to the literature, the uterine bleeding rates of submucosal fibroids, intermuscular fibroids, and subserosal fibroids are 89.5%~100%, 74%~77.7%, and 33.3%~36%, respectively. There are many explanations for the cause of uterine bleeding.

① As the uterus grows, large or multiple myomas will inevitably increase the area of ​​the endometrium. During menstruation, the endometrium will shed a large area, take a long time to repair, bleed a lot, and have a long menstrual period.

②The presence of intramural fibroids hinders the uterus from effectively contracting to control bleeding, resulting in heavy bleeding.

③ Uterine fibroids often occur in the late reproductive age, during menopause. Some patients have small fibroids and heavy menstruation, which may be caused by uterine bleeding associated with sexual dysfunction. Curettage examination to determine the endometrium.