What are the symptoms of uterine fibroids? Can uterine fibroids cause infertility and miscarriage?

Although uterine fibroids are a common gynecological disease, there are many types, and the symptoms of different uterine fibroids are generally different. So, what are the symptoms of uterine fibroids, and what should be done? Uterine fibroids are mainly treated with medication for short-term treatment, and are mainly suitable for patients with uterine fibroids who have surgical indications. Preoperative medication is used to correct anemia, reduce the size of the uterus, avoid intraoperative bleeding and reduce surgical difficulties; near-menopausal women, uteruses smaller than 10 weeks of pregnancy, and mild symptoms; those with surgical contraindications due to other complications. Because the drugs used have side effects, they are not suitable for long-term use.

The symptoms of uterine fibroids mainly include the following aspects:

1. Torsion: Subserosal fibroids can twist at the pedicle, causing acute abdominal pain. If the tumor pedicle is severely twisted, if surgery is not performed immediately or it cannot be turned back on its own, a free fibroid may be formed due to the twisting of the tumor pedicle. The twisted fibroid can also drive the entire uterus, causing the uterine axis to twist.

2. Malignant changes: Uterine fibroids are initially benign tumors, but they can easily become malignant. Therefore, women with fast-growing fibroids or postmenopausal fibroids should be careful.

3. Concurrent gynecological inflammation: Patients with uterine fibroids will experience symptoms of menstrual changes, such as increased menstrual volume, prolonged menstruation, etc. Irregular bleeding can cause bacterial damage, leading to gynecological inflammation such as adnexitis and pelvic inflammatory disease.

4. Infertility and miscarriage: Women with uterine fibroids will compress the entrance of the fallopian tubes, causing the uterus to deform and hindering the implantation of the fertilized egg, ultimately leading to infertility.