How big is a woman's uterine fibroid? Symptoms of a woman's uterine fibroid

How serious are uterine fibroids? Generally speaking, fibroids larger than 5.0 cm are more serious and require prompt surgical removal. However, the specific treatment plan needs to be determined based on the individual's age, clinical manifestations, and endocrine conditions. Generally speaking, if the fibroid size exceeds 3 cm and has a rich blood supply, surgery should be performed as soon as possible.

In addition, if the following six physiological indicators are met, it also means that the symptoms of uterine fibroids are serious and require surgical treatment.

1. Symptomatic uterine fibroids:

(1) Due to uterine fibroids, heavy menstrual flow, long menstrual cycles, and long-term excessive menstrual blood loss, patients may develop secondary anemia and even anemic heart disease. In severe cases, symptoms such as general fatigue, pale complexion, shortness of breath, and palpitations may occur. This is common in submucosal uterine fibroids and intramural uterine fibroids. In this case, it cannot be delayed at will. It is recommended to perform surgery at an appropriate time, otherwise it may be life-threatening.

(2) Myoma compresses the pelvic cavity and causes corresponding symptoms: such as urinary urgency, frequent urination, or even dysuria due to compression of the bladder; rectal irritation or even dysuria due to compression of the rectum; low-lying myoma or cervical myoma or broad ligament myoma compresses the ureter and causes hydroureteral and renal pelvis hydrops. People with pelvic compression symptoms do not necessarily have heavy menstrual flow or prolonged menstrual periods.

Generally speaking, surgical treatment should be considered once cervical fibroids, broad ligament fibroids, and submucosal fibroids are found.

Suspected malignant transformation of fibroids:

The probability of uterine fibroids becoming malignant is very small, generally less than 1%. It is more common in people who are older and whose fibroids grow faster, especially when fibroids grow rapidly after menopause or occur after menopause. Therefore, although most uterine fibroids shrink after menopause, they cannot be completely taken lightly and should be checked regularly.

3. When the pedicle of subserosal fibroid is twisted:

It often presents as acute lower abdominal pain. If not promptly performed, the necrotic myoma may be twisted, leading to secondary infection, severe septic shock, and may also lead to intestinal adhesions, intestinal obstruction, etc.

4. Fibroids cause infertility:

Because uterine horn fibroids compress the entrance of the fallopian tubes, it hinders pregnancy. In addition, fibroid patients are usually accompanied by ovarian dysfunction, leading to infertility. Uterine fibroids deform the uterus and hinder the implantation of fertilized eggs, but they also affect the proliferation of the endometrium. Even if the embryo is implanted, it is easy to cause miscarriage due to the presence of fibroids. Women with uterine fibroids are infertile, and other examinations are normal. The cause of infertility may be uterine fibroids. If fibroids are suspected to cause infertility, surgery should be performed in time.

5. When uterine fibroids are difficult to distinguish from ovarian tumors:

Sometimes, regardless of clinical symptoms, physical examination or auxiliary examinations such as ultrasound, timely surgery is required.

6. Some relative indications:

A single fibroid is larger than 5 cm in diameter; the uterus is enlarged beyond 10 weeks of pregnancy.