How to diagnose uterine fibroids clinically

Uterine fibroids are the most common benign tumors of the female reproductive organs. They are usually asymptomatic. Women can check whether they are ill through self-examination. If they want to confirm the disease, they should go to a regular hospital and have it done by a professional physician. The methods used by clinicians to diagnose uterine fibroids mainly include the following:

1. Ask about medical history

The key points of medical history inquiry include: whether there is a shortened menstrual cycle, increased menstrual flow, prolonged menstrual period and irregular bleeding; whether there is an increase in leucorrhea and whether there is an odor; whether there is abdominal pain, lumbar pain, frequent urination, urination disorder and other symptoms.

2. Physical examination

General examination: pay attention to the color of the skin to determine whether there is anemia; observe whether the abdomen is bulging and whether there are lumps. If there are lumps, check whether their shape is regular, whether there is tenderness, their mobility and hardness, etc.

Gynecological examination: Subserosal fibroids can be felt as single or several nodular protrusions on the surface of the uterus, which are mostly spherical and hard. Submucosal fibroids can sometimes cause the cervical os to dilate, and are often round, smooth, and hard. In the case of intramural fibroids, the uterus is often enlarged, with an irregular surface and single or multiple nodular protrusions.

3. Auxiliary examination

These include B-ultrasound, X-rays, diagnostic curettage, hysterosalpingography, uterine cavity detection, CT and MRI, etc. All of the above methods can assist doctors in diagnosing diseases, and doctors will also use appropriate auxiliary examination methods based on the patient's specific situation.