How to differentiate functional uterine uterine fibroids from functional uterine uterine fibroids?

Xiao Ping had been planning to have a child, and her plan was going well, but she was not lucky enough to have irregular menstruation. Every time her menstruation was always continuous, and even if she finally stopped, it would come again within half a month, and the amount of blood was quite heavy. More than a year had passed, and the problem did not get better. Not to mention having a child, Xiao Ping's body gradually became weak, and she also developed anemia. Xiao Ping was scared when she heard from her colleagues that Wang Jie from the HR department had a uterine fibroid when she was suffering from her condition, so she went to the hospital immediately, but it turned out to be functional uterine bleeding. For this reason, Xiao Ping thought that functional uterine bleeding and uterine fibroids can both cause bleeding, so are they really similar?

Dysfunctional uterine bleeding and uterine fibroids have similarities and are very easy to confuse. First, in the menopausal transition period, there is no ovulation and no corpus luteum formation. The endometrium is stimulated by estrogen for a long time and lacks the influence of progesterone, so the endometrium proliferates or proliferates too long; and the endometrium of patients with uterine fibroids may also have hyperplasia. Therefore, functional uterine bleeding and uterine fibroids may have similar clinical symptoms, especially those with functional uterine bleeding in the menopausal transition period are mostly multiparous or multiparous women. In addition to the increase in diameter and inner cavity of the uterus, the weight can increase by 1 time. This is one of the reasons for clinical misdiagnosis; secondly, B-ultrasound is still difficult to diagnose small uterine fibroids in the early stage. Sometimes endometrial hyperplasia is very similar to submucosal uterine fibroids, which is difficult to distinguish with B-ultrasound.

Therefore, in clinical diagnosis, comprehensive curettage is not only suitable for functional uterine bleeding, but also for uterine fibroids, because uterine fibroids combined with excessive endometrial hyperplasia can be improved by curettage, and comprehensive curettage can not only diagnose hyperplasia, but also cure it. At the same time, dynamic observation of the shape and size of abnormal echoes in the uterine cavity by B-ultrasound is of great significance for the differentiation of the two.