What are the key points in diagnosing uterine fibroids?

Uterine fibroids are a common benign tumor in women. They are mostly formed by the proliferation of uterine smooth muscle tissue, and there is also a small amount of fibrous connective tissue. The cause of this disease is still unclear, but some people currently believe that it is mostly related to female hormones. Below we ask relevant experts to give a detailed introduction to the diagnostic points of uterine fibroids.

What are the key points for diagnosing uterine fibroids?

1. B-ultrasound and laparoscopy are helpful for diagnosis. Treatment can be with drugs such as androgens such as methyltestosterone, antiestrogens such as tamoxifen, and luteinizing hormone-releasing hormone (LHRH) analogs. If the fibroid is larger than the size of a 2.5-month gestational uterus or the symptoms are obvious, resulting in secondary anemia, surgical treatments such as myomectomy and hysterectomy can be used.

2. Common signs are related to the size, location, number and degeneration of the fibroids. When the fibroids are large, hard, irregular and nodular masses can be felt in the abdomen; during gynecological examination, the uterus with intramural fibroids often enlarges, has an irregular surface, and has single and multiple nodular protrusions. Subserosal fibroids can be felt as hard, spherical masses connected to the uterus with a thin pedicle and are movable; the uterus with submucosal fibroids is mostly uniformly enlarged, sometimes with dilated cervical openings, and the fibroids are located at the cervical opening and prolapsed in the vagina, and are red, solid, and have a smooth surface; if infected, the surface is covered with exudate and ulcers are formed, and the discharge has a foul odor.

3. The symptoms of uterine fibroids are mostly manifested as heavy menstrual flow, prolonged menstruation or not necessarily a significant increase in menstrual flow, or normal menstrual days and flow but shortened cycle; abdominal mass; increased leucorrhea; low back pain, lower abdominal distension, abdominal pain; compression symptoms such as frequent urination, urination disorder, urine retention; infertility and secondary anemia. Acute abdominal pain may occur when subserosal pedunculated fibroids are twisted. Intramural fibroids may cause or aggravate dysmenorrhea. Large uterine fibroids may compress surrounding organs and tissues to produce dull pain and a feeling of heaviness.

The above content introduces the key points of uterine fibroids diagnosis in detail. I believe you have understood it after reading the above content. If you have other questions, please consult our online experts, who will answer you more professionally.

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