Uterine fibroids are a familiar disease that can also occur in daily life. Pay attention to changes in your body, and if there are any abnormalities, you must immediately check.
What is a uterine fibroid?
Uterine fibroids are the most common benign tumors in female genitalia, composed of smooth muscles and connective tissue. They are also known as uterine smooth fibroids or multiple uterine fibroids, and their sizes vary. Peas may be small or as large as soccer balls. It is common in women aged 30-50. According to statistics, 20% of women over 30 years old suffer from multiple uterine fibroids, and it is rare for women under 20 years old.
Symptoms of uterine fibroids
1. Irregular menstruation: The most common symptom of uterine fibroids is an increase in menstrual flow and prolonged menstruation. It is commonly seen in intramural fibroids and submucosal fibroids, which enlarge the uterine cavity, increase the area of the endometrium, and affect uterine contractions. Additionally, fibroids may compress veins near the tumor, causing congestion and dilation of the endometrial venous plexus, and prolonging menstruation. When submucosal fibroids are accompanied by necrotic infections, vaginal bleeding or irregular bloody purulent discharge may occur. Long term increase in menstrual volume can lead to secondary anemia, weakness, palpitations, and other symptoms.
2. Lower abdominal mass: When the fibroid is small, there is no mass in the abdomen, and the fibroid gradually increases. When the uterus is pregnant for more than 3 months, it can be contacted from the abdomen. Giant submucosal fibroids can detach from the outside of the vagina, and patients can seek medical attention from the external genitalia.
3. Increased vaginal discharge: Intramural fibroids increase the area of the uterine cavity, resulting in increased secretion of endometrial glands. Infection of submucosal fibroids with increased pelvic congestion and vaginal discharge can result in a large amount of purulent vaginal discharge. When ulceration, necrosis, or bleeding occurs, there may be bloody or purulent, foul smelling vaginal discharge.
4. Symptoms of compression: Fibroids in the lower part of the anterior wall of the uterus compress the bladder, causing frequent and urgent urination. Cervical fibroids cause difficulty urinating, and uterine posterior wall fibroids (isthmus or posterior wall) cause lower abdominal distension, constipation, and other symptoms. Wide ligament fibroids or cervical giant fibroids develop laterally, embedded in the pelvis to compress the ureter and prevent upper urinary tract expansion, ureteral dilation, and hydronephrosis.
5. Other symptoms: including lower abdominal distension, low back pain, and worsening of physiological symptoms. When the red color of the fibroid changes, there is acute lower abdominal pain, and when there is torsion of the stem of the subserosal fibroid accompanied by vomiting, fever, and local compression pain of the tumor, acute abdominal pain can also be caused when the submucosal fibroid of the uterus is expelled from the uterine cavity. Distorted intramural fibroids in the submucosal and uterine cavities can cause infertility or miscarriage.