What you should tell your doctor at your uterine fibroid clinic

  Many patients find fibroids by chance during pelvic examinations or ultrasound examinations. Many patients are overwhelmed with the test report and do not know where to start when they come to the hospital. So today we are going to count down the details of how to describe your condition in front of the outpatient doctor when you are detected with fibroids.  1, bring all the information of previous visits: First of all, we would like to remind our patients to prepare all the information of previous visits, including all kinds of labs, CT, MRI, pathology reports, medical records, etc. The medical record book contains your medical history and some important test, diagnosis and treatment results, which are important reference values for doctors to diagnose and treat diseases. If there is no such information, and you can’t tell your condition, you may have to do some repeated tests, which will waste time and increase the cost of seeing a doctor. The medical record book should be kept in a safe place after use, and you will need it for your next visit.  2. Menstruation: Give a detailed description of your menstruation to the doctor, including: (1) whether the volume of menstruation has increased significantly (the volume of menstruation is different for each person, so you need to pay more attention to it and make comparisons); (2) whether the menstrual cycle has shortened (e.g., you used to have a period in 28 days, but now you have a period in 20 days); (3) whether the duration of menstruation has increased (e.g., you used to each period ended in about 3-4 days, but now it takes 7-8 days to end); (4) and whether there is irregular vaginal bleeding (vaginal bleeding that is not during the menstrual period).  Changes in menstruation are one of the typical symptoms of fibroids. When fibroids make the uterine cavity larger and the area of the uterine lining increases, it can cause a series of menstrual changes. Therefore, patients should pay attention to their menstrual changes and inform their doctors in time.  3. Whether you are anemic: Blood loss anemia can be caused by prolonged heavy menstruation or irregular vaginal bleeding. If you have not had a blood test, then recall if you have common symptoms of anemia such as pallor, fatigue, easy to get tired, loss of appetite, etc. and tell your doctor in time.  4. Infertility and miscarriage: Tell your doctor if you are infertile (infertile means not using any contraceptive measures for one year and having a normal sex life without successful pregnancy) and if you have ever had a miscarriage. Since fibroids are born in the uterus, their location, size and number may affect conception, and even if they do conceive, they may lead to miscarriage. Therefore, infertility and miscarriage are also important information about the disease and should be informed to the doctor in time.  5. Whether there is abdominal mass and pressure symptoms: Uterus is a pelvic organ surrounded by other important organs, such as bladder and large intestine. If the fibroids are large or low, they may cause pressure on the surrounding organs, resulting in constipation and frequent urination (also called “pressure symptoms”). If the fibroid is large, the patient may feel a hard lump in the abdomen. Compression symptoms are also one of the indications for surgery of fibroids, so do not think that constipation and frequent urination are irrelevant, but inform your doctor in time.  6.Whether there is abnormal leucorrhea: fibroids increase the area of uterine cavity and increase the secretion of endometrial glands, resulting in increased leucorrhea. Some fibroids may become infected and necrotic, producing a large amount of pus and blood secretion with foul smell. You should also inform your doctor truthfully if you have any of these conditions.