Uterine fibroid is a common benign tumor of female genitalia, early diagnosis can help treatment, now let’s see what are the methods of diagnosis and differentiation of uterine fibroid? Diagnosis of uterine fibroids 1. Medical history: excessive or irregular menstrual bleeding, history of lower abdominal mass, etc. 2.Gynecological examination: the uterus is found to be irregularly enlarged or uniformly enlarged, such as subplasma fibroids can be found on the surface of the uterus as a single or several nodular protrusions with hard texture; submucosal fibroids can sometimes open the uterine opening and touch the lower end of the fibroids in the uterine cavity through the uterine opening; if they are hanging in the vagina, the body of the fibroids can be seen and their tissues can be touched. B-type ultrasound can show the size and location of fibroids more clearly; it is one of the main means to diagnose fibroids; diagnostic scraping can feel the protrusion or obvious unevenness of the endometrium, through the above examinations, diagnosis is generally not difficult. If the fibroids grow rapidly or continue to increase in size even after menopause, the possibility of malignant transformation should be considered. Uterine fibroids are easily confused with the following conditions or diseases and should be distinguished. 1. Pregnant uterus When uterine fibroids are complicated by cystic changes, it is easy to misdiagnose them as pregnant uterus; and pregnant uterus, especially in advanced pregnant women over 40 years old, or those with bleeding from premature abortion, may also be misdiagnosed as uterine fibroids. If a woman of childbearing age with a history of menopause is encountered clinically, she should first think of the possibility of pregnancy, and it is not difficult to confirm the diagnosis by B-type ultrasonography or hCG measurement, and if necessary, the uterus should be scraped to differentiate. In this case, the uterus is larger than the month of menopause, and the shape is more irregular and the texture is harder. 2. Ovarian tumor Solid ovarian tumor may be misdiagnosed as subplasma myoma; conversely, cystic subplasma myoma is often misdiagnosed as ovarian cyst, and it is more difficult to differentiate when the ovarian tumor is adherent to the uterus, which can be examined by B-type ultrasound, and sometimes it is necessary to perform a cesarean section to confirm the final diagnosis. 3. Myometrioma is also clinically manifested as increased menstrual flow and uterine enlargement, but differs from fibroids in that menstrual pain is the main symptom. The uterus is uniformly enlarged during the examination, and it has the characteristic of enlarging during menstruation and shrinking after menstruation. 4, uterine hypertrophy The main clinical manifestations of these patients are also increased menstruation and uterine enlargement, so they are easily confused with fibroids. However, the uterus is uniformly enlarged and rarely exceeds 2 months of gestation, and B-mode ultrasound can assist in the diagnosis.