Is it true that all patients with fibroids have symptoms? Many patients with fibroids are concerned about this issue. In fact, not all patients with fibroids have symptoms. The presence or absence of symptoms of fibroids and their severity are determined by the location, size, number and complications of fibroids. Some fibroids are small, slow-growing and asymptomatic, and can remain undetected for the rest of their lives. However, some fibroids may be small and symptomatic, most often in interstitial myomas, which are often combined with adenomyosis. Most patients come to the doctor because they have symptoms. Common symptoms of fibroids include painful periods, heavy menstrual flow, abdominal masses, vaginal discharge, and pressure symptoms. Patients with adenomyosis combined with uterine fibroids have symptoms of painful periods. Fibroids cause heavy menstrual flow during menstruation because the endometrial area increases, contractions are unfavorable, the endometrial venous plexus is congested and dilated, and sometimes bleeding from the ruptured veins on the surface of the submucosal fibroids can lead directly to hemorrhage. Fibroids can produce symptoms of compression of surrounding organs. Anterior wall fibroids that are close to the bladder can cause bladder irritation, which is characterized by frequent and urgent urination; cervical fibroids that grow forward to a significant size can also cause bladder pressure and lead to discomfort in the upper part of the pubic bone, frequent urination, urinary retention, or overflow incontinence; giant anterior cervical lip fibroids that fill the vagina and compress the urethra can cause difficulty in urination and even urinary shutdown, and patients can be seen for urological symptoms. Posterior uterine wall fibroids, especially giant myomas of the isthmus or posterior lip of the cervix that fill the vagina and press backward on the rectum, can produce posterior pelvic swelling and dyspareunia. The lateral development of broad ligament leiomyoma or cervical giant leiomyoma embeds in the pelvic cavity and compresses the ureter, causing ureteral dilatation and even hydronephrosis. It is rare to see lower limb edema due to pelvic lymphatic and venous blood flow obstruction due to myoma compression. In recent years, due to the widespread use of B-type ultrasonography, many patients are found to have uterine fibroids by ultrasound examination due to routine checkups, while they are asymptomatic.