Uterine fibroids are the most common benign tumors of the female reproductive tract. Can fibroids be prevented? Unfortunately not at this time, but with an understanding of the common symptoms of fibroids, it may be possible to detect them early and treat them when appropriate, thus reducing the impact on health. So, what are the symptoms of fibroids? As the saying goes, position is important when you are in your position. This is quite appropriate for the symptoms of uterine fibroids because the presence or absence of symptoms and the severity of symptoms are related to its growth site and size, especially the growth site. Subplasmaline fibroids located on the outer surface of the uterus have a lot of room to develop in the abdominal cavity, and sometimes the tumor is asymptomatic even if it grows very large, while submucosal fibroids located on the inner surface of the uterus can cause irregular vaginal bleeding even if it is small because it affects the function of the endometrium. Generally speaking, fibroids can have the following symptoms, but specifically for each patient, they are manifested as one or several of them. 1. Vaginal bleeding: It is the most common symptom of uterine fibroids. Subplasmaline fibroids located on the outer surface of the uterus mostly have no vaginal bleeding. When interstitial fibroids are large, they may affect the contraction of the uterus or increase the endometrial area and cause excessive menstruation or prolong menstruation. Submucosal fibroids located in the uterine cavity often have irregular vaginal bleeding and incomplete menstruation. Of course, there are many causes of vaginal bleeding, and it is important to remember that if this symptom occurs, it should not be dismissed as a result of exertion or menopause. 2. Pelvic mass: Many times it is found by chance (such as bathing or sexual intercourse) or during gynecological examination. When the fibroid is too large or the patient is thin, a hard solid mass can be felt in the lower abdomen, especially in the morning before urination. In some obese people, the tumor may not always be palpable, but an increase in waist circumference may be noticed, which is sometimes taken for granted by middle-aged and elderly people as a sign of fatigue. As for women of childbearing age, if a pelvic mass is found, the most important thing to consider is not fibroids, but first to rule out whether they are pregnant. 3. Compression symptoms: Uterine fibroids can produce symptoms by compressing the adjacent organs. Again, the symptoms may vary depending on the growth site and size. The fibroids can press the bladder forward, causing frequent urination, urgent urination, and even inability to urinate (called urinary retention); if the fibroids grow in the posterior wall of the uterus, they can press the rectum backward, causing diarrhea or constipation; fibroids occurring in the broad ligament on both sides of the uterus can press the ureter, internal and external iliac veins and nerves, resulting in ureteral obstruction, hydronephrosis, swelling or pain in the lower limbs. 4. Infertility: Small fibroids or subplasma fibroids located in the uterine wall usually do not affect pregnancy. However, some fibroids can change the shape of the uterine cavity, or prevent the fertilized egg from being laid, or grow at the corner of the uterus, compressing the opening of the fallopian tube into the uterus and preventing sperm from entering the fallopian tube, which can cause infertility. 5. Abdominal pain: Uterine fibroids usually rarely cause abdominal pain. If the fibroid is too large and presses on the nerves in the pelvis, or if the fibroid becomes red and degenerates due to acute ischemia, or if the subplasmic fibroid with a tip is twisted, it may cause severe abdominal pain. 6. Increased leucorrhea: It is mostly seen in submucosal fibroids located in the uterine cavity. When the fibroid comes out of the cervical or vaginal opening, its surface will be ulcerated and necrotic, and there will be increased leucorrhea, and if combined with infection, there may be purulent leucorrhea. Interstitial fibroids, if large in size, can increase the area of the uterine cavity and increase endometrial secretion and pelvic congestion, which can also cause increased leucorrhea. 7. Circulatory system symptoms: Long-term excessive menstruation may cause secondary anemia, and severe anemia may lead to anemic heart disease. In fact, for women with regular medical checkups, fibroids are easily detected by ultrasonography. If a woman has the above symptoms, she needs to go to the hospital for examination, which is usually a sign that treatment is needed.