Uterine fibroids are a common benign tumor in women and one of the most common tumors in the human body, also known as fibromyomas and uterine fibroids. Since uterine fibroids are mainly made up of proliferation of uterine smooth muscle cells, with a small amount of fibrous connective tissue existing as a kind of supporting tissue, it is more accurate to call them uterine smooth muscle tumors. The abbreviation is uterine fibroids. What types of fibroids are there? There are three main types of fibroids, which are classified according to their location in the uterus: 1. Subplasmalemmal fibroids These fibroids arise outside the uterus and continue to grow outward. 2. intramural fibroids are the most common type of fibroids. They grow in the wall of the uterus and expand, making the uterus larger than normal (which may cause “a lot of symptoms”). 3. Submucosal fibroids These fibroids grow right below the lining of the uterine cavity. These fibroids are likely to cause heavy menstrual bleeding and can lead to infertility and miscarriage. What are the symptoms of fibroids? Many women who have fibroids, both single and multiple, are panicked and don’t know what to do. In fact, fibroids are a common disease among women with a high incidence. First of all, you need to determine the impact of fibroids on the patient, and according to the impact, make the next step. The most common symptoms of fibroids include: 1. Abnormal menstruation Uterine fibroids may cause excessive menstrual flow thus leading to anemia. When excessive bleeding occurs, it is necessary to take appropriate treatment. In addition to this, severe menstrual pain may occur during menstruation. 2. Anemia Due to heavy bleeding, anemia may result. In severe cases, general weakness, pale face, shortness of breath and panic may occur. Abnormal bleeding is the most important symptom of fibroids and medical guidance needs to be sought. 3. Pelvic pain or pressure Having a large or heavy fibroid pressing on other structures in the pelvic region may cause this symptom. 4. Infertility Reproductive problems are another symptom of fibroids. Fibroids can also lead to infertility, habitual miscarriage or premature birth during pregnancy. According to a study by the Mayo Clinic, the severity of complications can vary depending on the size, number and location of fibroids. The growth of fibroids may distort the uterine cavity and cause potential problems. When fibroids block the fallopian tubes or prevent sperm from passing from the cervix to the fallopian tubes, they can cause infertility. 5. Miscarriage or preterm delivery When pregnant with a fibroid, fibroids may cause recurrent miscarriage, preterm delivery, fetal malposition, and placental slippage. 6. Pain behind the thighs When fibroids compress the nerves that extend to the pelvis and thighs, they may cause such fibroid symptoms. 7. Compression of the bladder Uterine fibroids symptoms can cause frequent urination, urinary incontinence or urinary retention. If the patient’s urinary system itself is not diseased and urinary frequency, urinary urgency, urinary incontinence, and urinary retention occur, it is important to consider whether the fibroids are pressing on the bladder. If the patient has normal bowel movements and suddenly has difficulty in defecation, it is also important to be alert. 8. Compression of the intestines can lead to constipation and/or gas and bloating. In addition, if iron supplementation is needed due to anemia caused by heavy bleeding, the supplemented iron may aggravate constipation. 9. Abdominal abnormal enlargement When fibroids grow larger and larger, patients can feel them externally. When the patient presses the abdomen lightly during early morning fasting or when the bladder is full, sometimes a hard and mobile mass can be felt. Patients may be mistaken for being fat or pregnant. 10. Painful intercourse What is adenomyoma? Uterine adenoma is a manifestation of adenomyosis. In clinical practice, doctors use adenomyosis as a diagnostic name, but rarely use myometrioma as a diagnostic name. Adenomyosis or myometrioma is a condition in which the endometrial tissue is present in the myometrium, and is a benign disease. Clinical diagnosis is based on symptoms, internal examination, tumor index CA-125, ultrasonography or MRI. What are the symptoms of adenomyoma? 1. Dysmenorrhea The most common clinical manifestation is dysmenorrhea. The pain usually occurs one week before the menstruation is to come, and the symptoms are relieved after the menstruation is clean. There may also be increased menstrual flow, prolonged menstrual cycle, and even painful intercourse and difficulty in relieving bowel movement. 2. Anemia Due to heavy bleeding may lead to anemia. In severe cases, general weakness, pallor, shortness of breath, panic attacks, etc. may occur. 3. Infertility Can fibroids recur? The recurrence rate of uterine fibroids is very high. The recurrence rate of single fibroids is 30%-40%, and the recurrence rate of multiple fibroids is as high as 60%-70%. Multiple fibroids account for most of the patients. Moreover, the chance of recurrence of fibroids depends on the number of fibroids, age, genetics, personal diet, etc. Most patients recur 2-5 years after surgery, and the recurring fibroids do not necessarily grow in the same location as the original fibroids. In terms of age, fibroids tend to occur in fertile women with vigorous ovarian function. In non-menopausal women, the younger the age at the time of surgery, the higher the rate of fibroid recurrence. Women who are nearing menopause have significantly lower estrogen levels and are less likely to develop fibroids than younger women with normal estrogen.