What are the clinical manifestations of uterine fibroids?

  Uterine fibroids are the most common benign tumors in female reproductive organs, mostly seen in 30-50 years old. The exact cause is unknown, but a large amount of clinical data shows that fibroids tend to occur in women of childbearing age, suggesting that the growth and occurrence of fibroids may be related to female hormones.  The clinical manifestations of uterine fibroids are mainly related to the growth site of fibroids. Larger subplasmaline fibroids can have no obvious symptoms except for feeling the mass, while smaller submucosal fibroids can bleed a lot.  1. Uterine bleeding: It is the most common symptom of fibroids. About 1/3 of patients can show increased and frequent menstruation or prolonged periods, but irregular bleeding can also occur.  2, abdominal mass: subplasma fibroids often have no obvious symptoms, but when the fibroids increase in size, a mass can be felt in the lower abdomen.  3, compression symptoms: compression of the bladder leads to frequent urination, urination disorder, urinary retention, compression of the ureter leads to hydronephrosis, compression of the rectum leads to defecation difficulties.  4, abdominal pain, lumbago, lower abdominal swelling: patients usually do not have abdominal pain, but when the subplasmalemma myoma twist, myoma red degeneration will appear severe abdominal pain.  5. Other: increased leucorrhea, infertility, anemia, etc.  Health education and behavior guidance program 1. Regular physical examination should be conducted to achieve early detection, early diagnosis and early treatment.  2.For long-term phenomenon of excessive menstruation and increased leucorrhea, even if you can’t feel the lump, you should go to hospital for examination in time.  3.People with uterine fibroids should have regular checkups, such as ultrasound or gynecological examination once every 3-6 months, and the following methods should be chosen according to the doctor’s recommendations: (1) regular follow-up observation, such as gynecological examination and/or ultrasound once every 3-6 months; (2) medication; (3) surgery: in addition to traditional open surgery, hysteroscopic surgery, laparoscopic surgery, or transvaginal surgery can be chosen according to the specific situation Hysteroscopic surgery – mainly treats fibroids growing in the uterine cavity and between the muscle walls protruding into the uterine cavity, cervical submucosal fibroids, etc.  Laparoscopic surgery – adapted to the treatment of fibroids outside the uterine cavity, such as subplasmalemma, intermuscular protrusion into the abdominal cavity and removal of fibroids within the broad ligament for hysterectomy.  Transvaginal surgery–adapted to hysterectomy or removal of subplasmalemma, intermuscular myoma especially in the posterior wall of the uterus.