What are fibroids?
Fibroids are a common benign tumor in women and one of the most common tumors in the body, also known as fibroids and uterine fibroids. Since fibroids are mainly made up of proliferation of uterine smooth muscle cells with a small amount of fibrous connective tissue present as a supporting tissue, it is more accurate to call them smooth muscle tumors. The abbreviation is uterine fibroids.
What types of fibroids are there?
There are three main types of fibroids, classified mainly according to their location in the uterus.
Subplasmaline fibroids: These fibroids arise outside the uterus and continue to grow outward.
Intramural fibroids: These 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 “plethora of symptoms”).
Submucosal fibroids: These fibroids grow just 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, become more frightened 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, severe menstrual pain may occur during menstruation.
2. Anemia
Anemia may be caused by heavy bleeding. 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 premature birth
When pregnant with a tumor, fibroids may cause recurrent miscarriages, premature births, fetal malposition, and slipped placenta.
6. Pain behind the thigh
These fibroid symptoms occur when the fibroids press on the nerves that extend to the pelvis and thighs.
7. Compression of the bladder
Uterine fibroid 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 usually has normal bowel movements and suddenly has difficulty in defecation, this is also a time to be alerted.
8. Compression of the intestines
It 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.Abnormal enlargement of abdomen
As the fibroid grows larger, the patient can feel it externally. When the patient presses lightly on the abdomen during early morning fasting or when the bladder is full, a hard and mobile mass can sometimes 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 adenomyoma 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 due to come and the symptoms are relieved after the menstruation clears. The pain usually occurs one week before the menstruation, and the symptoms are relieved after the menstruation clears.
2. Anemia
Due to heavy bleeding may lead to anemia. In severe cases, general weakness, pallor, shortness of breath and panic 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.