What are the symptoms of advanced uterine fibroids? What tests should be done for advanced uterine fibroids?

Uterine fibroids are a common benign gynecological disease, but they may also proliferate rapidly, causing serious harm to women and threatening their lives. So, do you know the symptoms of advanced uterine fibroids? What tests should be done for uterine fibroids? About 20% of women over 35 years old have uterine fibroids. Many people discover it very late because the fibroids develop slowly and the symptoms are not obvious. The symptoms of advanced uterine fibroids include:

1. There will be a lump. When the patient is fasting, a lump can be felt in the lower abdomen. If the bladder is full, the lump will be more obvious.

2. Leucorrhea Leucorrhea increases significantly. Due to the increase of uterine cavity and endometrial glands, pelvic congestion or inflammation can increase leucorrhea. When submucosal fibroids ulcerate, become infected, bleed, and become necrotic, a large amount of bloody or purulent leucorrhea will be produced. Compression of the bladder can cause dysuria and urinary retention. Compression of the ureter can cause hydronephrosis and pyelitis. If the fibroids grow on the posterior wall of the uterus, they will compress the rectum and cause constipation.

3. Some patients will experience infertility symptoms. Among some patients with uterine fibroids, a large number of patients will experience infertility. The reason is that a large number of fibroids cause the uterine cavity to deform, affecting the implantation of fertilized eggs and ultimately leading to infertility.

4. Pain. 40% of patients have abdominal pain, 25% have backache, and 45% have dysmenorrhea, which manifests as lower abdominal swelling or back pain, but the degree is not serious. The pain is caused by tumor compression of pelvic blood vessels, blood stasis, nerve compression or stimulation of uterine contraction, cervical canal discharge from inside and outside the uterus, or fibroid necrosis causing pelvic inflammatory disease, adhesion, traction, etc.

Therefore, uterine fibroids should be detected and treated early. The methods for checking uterine fibroids are:

(1) B-ultrasound can clearly show the size and location of uterine fibroids; it is the main means of diagnosing uterine fibroids.

(2) Diagnostic curettage can feel the endometrium protruding or obviously uneven. Through the above examinations and diagnoses, the possibility of malignant transformation should be considered for those whose fibroids grow rapidly or continue to grow after menopause.