Symptoms Most uterine fibroids, even if they are large, usually have no symptoms. When symptoms do occur, they are often as follows: (1) Menstrual changes: increased bleeding, prolonged menstruation or shortened menstrual cycles, menstrual pain (abdominal cramps), non-menstrual bleeding, anemia (caused by excessive bleeding) (2) Pain: Pain in the abdomen or back (usually dull, but sometimes severe or even sharp), sometimes pain during sexual intercourse (3) Compression symptoms: difficulty urinating or increased urination frequency, constipation, rectal pain or difficulty in bowel movements, abdominal cramps (4) Miscarriage and infertility These symptoms may also be caused by other problems. Therefore, if you have any symptoms, you should see your doctor promptly. Uterine fibroids may be first discovered during a routine pelvic exam. There are a number of tests that can provide detailed information about uterine fibroids. (1) Ultrasound: Sound waves create an image of the uterus or pelvic organs. (2) Hysteroscopy: A long, thin device (hysteroscope) is placed through the vagina and cervix (opening to the uterus) to help the doctor see some fibroids inside the uterine cavity. (3) Hysterosalpingography: This is a special X-ray that can detect abnormal changes in the size and shape of the uterus and fallopian tubes. (4) Laparoscopy: A thin, long device (laparoscope) is inserted through a small incision below the navel or through the navel to help the doctor see the fibroids on the outer surface of the uterus and some fibroids between the uterine muscle wall. Hysteroscopy or laparoscopy is sometimes combined with For the diagnosis of fibroids. Magnetic resonance imaging tests, such as magnetic resonance imaging (MRI) and CT scans, are sometimes used to diagnose fibroids, but these tests are rarely necessary. Fibroids are sometimes found when these or other tests are being used to diagnose some other problem or condition. Some tests may help check how fast a fibroid is growing. |
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