The symptoms of uterine fibroids are not obvious in the early stage. Only when the uterine fibroids are large in size or grow in a special location will obvious symptoms appear, mainly including the following aspects: Pain: Generally there is no pain. However, when the fibroids undergo red degeneration or the pedunculated fibroids are twisted or the submucosal fibroids stimulate the uterus to have spasmodic contractions, it can cause acute abdominal pain. Uterine fibroids can affect women's menstruation, leading to abnormal menstruation and increased bleeding. For example, long-term heavy menstruation caused by uterine fibroids can lead to secondary anemia. In severe cases, it manifests as general fatigue, pale face, shortness of breath and palpitations. Menstrual changes: Menstrual changes are the most common symptoms of uterine fibroids, which are manifested as increased menstrual volume, shortened cycle or prolonged menstrual period, and irregular bleeding. Submucosal fibroids can cause bleeding due to increased mucosal area and necrosis and infection on the surface. When intramural fibroids are larger, the uterine cavity becomes larger, the endometrial area increases, the uterus contracts poorly, or when combined with excessive endometrial hyperplasia, it manifests as shortened menstrual cycle, increased menstrual volume, prolonged menstrual period, etc. Increased vaginal discharge is common in larger intramural fibroids. Due to the enlargement of the uterine cavity, the glandular secretion increases, resulting in increased leucorrhea. When submucosal fibroids are accompanied by infection, the amount of leucorrhea is also large, and sometimes it may be bloody. Compression symptoms: The enlargement of fibroids can compress nearby organs and produce various symptoms. For example, uterine wall fibroids or cervical fibroids can compress the bladder, causing frequent urination, urination disorders, and urine retention. Compression of the ureter can cause hydronephrosis. Myomas on the posterior wall of the uterus can squeeze the rectum and cause difficulty in defecation. Infertility: 25-35% of patients with uterine fibroids may suffer from infertility because the fibroids hinder the implantation of the fertilized egg or the fibroids prevent the sperm from entering the fallopian tube. |
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