What are the main symptoms of uterine leiomyoma? What should I do if I have uterine leiomyoma?

Uterine leiomyoma, also known as uterine fibroids, is the most common benign tumor of the female genitalia. Most cases are asymptomatic, but a few may present with vaginal bleeding, abdominal tumors, and compression symptoms. Multiple uterine fibroids are common in cases of pedicle torsion or other conditions that cause pain.

The clinical symptoms of uterine leiomyoma are as follows:

1. Changes in the menstrual cycle: Changes in the menstrual cycle are the most common symptoms, manifested as shortened menstrual cycle, increased menstrual volume, prolonged menstruation, irregular vaginal bleeding, etc.

2. Abdominal mass: Abdominal swelling, lower abdominal swelling, accompanied by a feeling of falling.

3. Increased vaginal discharge: Increased vaginal discharge, sometimes with a large amount of purulent and bloody discharge and necrotic tissue discharge with a foul odor.

4. Abdominal pain and body pain: Generally, patients do not have abdominal pain, but often have lower abdominal swelling, back pain, etc. When the pedicle of the subserosal fibroid is twisted, uterine leiomyoma may cause acute abdominal pain; when the fibroid turns red, the abdominal pain is severe and accompanied by fever.

5. Tissue compression symptoms: When the fibroid grows forward or backward, it can compress the bladder, urethra or rectum, causing frequent urination, dysuria, urinary retention or constipation. When the fibroid grows to both sides, it will form a broad ligament fibroid, compressing the ureter or hydronephrosis; if it compresses the pelvic blood vessels and lymphatic vessels, it will cause lower limb edema.

6. May cause infertility: Fibroids compress the fallopian tubes and cause them to twist, or deform the uterine cavity, hindering the fertilized egg from implanting and leading to infertility.

7. Secondary anemia: If the patient has excessive menstruation for a long time, it may lead to secondary anemia, with symptoms such as general fatigue, pale complexion, shortness of breath, and palpitations.

8. Hypoglycemia: Hypoglycemia with uterine leiomyoma is rare. The main symptoms are low fasting blood sugar, loss of consciousness and shock. The symptoms can disappear completely after glucose injection. After tumor resection, the symptoms of hypoglycemia disappear completely.