What should I do if I have uterine fibroids? Will uterine fibroids recur?

Uterine fibroids are an estrogen-dependent tumor. What is the nature of uterine fibroids? There is no evidence that uterine fibroids can be transformed into malignant uterine sarcomas, and there is no need to talk about the color change of the tumor. If the diameter of the uterine fibroids exceeds 5CM or the accompanying symptoms worsen, surgery can be considered.

Most patients with uterine fibroids are asymptomatic and generally painless, and patients usually discover them during a gynecological examination or ultrasound examination. The onset of uterine fibroid symptoms is related to the location and speed of the fibroid growth. The most common symptoms are shortened menstrual cycles, increased menstrual bleeding, or prolonged menstrual cycles. Other symptoms include abdominal masses. Some patients can feel some solid masses in the lower abdomen, especially when they get up in the morning and their bladders are full of masses.

Uterine fibroids usually have no symptoms, so regular gynecological examinations should be performed to detect small fibroids as soon as possible. Small tumors can be followed up regularly, and large tumors should be treated actively. Even if patients who have undergone myomectomy may have recurrences, they must be followed up regularly.

Uterine fibroids can have different names, such as intramural fibroids, subserosal fibroids, and submucosal fibroids. Are uterine fibroids serious? Fibroids can become malignant if they undergo sarcomatous degeneration, in which the tumor suddenly develops and grows rapidly.

If the fibroid is submucosal, irregular vaginal bleeding may occur early; subserosal fibroids can grow very large without symptoms; if the intramural fibroid is large, menstruation may be heavy, often accompanied by blood clots, prolonged menstruation, and shortened intervals. Patients may occasionally find a lump in the lower abdomen. If the fibroid grows larger on the anterior wall of the uterus, it may compress the bladder, and the patient may experience symptoms of frequent and urgent urination. Generally, fibroids are not painful, but when the pedicle of a subserosal pedunculated fibroid is twisted, acute abdominal colic may occur.