Is a 6 cm uterine fibroid serious?

As we all know, tumors can be divided into benign and malignant. If they are benign, they can generally be cured through conservative treatment. For example, uterine fibroids are benign tumors. Of course, the course of the disease is different and the harm to the human body is also different. So is it serious if the uterine fibroids grow to 6CM? In fact, it should be said that a 6-centimeter uterine fibroid is not too serious, or it is just an early symptom of uterine fibroids, which can generally be cured at this time.

Uterine fibroids are the most common benign tumors of the female reproductive system. Most cases are asymptomatic, while a few may present with vaginal bleeding, abdominal masses, and compression symptoms. It is recommended that hysterectomy be performed for patients whose fibroids are larger than the size of a 2.5-month pregnant uterus, or who have obvious clinical symptoms, or who have not responded well to conservative treatment and who do not need to preserve their fertility. Those aged 50 years and below, with normal ovarian appearance.

Uterine fibroids are sex hormone-dependent tumors that are more common in middle-aged women. With women

After menopause, as the estrogen level in the body decreases, fibroids will naturally shrink and become smaller, with some even disappearing. They have a low rate of malignancy and grow slowly. Asymptomatic fibroids have no effect on menstruation, fertility or health, so these patients do not need treatment. Surgery should be considered only in the following situations:

1. The size of the uterine fibroids is large, the uterus exceeds the size of 10 weeks of pregnancy, or the diameter of a single fibroid is >6cm.

2. Although the size of uterine fibroids is not large, symptoms may occur, such as increased menstrual flow, anemia, frequent urination, constipation or difficulty in defecation.

3. Uterine fibroids affect fertility.

4. Uterine fibroids grow rapidly and the possibility of malignant transformation cannot be ruled out.

5. Uterine fibroids cannot be distinguished from ovarian tumors.

6. Patients whose uterine fibroids do not shrink but increase in size after menopause, or patients with newly discovered uterine fibroids (patients who have not been given estrogen replacement therapy).

Uterine fibroids symptoms

1. Irregular menstruation

Irregular menstruation with increased menstrual flow and prolonged menstrual period is the most common symptom of uterine fibroids. It is more common in large intramural fibroids and submucosal fibroids. Fibroids enlarge the uterine cavity, increase the area of ​​the endometrium and affect uterine contraction. In addition, fibroids may compress the veins near the tumor, causing congestion and dilation of the endometrial venous plexus, thereby causing increased menstrual flow and prolonged menstruation. When submucosal fibroids are accompanied by necrosis and infection, there may be irregular vaginal bleeding or bloody purulent discharge. Long-term excessive menstrual flow may lead to anemia, fatigue, palpitations and other symptoms.

2. Lower abdominal mass

When the fibroids are small, no lump can be felt in the abdomen. However, when the fibroids gradually increase in size and the uterus exceeds the size of a 3-month pregnancy, they can be felt from the abdomen. Giant submucosal fibroids can prolapse outside the vagina, and patients may seek medical attention due to prolapse of the vulva.

3. Increased leucorrhea

Intramural fibroids increase the area of ​​the uterine cavity, increase the secretion of endometrial glands, and are accompanied by pelvic congestion, which leads to increased leucorrhea. Once submucosal uterine fibroids are infected, there may be a large amount of pus-like leucorrhea. If there is ulceration, necrosis, or bleeding, there may be bloody or purulent vaginal discharge with a foul odor.

4. Compression symptoms

Fibroids in the lower segment of the anterior wall of the uterus can compress the bladder and cause frequent and urgent urination; cervical fibroids can cause difficulty urinating and urinary retention; fibroids on the posterior wall of the uterus (isthmus or posterior wall) can cause symptoms such as lower abdominal distension and discomfort and constipation. Broad ligament myomas or giant cervical myomas develop laterally, embed into the pelvic cavity, compress the ureter, and cause obstruction of the upper urinary tract, resulting in ureteral dilatation and even hydronephrosis.

5. Other symptoms

Including lower abdominal distension, back pain, and aggravated menstrual symptoms. When the fibroids turn red, there will be acute lower abdominal pain, accompanied by vomiting, fever and local tenderness of the tumor; torsion of the pedicle of subserosal fibroids may cause acute abdominal pain; and abdominal pain may also be caused when submucosal fibroids are discharged from the uterine cavity. Submucosal and intramural fibroids that cause deformation of the uterine cavity can cause infertility or miscarriage.