Can I have sex with uterine fibroids?

Uterine fibroids are a common disease among modern women and a type of tumor. Women aged 35 to 50 are particularly prone to uterine fibroids. At the same time, we also know that this age group is the stage of enjoying sex and a good life. So is it possible to have sex while having uterine fibroids? What issues should women with uterine fibroids pay attention to in their daily sexual life?

Uterine fibroids are the most common benign tumors in the female reproductive organs. Since uterine fibroids are mainly formed by the proliferation of uterine smooth muscle cells, with a small amount of fibrous connective tissue as a supporting tissue, it is more accurate to call them uterine leiomyomas, or uterine fibroids for short. Uterine fibroids are the most common benign tumors of the female reproductive system and mostly occur between the ages of 35 and 50.

Symptoms of uterine fibroids

(1) Uterine bleeding is the most common symptom of uterine fibroids, occurring in more than half of patients.

(2) Abdominal masses and compression symptoms When the fibroids gradually grow and cause the uterus to enlarge to more than the size of a 3-month pregnant uterus or become a large subserosal fibroid located at the fundus of the uterus, a mass can often be felt in the abdomen, which is more obvious in the early morning when the bladder is full.

(3) Pain: Uterine fibroids generally do not cause pain, but many patients may complain of a feeling of heaviness in the lower abdomen and pain in the waist and back.

(4) Increased leucorrhea. Enlargement of the uterine cavity, increase in endometrial glands, and pelvic congestion can cause increased leucorrhea.

(5) Infertility and miscarriage Some patients with uterine fibroids are infertile or prone to miscarriage. The impact on conception and pregnancy outcomes may be related to the growth location, size and number of the fibroids.

(6) Anemia: Long-term menorrhagia or irregular vaginal bleeding may cause hemorrhagic anemia. More severe anemia is more common in patients with submucosal fibroids.

What are the tests for uterine fibroids?

1. Ultrasound examination

It is currently the most commonly used auxiliary diagnostic method. It can show the enlargement and irregular shape of the uterus, the number, location, size of the fibroids, and whether the interior of the fibroids is uniform or liquefied or cystic. Ultrasound examination is helpful in diagnosing uterine fibroids, providing a reference for distinguishing whether the fibroids have undergone degeneration, and helping to differentiate them from ovarian tumors or other pelvic masses.

2. Diagnostic curettage

Use the uterine cavity probe to detect the size and direction of the uterine cavity, feel the shape of the uterine cavity, and understand whether there is a mass in the uterine cavity and its location. Patients with abnormal uterine bleeding often need to identify endometrial lesions, and diagnostic curettage is of great value.

3. Hysteroscopy

Under hysteroscopy, the morphology of the uterine cavity and the presence of vegetation can be directly observed, which is helpful for the diagnosis of submucosal fibroids.

4. Laparoscopy

When fibroids need to be differentiated from ovarian tumors or other pelvic masses, laparoscopy can be performed to directly observe the size, shape, and location of the uterus and to preliminarily determine its nature.

5. Magnetic resonance imaging

Generally speaking, there is no need to use magnetic resonance imaging. If it is necessary to differentiate between uterine fibroids and uterine sarcoma, magnetic resonance imaging, especially enhanced delayed imaging, can help distinguish between uterine fibroids and uterine sarcoma. Before laparoscopic surgery, magnetic resonance imaging can also help clinicians understand the location of fibroids before and during surgery and reduce residual tumors.