What are the symptoms of uterine fibroids?

Generally speaking, uterine fibroids will have a certain degree of impact on women's pregnancy rate. The main symptoms of Tasso include irregular menstruation, increased leucorrhea, back pain, abdominal mass, etc. Let's introduce them in detail below.

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. Huge 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.