Symptoms of uterine tumors, 4 symptoms to watch out for

Uterine tumors are benign tumors that are common in middle-aged women. The symptoms of uterine tumors include abnormal menstruation, abdominal lumps, abdominal pressure, etc. The diagnosis of uterine fibroids is very simple and can be checked through B-ultrasound.

(1) Increased menstrual flow and prolonged menstrual period: This 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 menstrual period. 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, the mass cannot be felt in the abdomen. When the fibroids gradually increase in size and the uterus exceeds the size of a 3-month pregnancy, it 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 vaginal discharge: Intramural fibroids increase the area of ​​the uterine cavity, increase the secretion of endometrial glands, and are accompanied by pelvic congestion, resulting in increased vaginal discharge. Once submucosal fibroids are infected, there may be a large amount of purulent vaginal discharge. If there is ulceration, necrosis, or bleeding, there may be bloody or purulent vaginal discharge with a foul odor.

(4) Compression symptoms: Myomas in the lower segment of the anterior uterine wall can compress the bladder and cause frequent and urgent urination; myomas in the cervix can cause dysuria and urinary retention; myomas in the posterior uterine wall (isthmus or posterior wall) can cause symptoms such as lower abdominal distension 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) Others: Common symptoms include lower abdominal distension, back pain, and worsening pain during menstruation. Can cause infertility or miscarriage. 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.