What are the symptoms of uterine hypertrophy?

Uterine hypertrophy is a gynecological disease. Many women are unaware of this disease. The incidence of such a disease is very small, but the disease is very serious. Uterine hypertrophy can also cause cancer. If people do not pay attention to protecting their local parts in life, uterine hypertrophy will occur, especially for some patients who have been infected by inflammation for a long time. So what are the symptoms of uterine hypertrophy?

The main symptoms are excessive menstrual flow and prolonged duration. There may also be a shortening of the cycle to about 20 days with no significant change in the menstrual flow and duration. Or there may be a prolonged menstrual period but not much menstrual flow.

Most of the patients are multiparous women, and most of them have given birth to three or more children. They have been ill for a long time, and those with heavy bleeding appear anemic. Gynecological examination shows that the uterus is uniformly enlarged, generally the size of 6 weeks gestation, and a few are larger than 8 weeks gestation. The texture is tough, and the bilateral ovaries may be slightly enlarged, with multiple follicular cysts.

The basic pathological changes of this disease are changes in smooth muscle cells and blood vessel walls in the myometrium.

(I) Gross findings: The uterus is uniformly enlarged, with myometrial hypertrophy of 2.5 to 3.2 cm, grayish white or pink in cross section, increased hardness, woven fiber bundles, vascular protrusions in the outer 1/3 of the myometrium, normal or thickened endometrium, and sometimes small leiomyoma (less than 1 cm in diameter) or endometrial polyps can be seen.

(B) Microscopic examination: The images are inconsistent and have the following forms: ① Simple smooth muscle cell hypertrophy, which is the same as the normal uterine myometrium under microscopic observation, without collagen fiber proliferation and no obvious changes in the blood vessel wall; ② Collagen fiber proliferation in the uterine myometrium, forming uterine fibrosis; ③ Changes in the blood vessel wall in the myometrium: The arteries and veins are obviously dilated, and there are clusters of elastic fibers proliferating around the new blood vessels.

treat

1. Drug treatment

Suitable for mild erosion, the method is as follows:

1. 10-30% silver nitrate solution or 10% iodine: Use a cotton swab to carefully apply the medicine to the affected area. After using silver nitrate, apply normal saline to convert excess silver nitrate into non-corrosive silver chloride. Take twice a week, 4 to 6 times as a course of treatment, and repeat if necessary.

2. Potassium dichromate solution: Dip a cotton swab in the medicine and carefully apply it to the affected area. Apply the medicine once after the menstruation is over, and repeat after the next menstruation. It is sometimes more effective for those with larger erosion areas. Before applying the medicine, wipe the cervical mucus with 0.1% chlorhexidine, and place two cotton balls in the posterior fornix to prevent the medicine from flowing down and burning the vaginal mucosa. After finishing, take out the cotton ball and wipe the applied area with a 75% alcohol cotton swab (formula: 10g potassium dichromate, 75ml concentrated sulfuric acid, add water to 100ml).

2. Surgery

Cervical conization can be performed for patients with cervical hypertrophy, deep and extensive erosion involving the endocervical canal, and/or suspected malignant transformation. Remove the tissue and send it for pathological examination. This method leaves a smaller scar and the cervix can remain in its original shape after surgery.

The above introduces the various symptoms of uterine hypertrophy. If we recognize the symptoms of this disease, we must receive timely treatment in our lives. When treating uterine hypertrophy, if it is serious, do not hesitate. It must be treated with surgery in time. In the process of treating the disease, we must also make corresponding dietary improvements. If there is inflammation, then the inflammation must be treated before surgery.