Clinical manifestations of uterine fibroids and adenomyoma

I believe everyone is familiar with diseases such as uterine fibroids and adenomyoma. Now more and more friends are suffering from uterine fibroids and adenomyoma. Uterine fibroids and adenomyoma have become a common gynecological disease, so we must pay attention to this disease. We suggest that female friends should do a good job in preventing uterine fibroids and adenomyoma in their daily lives. Below we introduce the clinical manifestations of uterine fibroids and adenomyoma.

In the past, adenomyosis mostly occurred in multiparous women over 40 years old, but in recent years it has shown a trend of gradually becoming younger, which may be related to the increase in surgeries such as cesarean sections and artificial abortions.

1. Symptoms

(1) Menstrual disorders (40%-50%) are mainly manifested by prolonged menstruation and increased menstrual volume. Some patients may also experience spotting before and after menstruation. This is because the uterus increases in size, the area of ​​the endometrium increases, and the lesions within the uterine muscle wall affect the contraction of uterine muscle fibers. Severe cases may lead to anemia.

(2) Dysmenorrhea (25%) is characterized by secondary and progressive dysmenorrhea. It often begins a week before menstruation and is relieved when the menstrual period ends. This is because during menstruation, the ectopic endometrium in the myometrium becomes congested, swollen, and bleeds under the influence of ovarian hormones. At the same time, it increases the blood volume in the myometrium blood vessels, causing the thick myometrium to expand and cause severe dysmenorrhea.

(3) Some patients have no obvious symptoms. About 35% of patients have no obvious symptoms.

2. Physical signs

Gynecological examination shows that the uterus is often uniformly enlarged and spherical, and adenomyoma may appear as hard nodules. The uterus is generally no larger than 12 weeks of pregnancy. As the menstrual period approaches, the uterus feels tender; during the menstrual period, the uterus enlarges, becomes softer, and the tenderness is more obvious than usual; after the menstrual period, the uterus shrinks. This periodic change in physical signs is one of the important bases for diagnosing this disease. The uterus is often adhered to the surrounding area, especially the rectum at the back, and has poor mobility. 15% to 40% of patients have concomitant endometriosis, and about half of the patients have concomitant uterine fibroids.

In the above article, we introduced a common gynecological disease, that is, uterine fibroids adenomyoma. We know that uterine fibroids adenomyoma is very harmful to female friends. The above article gives us a detailed introduction to the clinical manifestations of uterine fibroids adenomyoma. I hope it can bring some help to everyone.