Will uterine fibroids rupture?

Uterine fibroids are a disease that is very harmful to women. In the early stages of uterine fibroids, women may not pay attention to them and only feel abdominal pain during menstruation. When the pain becomes unbearable, they will go to the hospital for examination. At this time, the uterine fibroids may be larger in area and can only be removed. Then, will the uterine fibroids break?

Uterine fibroids are the most common benign tumors of the female reproductive system and mostly occur between the ages of 35 and 50. According to statistics, about 20% of women over 35 years old develop uterine fibroids, but most patients

Because fibroids are small and asymptomatic, they are not discovered. The clinically reported incidence of fibroids is only between 4 and 11%.

The exact cause of uterine fibroids is unknown, but it may be related to excessively high estrogen levels in the body and long-term estrogen stimulation.

(a) Occasionally seen in women after menarche, more common in middle-aged women, after menopause, fibroids usually stop growing and gradually shrink;

(ii) Myomas are often complicated by endometrial hyperplasia;

(iii) Patients with ovarian granulosa cell tumors and theca cell tumors (which can secrete estrogen) often have uterine fibroids;

(iv) During pregnancy, estrogen levels increase and fibroids often grow rapidly;

(V) Exogenous estrogen can accelerate the growth of fibroids.

Classification of uterine fibroids

Myomas originate from the myometrium of the uterus. As they continue to grow, they can develop in different directions. Depending on where the myoma is located in the uterus, they are divided into the following categories:

1. Intramural fibroids

Fibroids are located within the muscle wall and are surrounded by muscle layers. This type of fibroid is the most common when the disease first occurs, so it accounts for about 60-70%.

2. Subserosal fibroids

Intramural fibroids develop toward the serosa and protrude from the surface of the uterus, in direct contact with the serosa, accounting for about 20%. If it grows between the two leaves of the broad ligament, it is called an intra-broad ligament myoma.

3. Submucosal fibroids

Intramural fibroids grow into the uterine cavity, protrude into the uterine cavity, and are in direct contact with the mucosal layer, accounting for about 10%. This tumor can cause the uterine cavity to gradually enlarge and deform, and is often connected to the uterus by a pedicle. If the pedicle is long, it can block the cervical opening or prolapse into the vagina.

4. Cervical fibroids

Less commonly, fibroids grow in the cervix of the uterus. Because of their low growth location, they can become lodged in the pelvic cavity, causing compression symptoms, making surgical removal difficult and easily damaging the ureter and bladder.

Uterine fibroids are often multiple, and the above different types of fibroids can occur simultaneously in the same uterus, which is called multiple uterine fibroids.