Red degeneration of uterine fibroids during pregnancy

Uterine fibroids are a relatively serious disease and may even affect women's reproductive function. If uterine fibroids occur during pregnancy, you must go to the obstetrics and gynecology department for examination and consultation, as it may cause miscarriage. It is generally recommended to treat uterine fibroids through abortion because uterine fibroids will have a certain impact on the fetus. So, how should we deal with the red degeneration of uterine fibroids during pregnancy?

NO1. Uterine bleeding

Uterine bleeding is the most common symptom of uterine fibroids. Clinically, it may manifest as menorrhagia, cyclical bleeding, increased menstrual volume, often accompanied by prolonged menstruation. This type of bleeding is the most common; frequent menstruation, shortened menstrual cycle, increased menstrual volume; irregular bleeding, loss of normal periodicity, long duration, sometimes more, sometimes less, and continuous bleeding, which is more common in submucosal myomas.

NO2, abdominal mass

The uterus is located deep in the pelvic cavity, and no lump can be felt in the abdomen when fibroids first occur. When uterine fibroids gradually increase in size, causing the uterus to exceed the size of a 3-month pregnancy, or when subserosal fibroids located at the bottom of the uterus are easier to touch from the abdomen. The lump is located in the middle of the lower abdomen, is solid, movable but not very mobile, non-tender, and grows slowly. If the patient's abdominal wall is thick, the uterus is enlarged, or it extends beyond the pelvic cavity and even reaches the size of a 4-5 month pregnancy, it is still difficult for the patient to discover it herself.

NO3, vaginal discharge

Uterine submucous fibroids or cervical submucous fibroids can cause increased leucorrhea. Once the tumor is infected, there may be a large amount of purulent leucorrhea. If there is ulceration, necrosis, and bleeding, there may be bloody or purulent vaginal discharge with a foul odor.

NO4. Compression symptoms

Uterine fibroids can cause compression symptoms on surrounding organs. If the fibroids on the anterior wall of the uterus are close to the bladder, they may cause bladder irritation symptoms, such as frequent urination and urgency. When the cervical fibroids grow forward to a considerable size, they may also cause bladder pressure and lead to upper pubic discomfort, frequent urination, urinary retention or overflow incontinence.

Whether uterine fibroids have symptoms and their severity mainly depends on the location, size, number and complications of the fibroids. Some fibroids are small, slow-growing, and asymptomatic and can remain undetected throughout life. Due to the widespread use of B-type ultrasound examination, many patients are found to have uterine fibroids through B-ultrasound examination during routine physical examinations, but they themselves have no symptoms. Most patients seek medical attention because of symptoms. Common symptoms of uterine fibroids include uterine bleeding, abdominal masses, vaginal discharge, compression symptoms, etc.