Symptoms of uterine fibroids compressing the endometrium

Women's body structure is very special, so it is easy to cause various gynecological diseases. Uterine fibroids are a common gynecological disease. Although most uterine fibroids are generally benign, they have a great impact on women's health. If uterine fibroids grow larger, it will affect women's fertility. What are the symptoms of uterine fibroids compressing the endometrium?

When uterine fibroids compress the endometrium, they can cause the following harm to the body:

1. Affect the patient's menstrual cycle, resulting in menstrual cycle disorders, changes in menstrual volume, and dysmenorrhea;

2. It will directly affect the normal functioning of women's reproductive function. That is, when the endometrium is compressed and its texture changes, the implantation of the fertilized egg will be affected to varying degrees, causing infertility;

3. When the endometrium is severely compressed or ruptured, it will cause massive bleeding inside the uterine cavity and cause shock;

4. After the fibroids compress the endometrium and cause infiltration damage, the uterus must be effectively removed.

Will uterine fibroids compressing the endometrium affect pregnancy?

Uterine fibroids, also known as uterine leiomyoma, are the most common benign tumors of the female reproductive system. Most cases are asymptomatic, while a few may present with vaginal bleeding, abdominal masses, and compression symptoms. It may cause pain if the pedicle is twisted or other conditions occur. Multiple uterine fibroids are common. Uterine fibroids growing on the uterine wall will have a certain impact on pregnancy. The main reasons are:

1. Fibroids grow too fast: If uterine fibroids are not treated in time, as the tumor continues to grow, it may affect the normal shape of the cervix, deform the uterine cavity, and affect conception.

2. Cornu fibroids affect pregnancy: If the tumor caused by uterine fibroids grows in the uterine corners, it may cause the fallopian tubes to twist and deform. It affects women's normal conception, and even if they become pregnant, it may cause miscarriage.

3. Cervical fibroids affect pregnancy: If fibroids grow in the cervix, they can compress the cervical canal, block the passage or change the direction of the cervical opening, which is not conducive to the entry of sperm into the cervical opening.

In addition, if fibroids grow on the anterior wall of the uterus, they can compress the bladder and cause frequent urination, urgency, and even urinary retention. If fibroids grow on the posterior wall of the uterus, they can compress the rectum and cause constipation. Fibroids occurring in the broad ligament can compress the ureters, internal and external veins, and nerves, resulting in ureteral obstruction, hydronephrosis, lower limb edema, or neuralgic pain.

Symptoms of uterine fibroids

1. Menstrual changes

It is the most common symptom of uterine fibroids, which can manifest as menstrual changes (i.e. increased menstrual volume, prolonged menstrual period or shortened menstrual cycle) or persistent, irregular bleeding. Among all types of tumors, intramural fibroids and submucosal fibroids are most likely to cause vaginal bleeding, while subserosal fibroids rarely cause menstrual changes.

2. Abdominal mass

Uterine fibroids are usually found after they grow out of the pelvic cavity. They are obvious in the early morning when the bladder is full on an empty stomach. The lump is usually located in the middle of the lower abdomen, is solid, movable, irregular in shape or has an uneven feel, and grows slowly. Subserosal fibroids are more common.

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, leading to increased leucorrhea. The surface of submucosal fibroids that prolapse into the vagina is susceptible to infection and necrosis, producing a large amount of purulent and bloody discharge and necrotic tissue with a foul odor.

4. Abdominal pain and abdominal distension

When a subserosal fibroid twists, it may cause acute abdominal pain. When it changes to red color, the abdominal pain may be severe and accompanied by fever. Submucosal fibroids stimulate uterine contraction, which may cause lower abdominal distension, back pain, and worsening pain during menstruation.

5. Compression symptoms

As fibroids grow larger, they can compress adjacent organs and cause various symptoms, which are particularly common in fibroids in the lower segment of the uterus and cervix. Compression of the bladder can cause frequent urination, difficulty urinating, or urinary retention. Compression of the rectum can cause difficulty in defecation. In rare cases, broad ligament fibroids compress the ureter and cause hydronephrosis. Compression of the internal and external iliac veins and nerves can cause lower limb edema or neuralgia.