How to look at uterine fibroids

No one wants to deal with a hospital, and no one wants to get a disease. Today, uterine fibroids have become a common gynecological disease among modern women. We should treat uterine fibroids with a positive attitude. Once we are sure that we have uterine fibroids, we should actively cooperate with the examination and receive timely treatment to minimize the unhealthy impact of the disease on our lives.

Ultrasonography

B-ultrasound examination is a commonly used method for diagnosing uterine fibroids, and the accuracy rate for identifying fibroids can reach 93.1%. Ultrasound examination can show the enlargement and irregular shape of the uterus; the number, location, size of the fibroids and whether the fibroids are uniform or liquefied and cystic; and whether there is any compression of other organs around them.

Uterine sound examination

Use a probe to measure the uterine cavity. Intramural fibroids or submucosal fibroids often enlarge and deform the uterine cavity. A uterine probe can be used to detect the size and direction of the uterine cavity. Comparing it with the findings in a biphasic clinic can help determine the nature of the mass. At the same time, it can be used to understand whether there is a mass in the cavity and its location. When examining fibroids with a uterine probe, it is important to note that the uterine cavity is often tortuous or blocked by submucosal fibroids, which prevents the probe from fully entering. Alternatively, in the case of subserosal fibroids, the uterine cavity often does not enlarge, which can lead to misdiagnosis.

X-ray examination

When the tumor is calcified, it appears as scattered consistent spots, or a shell-like calcified capsule, or a honeycomb with rough and wavy edges.

Diagnostic curettage

Diagnostic curettage is the most commonly used, simple and easy auxiliary diagnostic method for uterine fibroids. Small submucosal fibroids or dysfunctional uterine bleeding, endometrial polyps are not easy to detect with bimanual examination, and curettage can be used to assist in diagnosis. If it is a submucosal fibroid, the curette will feel a convex surface in the uterine cavity, which will rise at first and then slide down, or you may feel something sliding in the uterine cavity. However, small submucosal fibroids can easily be missed and overlooked, which is a shortcoming of diagnostic curettage. If submucosal myoma is suspected but curettage is still unclear, hysterography can be used.

Hysterosalpingography

Ideal hysterography can not only show the number and size of submucosal fibroids, but also locate them. Therefore, it is very helpful for the early diagnosis of submucosal fibroids, and the method is simple. Angiography at the site of the fibroid showed fullness and incompleteness in the uterine cavity. In short, women should pay attention to the prevention and treatment of uterine fibroids to avoid harm to their health.

??The disease is missed due to slipping over, which is the shortcoming of diagnostic curettage. If submucosal myoma is suspected but curettage is still unclear, hysterography can be used.

Precautions

1. Adverse effects of uterine fibroids on women

2. Pelvic congestion and infection: It can cause pelvic congestion and infection, further causing suppuration. A small number of women will also have abscesses formed in the tumor tissue.

3. Infertility and miscarriage: Uterine fibroids may affect fertility. Women with uterine fibroids will also have the fibroid tissue in the uterine corners compressing the entrance of the fallopian tubes, causing the uterus to deform and hindering the implantation of the fertilized egg, ultimately causing infertility. And the rate of spontaneous abortion will be relatively high. Therefore, women with uterine fibroids should pay attention to their physical condition at all times if they are pregnant to prevent miscarriage.

4. Malignant lesions: A relatively small number of women may develop malignant lesions, especially older women. At this time, they should be more vigilant. If uterine fibroids occur, they must be cured as soon as possible to avoid malignant lesions and put their lives in danger.

Acute abdominal pain, free fibroids: Subserosal uterine fibroids can twist at the pedicle and cause acute abdominal pain. If surgical treatment is not performed immediately, the tumor pedicle will be twisted off and a free myoma will be formed. In severe cases, it may even pull the entire uterus and cause axial torsion of the uterus.

5. Secondary anemia: It will increase the amount of bleeding during menstruation. If it lasts for a long time, it will lead to secondary anemia, and some may even develop into anemic heart disease. In more serious cases, symptoms such as pale complexion, general fatigue, palpitations and shortness of breath may also occur.

6. Purulent inflammation: After the pedicle of subserosal uterine fibroids is twisted, intestinal adhesions will occur, which will be further infected by intestinal bacteria. The inflamed fibroids will also adhere to the uterine appendages, causing purulent inflammation. Fibroids can also cause pathogens to invade other uterine organs due to bleeding, causing gynecological inflammations such as adnexitis and pelvic inflammatory disease.