What are the adverse effects of uterine fibroids?

If patients with uterine fibroids do not receive timely treatment and the disease progresses, the impact will be relatively large, easily leading to infection and suppuration, or causing infertility or miscarriage, and there is also the possibility of malignant lesions.

1. Infection and suppuration. Uterine fibroids can cause pelvic congestion and infection. The infection is mostly the result of tumor pedicle torsion, while blood-borne infection is extremely rare. After infection, a few patients develop abscesses in the tumor tissue, while the rest present with purulent presentation.

2. Infertility or miscarriage. Patients with uterine fibroids suffer from infertility due to the compression of the fallopian tube entrance by the fibroid tissue in the uterine cornu, which causes the uterus to deform and hinders the implantation of the fertilized egg. The presence of fibroids seriously affects the development of the embryo, and the probability of spontaneous abortion is 4 times that of normal people.

3. Free myoma and uterine torsion. Subserosal uterine fibroids may twist at the pedicle, causing acute abdominal pain. In severe cases, if surgical treatment is not performed immediately, the pedicle may be twisted off and a free fibroid may be formed. In addition, the torsion of fibroids occurring near the internal opening of the cervical canal can also drive the entire uterus and cause axial torsion of the uterus.

4. Malignant lesions. Uterine fibroids are benign tumors, but they still have the potential to become malignant. The older you are, the higher the chance of malignancy. Therefore, people with rapidly growing fibroids or postmenopausal fibroids should be vigilant.

5. Adhesion or inflammation. After the pedicle of a subserosal uterine fibroid is twisted, intestinal adhesion will occur, which will then be infected by intestinal bacteria. The inflamed fibroid will adhere to the uterine appendages, causing purulent inflammation. On the other hand, fibroids can also cause pathogens to invade other uterine organs due to bleeding, causing gynecological inflammations such as adnexitis and pelvic inflammatory disease.

6. Secondary anemia. Uterine fibroids can cause excessive menstrual bleeding, which over time can cause secondary anemia and even trigger anemic heart disease. In severe cases, patients may experience adverse symptoms such as general fatigue, pale complexion, palpitations and shortness of breath.