The exact cause of hysteromyoma is unknown, which may be related to high estrogen level and long-term estrogen stimulation. Because of the rapid growth of uterine fibroids, when the blood supply is poor, there can be different degrees of degeneration. The bigger the myoma, the more serious the ischemia and the more secondary degeneration. So what are the common symptoms of uterine fibroids? Urban experts summed up several points based on years of clinical experience!
1, leucorrhea: leucorrhea increased by 4 1.9%. The enlargement of uterine cavity, the increase of endometrial glands, pelvic congestion or inflammation will increase leucorrhea. When submucosal myoma has ulcer, infection, bleeding and necrosis, it can produce bloody leucorrhea or purulent leucorrhea, and the amount can be large.
2, abdominal mass: lower abdominal mass is often the chief complaint of patients with uterine fibroids, which can be as high as 69.9%. Sometimes it may be the only symptom of fibroids. Abdominal masses are often found after uterine fibroids grow out of the pelvic cavity, which is often obvious when the empty stomach bladder is full in the morning. Because the uterus and fibroids are pushed upward, it is easy for patients to touch them themselves. If the uterus is bigger after 4-5 months of pregnancy, they can also touch it when the bladder is not full. Uterine fibroids are generally located in the middle of the lower abdomen, and a few can be located on the side of the lower abdomen. The texture is hard or uneven. The bigger ones are more transgender, softer and smoother.
3. Hypertension: Some patients with hysteromyoma are accompanied by hypertension, and most patients with hysteromyoma and hypertension (except those with a history of hypertension) return to normal after resection of hysteromyoma, which may be related to relieving ureteral compression.
4, anemia: anemia can occur if long-term bleeding is not treated in time. Severe anemia (below 5 grams) can lead to anemia heart disease and myocardial degeneration.
5. Infertility and abortion: 30% of patients with hysteromyoma are infertile. Pregnancy may be the reason for seeing a doctor, but hysteromyoma was found during the examination. There are many reasons for infertility caused by hysteromyoma. The rate of spontaneous abortion is higher than that of normal people, and the ratio is 4: 1.
6, compression symptoms: mostly occurred in cervical fibroids, or due to the enlargement of fibroids in the lower part of the uterine body, filling the pelvic cavity and compressing the surrounding organs. Such as bladder compression, frequent urination or dysuria, urinary retention, etc. Will happen; Compressing the ureter can lead to hydronephrosis and pyelonephritis. Myomas that grow in the back wall of the uterus will oppress the rectum, cause constipation, and even have difficulty defecating. Pelvic vein compression can cause edema of lower limbs. The symptoms of premenstrual compression are more obvious, which is the cause of hyperemia and swelling of uterine fibroids. If subserous myoma is embedded in uterus and rectal fossa, bladder or rectal compression can also occur. About 30% people suffer from compression symptoms caused by fibroids.
7. Pain: Abdominal pain accounts for about 40%, backache is 25%, and dysmenorrhea is 45%; There is also the feeling of abdominal pain or back pain, which is not very serious. Pain is caused by tumor compressing pelvic blood vessels, causing blood stasis, or compressing nerves, or pedicled submucosal myoma can stimulate uterine contraction, causing cervical canal widening pain due to internal and external discharge of uterine cavity, or adhesion and traction of pelvic inflammatory disease caused by necrotic infection of myoma.