Uterine fibroid symptoms and treatment

Common symptoms of uterine fibroids include abnormal menstruation, pelvic pressure, infertility, etc. Treatment methods mainly include drug treatment, interventional treatment and surgical treatment.

1. Abnormal menstruation

Uterine fibroids may cause heavy menstrual bleeding, longer periods, or shorter periods. Abnormal menstruation is related to the location and size of fibroids, and submucosal fibroids are more likely to cause bleeding symptoms. Long-term heavy menstrual flow may cause anemia, which may manifest as fatigue, dizziness and other symptoms. For abnormal menstruation, you can use drugs such as tranexamic acid tablets, levonorgestrel sustained-release intrauterine system, or ibuprofen sustained-release capsules as directed by your doctor to control bleeding.

2. Pelvic compression

Enlarging fibroids may put pressure on the bladder or rectum, causing symptoms such as frequent urination, difficulty urinating, or constipation. Compression symptoms usually occur when the diameter of the fibroid exceeds 5 cm, and anterior wall fibroids are more likely to produce bladder irritation symptoms. For those with obvious compression symptoms, the use of gonadotropin-releasing hormone analogs such as leuprolide acetate sustained-release microspheres may be considered, or surgical treatment may be selected to relieve compression.

3. Infertility

Uterine fibroids may cause infertility by changing the morphology of the uterine cavity and affecting endometrial receptivity. In particular, submucosal fibroids and larger intramural fibroids may interfere with embryo implantation. For patients who want to have children, they can first try to use mifepristone tablets to reduce the size of fibroids, and if necessary, perform hysteroscopic myomectomy to improve the uterine cavity environment.

4. Abdominal mass

When the fibroid is large in size, the patient may feel a hard mass in the lower abdomen on his own. Giant fibroids can significantly increase the size of the uterus, even reaching the size of 3-4 months of pregnancy. The abdominal mass may be accompanied by a feeling of distension and distension, and symptoms worsen with activity. Asymptomatic intramural fibroids can be temporarily observed, and those with symptoms can be treated with Chinese patent medicines such as Guizhi Fuling Capsules or surgically removed.

5. Pain symptoms

Uterine fibroids are usually painless, but lower abdominal pain may occur when the fibroids develop red degeneration, twist, or compress nerves. Pain may appear as a persistent dull ache or as a sharp onset of sharp pain. Diclofenac sodium extended-release tablets can be used for short-term relief of pain symptoms, and the need for surgical intervention needs to be evaluated at the same time.

Patients with uterine fibroids should pay attention to maintaining a regular schedule and avoiding overexertion. In the diet, you can increase the intake of high-quality protein and iron-containing foods in an appropriate amount to prevent the occurrence of anemia. Perform regular gynecological examinations and ultrasounds to monitor changes in fibroids, and choose an individualized treatment plan based on your doctor's recommendations. When obvious symptoms appear or fibroids grow rapidly, you should seek medical treatment promptly to avoid delaying treatment.