Peking Union Medical College Hospital
Chief physician Sun Xiaoguang's answer:
Hello: 1. Menstruation or bleeding: With the growth of hysteromyoma, the volume of uterus increases and the area of endometrium increases accordingly. Because the tumor affects the hemostatic function of uterus during menstruation, the most common symptoms of patients with hysteromyoma are menorrhagia, prolonged menstruation, shortened menstrual cycle or even irregular or persistent bleeding. If there is too much bleeding or the bleeding time is too long, the patient will have hemorrhagic anemia. 2, dysmenorrhea: uterine fibroids compress nerves, stimulate uterine contraction, easy to merge with endometriosis. Therefore, most women with fibroids will have dysmenorrhea. 3, too much leucorrhea: uterine fibroids lead to pelvic congestion, infection, therefore, leucorrhea increases, that is, too much leucorrhea, sometimes purulent, accompanied by fishy smell. 4, lower abdominal mass: due to the increase of uterine fibroids, patients can shape the mass by themselves or during physical examination, especially before getting up in the morning to urinate, because the bladder is full and the uterus moves up, it is easier to shoot fibroids. 5. Pain: Generally, patients have no abdominal pain, and often have abdominal distension and low back pain. Acute abdominal pain can occur when the pedicle of subserous myoma is twisted, with severe abdominal pain and fever. 6, compression symptoms: uterine fibroids will inevitably compress the bladder, rectum and peripheral nerves when they grow up, so patients will have symptoms such as low back pain, constipation, frequent urination. 7. Hypoglycemia: Hypoglycemia associated with uterine fibroids is also rare. The main manifestations are low fasting blood sugar, loss of consciousness and shock, and the symptoms can disappear completely after glucose injection. The symptoms of hypoglycemia disappeared completely after tumor resection. 8. Infertility: Most women with uterine fibroids are not easy to get pregnant, and even after pregnancy, they are prone to miscarriage, premature delivery, intrauterine growth retardation or stillbirth; If the myoma grows in the lower uterus, it will cause dystocia during delivery, and it will also lead to the risk of uterine inertia, prolonged labor and postpartum hemorrhage.