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Uterine fibroids, the most common tumors of female reproductive organs, occur more frequently in women between 30 and 50 years of age. After a medical examination finds a problem, many women will think: Why do I get uterine fibroids? Actually there is a reason in it!
Uterine fibroids are a sex hormone-dependent tumor that is associated with excessive estrogen stimulation. Estrogen can cause uterine muscle cells to proliferate, hypertrophy, thicken the muscle layer, and enlarge the uterus, especially when only estrogen acts without progesterone.
What are the classifications of uterine fibroids?
There are several types of uterine fibroids. According to the growth site, they can be divided into uterine fibroids and cervical fibroids. The most common is uterine fibroids. Uterine fibroids are divided according to the relationship with the uterine muscle wall, and can be divided into:
1. Intermural myoma: the tumor grows in the myometrium, accounting for 60 ~ 70%;
2. Subserosal fibroids: 20%. These fibroids protrude from the surface of the uterus and usually have a pedicle connected to the uterine muscle wall, which is prone to deformation and necrosis due to insufficient blood supply.
3. Submucosal fibroids: accounting for 10-15%. These fibroids grow to the uterine cavity and protrude from the uterine cavity, often causing uterine contractions; it can be squeezed out of the cervical outer mouth and projected into the vagina, making the patient appear abnormal Vaginal drainage or bleeding.
What if uterine fibroids degenerate?
Females with uterine fibroids, if not regularly reviewed, are prone to degeneration due to poor blood supply as the tumor grows, the most common of which are hyaline (hyalin) and cystic, cystic More common in women with uterine fibroids during pregnancy or puerperium, prone to sudden abdominal pain, accompanied by tenderness at the tumor site. Secondly, there is sarcoma, which is common in patients with uterine fibroids that grow for a long time, and patients with pain and bleeding after menopause. It is malignant. Another is called "calcification". When the fibroids grow for a long time, the calcium tissue in the fibroids hardens, and the tumor shrinks, forming this relatively rare degeneration.
What will happen when uterine fibroids grow?
Abnormal menstruation
The clinical manifestations of uterine fibroids are mainly menstrual changes. Most patients are accompanied by increased menstrual flow, prolonged periods, irregular vaginal bleeding, or purulent drainage of blood samples. If the bleeding time is long and repeated bleeding is likely to cause secondary Sexual anemia, severe physical weakness, palpitations, dizziness.
2 blocks
There are also many patients who do not have abnormal menstruation, but feel a large mass on their stomach, do not know what it is, so they came to the hospital for treatment, and found that it was a huge uterine fibroid by B-ultrasound.
Some are submucosal fibroids, which are extremely large and will protrude out of the vaginal opening. You can also see a huge tumor from the outside of the vagina.
3 Leucorrhea
Under normal circumstances, women's leucorrhea is usually white, transparent, and has no odor, but women with uterine fibroids tend to have a significant increase in leucorrhea. If the tumor is necrotic or infected, the leucorrhea will be combined with odor and odor.
4 affect surrounding organs
When the tumor grows very large, it will compress the bladder, causing frequent urination and urgency; too large a fibroid in the posterior wall of the uterus will cause constipation, defecation, and difficulty urinating.
5 pain
Generally, uterine fibroids do not have obvious pain. When it causes pain, it is usually necessary to consider the degeneration of fibroids, such as red-like changes and flesh changes, which will manifest as sudden lower abdominal pain.
6 infertility
If a fibroid is too large, it can compress the fallopian tube, cause distortion and blockage of the fallopian tube, or cause deformation of the uterus. Submucosal fibroids can affect the implantation of fertilized eggs, etc., which will cause female infertility.
Therefore, when women have the above symptoms, they should seek medical treatment in a timely manner to see if the uterine fibroids are "doing something"! For uterine fibroids that do not cause symptoms, no special treatment is generally required, and regular review can be performed as directed by your doctor.
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