Symptoms of hysteromyoma
Uterine fibroids are mostly asymptomatic, only occasionally found during pelvic examination or ultrasound examination. If there are symptoms, it is closely related to the growth position, speed, degeneration and complications of fibroids, and has little to do with the size and quantity of fibroids. The common clinical symptoms of hysteromyoma are as follows.
1, uterine bleeding: the most important symptom of uterine fibroids. Among them, periodic bleeding is the most common, which can be manifested as increased menstrual flow, prolonged menstrual period or shortened cycle. Submucosal myoma and intermuscular myoma are the most common types of uterine bleeding.
2, abdominal mass and compression symptoms: the mass is solid, movable, no tenderness. When fibroids grow to a certain size, they can cause symptoms of peripheral organ compression, such as frequent urination and urgency.
3, pain: Under normal circumstances, uterine fibroids will not cause pain, but many patients will complain of abdominal swelling, low back pain.
4, leucorrhea increases: uterine cavity increases, endometrial glands increase, pelvic congestion can increase leucorrhea.
5. Infertility and abortion: Some patients with uterine fibroids are infertile or prone to abortion, and the impact on pregnancy and pregnancy outcome may be related to the growth position, size and quantity of fibroids.
6, anemia: due to long-term menorrhagia or irregular vaginal bleeding can cause hemorrhagic anemia, more serious anemia is more common in patients with submucosal fibroids.
7. Others: A very small number of patients with uterine fibroids can produce erythrocytosis and hypoglycemia, which is generally considered to be related to ectopic hormones produced by tumors.
How big is hysteromyoma?
Uterine fibroids are mostly asymptomatic, only occasionally found during pelvic examination or ultrasound examination. If there are symptoms, it is closely related to the growth position, speed, degeneration and complications of fibroids, and has little to do with the size and quantity of fibroids. The common clinical symptoms of hysteromyoma are as follows.
Generally speaking, uterine fibroids exceeding 5cm indicate that the condition is serious and need to be surgically removed in time. However, the specific treatment plan needs to be determined according to the individual's age, clinical manifestations and endocrine conditions. It is recommended to go to a professional hospital for accurate examination and symptomatic treatment.
Clinically, patients who are generally close to menopause cannot be treated for the time being, mainly for observation and review. If the myoma is enlarged or has symptoms, surgery should be considered. Usually, the standard of surgical treatment is that fibroids (together with uterus) reach the size of uterus for two and a half months of pregnancy, or patients with anemia due to excessive menstrual flow should consider surgery.
Does hysteromyoma affect pregnancy?
Uterine fibroids can reduce the success rate of pregnancy in women, but patients with uterine fibroids can get pregnant. Hysteromyoma complicated with pregnancy accounts for 0.5%- 1% of patients with hysteromyoma. The influence of hysteromyoma on pregnancy and delivery is related to the type and size of hysteromyoma.
1, abortion: submucosal myoma can affect the implantation of fertilized eggs, leading to early abortion; Too many intramural fibroids will deform the uterine cavity, or cause abortion due to insufficient blood supply to the endometrium.
2. Abnormal fetal position: Myoma with low growth position can hinder the decline of fetal presentation, make the fetal position abnormal in the third trimester of pregnancy and delivery, the placenta is low or pre-positioned, and the birth canal is obstructed.
3, postpartum hemorrhage: after the delivery of the fetus, due to placental adhesion, large attachment surface or difficulty in exclusion, uterine contraction is poor, it is easy to cause postpartum hemorrhage.
Pregnancy complicated with hysteromyoma can often be delivered naturally, but postpartum hemorrhage should be prevented. If the myoma hinders the descent of the fetus, whether to remove the myoma at the same time during the operation depends on the size, location and patient's condition.
Is suffering from hysteromyoma pregnant or treated first?