Uterine fibroids scored what the symptoms?

Uterine fibroids clinical manifestations often accompanies the growth of fibroids location, size, growth rate, availability of secondary degeneration and complications varies. Clinical common phenomenon is bleeding, abdominal mass, pain, adjacent organs of oppression symptoms, leucorrhea increasing infertility, anemia and cardiac dysfunction. But asymptomatic patients is also quite common. 1, bleeding uterine fibroids for the main symptoms seen in the 50% or more patients. With the cyclical hemorrhage (excessive menstrual flow, menstrual extended or shortened menstrual cycle), about 2 / 3; and aperiodic (continuous or irregular) hemorrhage 1 / 3. Intramural hemorrhage mainly due to fibroids and submucosal fibroids cause. Cyclical bleeding occurred in intramural fibroids, submucous fibroids were often finds expression in irregular bleeding. Subserosal fibroids rarely cause bleeding. Individual cases can reduce menstrual flow. Bleeding caused by fibroid volume of reasons : ① fibroid patients often due to high estrogen merger and the proliferation of endometrial polyps, to menstruation when volume; ② uterine leiomyoma volume increases, an increase in endometrial bleeding and excessive bleeding too long. Mrs submucosal fibroids, bleeding area up to 225 cm above (normal is about 15 cm); ③ submucosal fibroids, mucosal surface recurrent ulceration and necrosis, resulting in Chronic Endometritis caused sweaty constantly bleeding; ④ intramural fibroids, affect contraction of the uterus and strangulated vascular clamp, or submucosal fibroids endarterectomy itself and not contraction both bleeding volume and duration of the extension; ⑤ larger fibroids can be combined pelvic congestion, so that blood volume and more exuberant; ⑥ menopausal menstrual disorders. Or excessive menstrual periods can be extended alone or appearing together. If the menstrual cycle and reduce the (frequent) exist at the same time, in a short period of time can be lost a lot of blood due to severe anemia. Submucosal fibroids emerge in the vaginal bleeding was aperiodic, the volume can be enormous. Large polypoid fibroids often caused continuing bloodshed. 2, abdominal mass under regular abdominal mass in patients with uterine fibroids to the complaint, can be as high as 69.6%. May sometimes only for fibroids symptoms. Where to intraperitoneal not affect the growth of endometrial intramural fibroids, especially at the bottom of uterine or pedicle of the subserosal fibroids often this is the case. Abdominal mass found in the uterine fibroids grow into the pelvis, often in the early morning hours fasting bladder filling obvious. Because uterine fibroids and was pushed over, it was easier to have their own contacts, more than four-five months pregnant uterus large, not filling the bladder will also touch on. Uterine fibroids generally located in the center of the lower abdomen, few are almost side of the lower abdomen, quality hardware or severe flu. Larger, more degeneration, soft and smooth. Most of slow growth. Growth can be a very small number of fast or with secret anguish, suspected to be malignant. 3, the performance of pain, abdominal pain were about 40%, waist acid were 25% and 45% were dysmenorrhea; also showed lower abdomen bulge flu or back pain, the degree is not more serious. Pain is a pelvic tumor vascular compression caused bleeding, and nerve or oppression, or pedunculated submucosal fibroids can stimulate uterine contraction. Intrauterine outward from the discharge caused by cervical change leniency and pain; necrosis or fibroids cause pelvic inflammatory disease infection, adhesions, Stretch caused such. If the individual because of uterine myoma red degeneration, abdominal pain and drama than with a fever. Subserosal uterine fibroids or uterine torsion axis torsion when severe acute abdominal pain. Big subserosal fibroids to grow within the broad ligament, not only oppressed nerve, vascular cause pain, oppression but also caused ureter or ureteral hydronephrosis where low back pain. Where severe dysmenorrhea and gradual increase frequently for uterine fibroids with adenomyosis or endometrial disease caused. 4, oppression symptoms occurred in the Department of cervical myoma, or to the lower uterus myoma increased, with the pelvis, oppression around the organ involved. Oppression bladder, occur constantly urinating or difficult urination, urinary retention; Oppression ureter, to hydronephrosis, pyelonephritis. Growth in the posterior uterine fibroids may oppression rectum, caused constipation, and even defecation difficult. Pelvic vein compression, there will be lower extremity edema. Oppression pre-menstrual symptoms in the more notable, which is swelling of uterine fibroids congestive about it. If subserosal uterine leiomyoma incarcerated in Waterloo rectum can also arise bladder or rectum compression. Fibroid symptoms oppression caused about 30%, which accounted for 20% urinary frequency, urinary difficulties 10%, urine closed 3.3%. Uroschesis 5%, 5% irritation, constipation 20%, 6% lower extremity edema. 5, leucorrhea Leucorrhea% increase 41.9%. Uterine cavity increases, increased endometrial glands, or associated with pelvic inflammatory congestive leucorrhea enable both increased; When submucosal fibroids occur ulcer, infection, hemorrhage, necrosis, created bloody pus or foul Baidai sexual leucorrhea, can be a lot of volume. 6, infertility and miscarriage 30% in patients with uterine fibroids infertility. Infertility treatment is likely to cause, and the inspection found the existence of uterine fibroids. Uterine fibroids cause infertility for many reasons, see uterine fibroids with pregnancy separate section. Spontaneous abortion rate is higher than normal crowd, the ratio of 4 : 1. 7, anemia, chronic bleeding without timely treatment of anemia can occur. A liberation of the early patients with uterine fibroids presentation : Patients with hemoglobin in 5 ~ 10 grams accounted for 45.25%. And 5 grams of hemoglobin in below accounted for 12.4%, mostly for submucosal fibroids. Severe anemia (5 grams) can lead to ischemic heart disease, myocardial degeneration. 8, hypertension some uterine fibroid patients with hypertension. Some statistics fibroids with hypertension (except for a history of hypertension) in the removal of fibroids after the majority returned to normal, with the possible lifting of the oppressed of the ureter. 9, signs fibroids less than 3 months pregnant uterus large and generally difficult abdominal touch. Generally could be reached in the lower abdomen Central, quality hardware, and multiple formation. In patients with abdominal thin, the tumor contour in order to work out clear, even to see its shape. Double gynecological clinics generally available in order to work out more clearly outline of uterine fibroids. Home Uterine fibroid anterior or posterior or anterior who were prominent posterior wall; Multiple fibroids in the uterus may be touched on a number of smooth, Spherical hardware block; from the uterine wall to the side of prominent debris may be broad ligament leiomyoma; Cervical obvious increase in their apartment can be normal uterus, cervix expressed as fibroids; Uterine clearly consistent increases and flaky may be hidden in intrauterine or cervical canal submucosal fibroids, such as cervical mouth slack, can often be submerged fingers touch the smooth spherical tumor; Some have been exposed to the cervical mouth, or even penetrate the vagina, be clear at a glance; But some secondary infection, necrosis, or larger, which failed to get cervix is easy and cervical cancer, Uterine inversion, and other mixed mistaken. Fibroid growth were also affect the uterus cervix position. If the posterior uterine fibroids can be Palace and cervical push ahead; Increase uterine wall of the rectum uterine fibroids to Waterloo, even uterus can be pushed above the pubic symphysis after next abdominal hysterectomy profile can be touched, and cervix have also shifted. vaginal wall forward Bulge, vaginal palpation can not be touched cervix; As for the broad ligament fibroids, tend to push the contralateral uterine body. Fibroid degeneration, in addition to a palpable feeling of the mass character, size changes, with the Palace and the cervix is associated with the foregoing. 10 patients with systemic changes in circumstances such as nutrition, anemia, heart function, urinary system and other state and the length of the course and the amount of bleeding or other complications.