Symptoms of subendometrial fibroids

Uterine fibroids are a common gynecological disease. If the uterine fibroids are not large, you can have an ultrasound check every three to six months. Uterine fibroids can grow in various parts of the uterus, including the myometrium, uterine serosa, uterine mucosa, etc. Some clinical manifestations are different and can easily lead to abdominal pain, changes in menstrual volume, etc. So what are the symptoms of subendometrial fibroids? The following is a detailed introduction for friends.

Uterine fibroids are the most common benign gynecological tumors and are more common in women aged 30 to 50. Submucosal uterine fibroids are uterine fibroids that grow protruding into the uterine cavity. Because the surface of the fibroids is covered with endometrium, it increases the area of the endometrium and occupies a space in the uterine cavity, affecting the discharge of menstrual blood. Therefore, it can cause abnormal contraction of the uterus, dysmenorrhea, heavy menstrual flow and period disorders. Submucosal fibroids are easy to form pedicles and grow in the uterine cavity like foreign bodies. The fibroids can be squeezed out of the external os of the cervix and protrude into the vagina.

Causes

The exact cause is not yet clear, because fibroids often occur during the childbearing years and shrink after death, it suggests that it may be related to female sex hormones. In addition, cytogenetic studies have shown that 25% to 50% of uterine fibroids have cytogenetic abnormalities.

Clinical manifestations

Submucosal fibroids enlarge the uterine cavity, affect uterine contraction, and can cause increased menstrual flow and prolonged menstrual period. If the patient has excessive menstruation for a long time, it may lead to secondary anemia, and symptoms such as general fatigue, pale complexion, shortness of breath, and palpitations. When submucosal myoma necrosis is accompanied by infection, there will be irregular bleeding or purulent discharge. Huge submucosal fibroids may prolapse out of the vagina, and some patients seek medical treatment due to vaginal prolapse. Submucosal fibroids compress the fallopian tubes, causing them to twist, or deform the uterine cavity, thus preventing the fertilized egg from implanting and leading to infertility.

treat

Excessive menstruation leads to secondary anemia, drug treatment is ineffective, severe abdominal pain, and myoma degeneration requires surgical treatment. Patients with submucosal fibroids who wish to retain their fertility can undergo hysteroscopic myomectomy, and submucosal fibroids that protrude into the vagina can be removed transvaginally. Patients who do not desire to have children, patients with large uterine fibroids and secondary severe anemia, or patients suspected of malignant transformation need to undergo hysterectomy.

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