The average person hears the word "tumor"
They all felt panicked
And there is a tumor
Many women have been exposed to more or less in their lives
Are the rumors true or false?
Are uterine fibroids severe? How to cure it?
Say it all at once!
01
1 out of 4 women,
What exactly is a uterine fibroid?
Uterine fibroids are benign tumors formed by the proliferation of uterine smooth muscle tissue, which are generally common in women aged 30 to 50 years. Women of childbearing age have strong estrogen secretion, which can be said to be the "accomplice" of the growth of uterine fibroids.
Data show that the prevalence of women of childbearing age reaches 25%, with an average of 1 in 4 women of childbearing age having uterine fibroids. The overall incidence reaches 50%.
According to the location, it can be divided into submucosal fibroids, subserosal fibroids, intermuscular fibroids, and some special types.
Submucosal fibroids: growing into the uterine cavity;
Intermuscular fibroids: growing in the muscles of the uterus;
Subserosal fibroids: growing outside the uterus.
But don't panic, uterine fibroids are basically benign tumors, and the probability of malignancy is very small, only 0.4-0.8%.
02
Got uterine fibroids,
What are the symptoms?
The normal menstrual cycle is 28 to 30 days, the menstrual volume is 30-50 ml, and the duration of menstruation is 3-5 days.
Patients with uterine fibroids will have changes in menstruation, increased menstrual flow, shortened menstrual cycles, and long menstrual periods. Some patients have twice as much menstruation or more as before, anemia, pale, sallow, dizzy, fatigue, which should be paid attention to, need to seek medical treatment in time, find the cause. Uterine fibroids, if located on the anterior wall, may cause changes in urine, such as frequent urination and inability to hold urine. Uterine fibroids are located in the posterior wall and may cause constipation.
Fibroids with peduncles can also cause torsion, causing severe abdominal pain. According to the location, uterine fibroids are divided into serous layer, intermuscular wall, and submucous membrane. Fibroids have five variants, vitreous, cystic, red, calcified, and cancerous.
Uterine fibroids during pregnancy will increase with the age of pregnancy, fibroids will also grow, some will degenerate, abdominal pain during pregnancy, but do not panic, anti-inflammatory treatment symptoms will improve. After the end of pregnancy, the uterine fibroids will slowly shrink, so uterine fibroid surgery will generally not be done during pregnancy.
03
Since it is benign,
No symptoms can be left alone?
More than half of the "uterine fibroids" are "quietly" growing, so many women generally find out during physical examinations, and some people find dozens of tumors, even hundreds, large and small when they check...
In the past, it was believed that enlarged fibroids made the uterus larger than 10 weeks (two and a half months) larger than the size of the uterus, but in recent years, the size of the uterus is no longer used as a surgical indicator, do not see the tumor to be removed, most benign tumors can coexist peacefully.
If the size of the uterine fibroids increases and causes various uncomfortable symptoms, such as: compression of the bladder leads to frequent urination; compression of the rectum leads to constipation, tenesmus (always feel the intention to defecate but actually do not); convex to the uterine lining, compression of the endometrium leads to excessive menstrual flow, and even anemia... When these conditions occur, uterine fibroids need to be treated. If drug therapy can be controlled, drug treatment is given first, and if drug therapy is not controlled, surgical resection is considered.
Surgical methods include: open abdominal surgery, laparoscopic surgery, hysteroscopic surgery, radiofrequency ablation, sea support, ultrasound focusing, etc. Surgery is a destructive treatment method, and the patient's fertility needs should be fully considered according to the patient's specific condition before formulating the treatment plan. If the patient has fertility requirements, a comprehensive treatment plan is evaluated to preserve the patient's fertility as much as possible.
In short, the treatment of uterine fibroids is not based on size, but on symptoms. Symptomatic fibroids and ringing pregnancies should be considered for removal.
04
Uterine fibroids detected during pregnancy,
Can I get pregnant with a tumor?
First of all, fibroids growing into the uterine cavity may prevent the fertilized egg from implanting, which means that it may not be able to conceive smoothly.
Moreover, after a woman becomes pregnant, estrogen and progesterone levels rise, and fibroids happen to be related to this.
Pregnancy can cause fibroid growth to accelerate, from a small peanut rice to a peach or even a grapefruit, and when it grows to a considerable size, it will compress the bladder, and urinary frequency, urgency, urinary retention or urinary incontinence will come to the door.
In addition to frequent urination, "pregnancy with tumors", the biggest risk is miscarriage.
Fibroids enlarge rapidly, easily causing fibroid degeneration, leading to abdominal pain, fever, uterine contractions, triggering miscarriage or premature birth.
In addition, some fibroids are naughty and compete with the fetus for nutrients, but this depends on the location of the fibroids, and some fibroids do not affect the fetus's absorption of nutrients from the placenta.
Therefore, if you are trying to find out the fibroids during pregnancy, it is best to go to the hospital to see the specific situation of the fibroids and then make a decision.
05
How to prevent uterine fibroids?
Some people are caused by genetic factors, and the high sensitivity of fibroid tissue to estrogen is one of the important factors in the occurrence of fibroids, so if you really want to prevent it, it is best to avoid the following "minefields":
Long-term use of estrogen drugs;
Unreasonable dietary structure, alcoholism, smoking;
Dysregulation of sexual life;
Prolonged emotional depression.
Source: Top 3 Fax Comprehensive Collation