What are the signs of uterine fibroids?
Asked by:Coralie
Asked on:Apr 12, 2026 12:30 PM
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Hill
Apr 12, 2026
Uterine fibroids may have no obvious symptoms in the early stages. As the disease progresses, symptoms such as abnormal menstruation, lower abdominal mass, compression symptoms, increased leucorrhea, and anemia may occur. Uterine fibroids are common benign tumors in the female reproductive system. They are mainly formed by the proliferation of smooth muscle cells. Their symptoms are closely related to the location, size and number of fibroids.
1. Abnormal menstruation
The most common symptom of patients with uterine fibroids is increased menstrual flow or prolonged menstrual periods, and submucosal fibroids may cause irregular vaginal bleeding. This is related to the fact that fibroids increase the area of the endometrium and affect uterine contraction. Long-term blood loss may cause anemia, which may manifest as fatigue, dizziness and other symptoms. Gongxuening capsules, Duanxueliu tablets and other drugs are commonly used in clinical practice to regulate menstruation. In severe cases, myomectomy should be considered.
2. Lower abdominal mass
When the diameter of the fibroid exceeds 5 cm, the patient may feel a hard mass in the lower abdomen, which is more obvious in the morning when the bladder is full. Subserosal fibroids can cause pressure when they grow to a certain size, but they are usually painless. Regular gynecological examinations are recommended to monitor changes in fibroids. Large fibroids may require uterine artery embolization or laparoscopic myomectomy.
3. Symptoms of oppression
Compression of the bladder by anterior wall fibroids can cause frequent urination and urgency, and compression of the rectum by posterior wall fibroids can cause constipation or tenesmus. Broad ligament fibroids may compress the ureters and cause hydronephrosis. Such symptoms often appear gradually as the fibroids increase. Ultrasound examination can clarify the degree of compression. If necessary, Guizhi Fuling Capsules can be used to relieve the symptoms.
4. Increased leucorrhea
Intramural fibroids increase the area of the uterine cavity and increase gland secretion, resulting in excessive leucorrhea. If combined with infection, purulent leucorrhea with peculiar smell may occur. In this case, routine examination of leucorrhea is required. After vaginitis is ruled out, it can be treated with Chinese patent medicines such as Gynecological Qianjin Tablets, while keeping the vulva clean and dry.
5. Secondary anemia
Long-term menorrhagia may cause iron deficiency anemia, which may manifest as pale complexion, palpitations and shortness of breath. Routine blood tests showed decreased hemoglobin and decreased serum ferritin. In addition to treating the primary disease, ferrous succinate tablets, Shengxuening tablets and other drugs can be used to correct anemia, and the daily intake of iron-rich foods such as animal liver and spinach can be increased.
It is recommended that women of childbearing age undergo gynecological ultrasound examinations every year. If they find that fibroids are growing too fast or have obvious symptoms, they should seek medical attention promptly. Avoid taking estrogen-containing health products on a daily basis, and maintain a regular schedule and moderate exercise. If fibroids with a diameter of more than 4 cm are found before preparing for pregnancy, it is recommended to consult a doctor to evaluate whether surgical treatment is needed first. Fibroids may grow faster due to hormonal changes during pregnancy.
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