When does uterine fibroids become dangerous?

Fibromyalgia is the most common benign genital tumor in women. Fibroids are often silent and do not cause any symptoms. However, sometimes tumors cause many symptoms and complications that are dangerous to the reproductive health and life of women. Read the article to understand more about uterine fibroids and their complications.

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1. WHAT IS Uterine Fibroids?

Uterine fibroids are benign tumors of the uterus, occurring during reproductive age. Fibroids of the uterus are also known as uterine fibroids, uterine fibroids or simply fibroids, fibroids.

Fibroids are very common, about 70-80% of women in their 50s have at least one fibromyalgia in the uterus. The incidence of uterine fibroids increases with age, with the incidence peaking around the age of 40.

Most women don't know they have fibroids because they often have no symptoms. Many people know they have fibromyalgia during routine gynecological exams or fibromyalgia is discovered incidentally on ultrasound.

The number of fibroids on the uterus is variable. A person can have only one fibromyalgia or multiple fibroids at the same time. The size of uterine fibroids is also very variable, can be as small as a pea - invisible to the naked eye, but there are also uterine fibroids that are large to massive. In some severe cases, many fibroids. Fibroids can cause the uterus to become abnormally large, occupying the entire abdomen and weighing up to several kilograms, making the abdomen enlarge like a pregnant woman.

Fibroids are not usually associated with an increased risk of uterine cancer and most do not develop into cancer. However, uterine fibroids can cause many symptoms that interfere with life, such as heavy periods, heavy periods, or abdominal pain during periods. More seriously, uterine fibroids can have dangerous complications to reproductive health such as infertility or tumor necrosis, infection or too large fibroids pressing on the muscles. other organs in the abdomen.

When does uterine fibroids become dangerous?

Image source: Mayoclinic.org

2. SYMPTOMS OF fibromyalgia

Fibroids are usually classified by location according to the layers of the uterus. The location of myofibromas is also related to the symptoms that fibromyaloma presents, depending on the tumor. Which layer of the uterus does fibromyalgia affect?

  • Submucosal fibroids: These fibroids often protrude into the uterine lumen and cause symptoms of abnormal uterine bleeding such as menorrhagia or hypermenorrhea.
  • Intramuscular fibroids grow in the muscular layer of the uterine wall: These fibroids can be related to contraction of the muscle layers and affect fertility or pregnancy.
  • Subserosal fibroids: can grow out of the uterus and protrude into the abdominal cavity, compressing nearby organs, causing symptoms such as pain, heaviness in the abdomen; urination disorder; constipation; backache; leg swelling…

When does uterine fibroids become dangerous?

Image source: verywellhealth.com

3. Complications of Uterine Fibroids

A lot of women have fibroids and they go on quietly without any problems or discomfort. However, as fibroids grow, it can cause many problems, often referred to as abnormal uterine bleeding; compression and pain; affect future fertility.

The dangerous complications of uterine fibroids are:

1. Anemia

When hypermenorrhoea and menorrhagia persist without treatment, the patient may develop chronic anemia. Symptoms may include paleness, fatigue, and poor appetite. Sometimes, uterine bleeding is so heavy that the patient loses blood, causing symptoms of lightheadedness, dizziness, and ringing in the ears.

2. When fibroids grow large, they can put pressure on surrounding organs

  • Bladder compression causes urinary disturbances: frequent urination, frequent urination during the day, a feeling of difficulty in urinating or incomplete urination.
  • Colon compression causes constipation.
  • Compression of the inferior vena cava causes edema, leg pain, and venous thrombosis.
  • Fibroids on the front and bottom of the uterus can cause pain during intercourse.

When does uterine fibroids become dangerous?

When does uterine fibroids become dangerous?

Figure 1: Uterine fibroids compress the colon. Image source: ebsco.smartimagebase.com
Figure 2: Torsion of pedunculated fibroids. Image source: link.springer.com

3. Degeneracy

When fibromyalgia grows too quickly without adequate blood supply, it can lead to degeneration, necrosis, and infection.

  • Common symptoms are pain in the lower abdomen, low-grade fever, leukocytosis, and uterine adnexal pain on examination. These symptoms may respond to medication, but more severe cases may require surgery.
  • Abdominal pain can also be caused by torsion of a pedunculated fibromyalgia.

These are potentially dangerous complications that require immediate medical attention and appropriate treatment.

4. Infertility and infertility

  • Submucosal fibroids often protrude into the uterine lumen and occupy the implantation site of the fetus. These fibroids can reduce implantation and increase the risk of miscarriage; these fibroids need to be treated if they are the cause of infertility.
  • Fibroids that cause uterine deformities can also affect implantation and increase the risk of miscarriage or recurrent miscarriage.

5. Effects of uterine fibroids on pregnancy

Most women with fibroids still get pregnant and deliver healthy babies. However, uterine fibroids can also have adverse effects on pregnancy outcomes, such as increased rates of preterm birth, abnormal positions, and increased rates of cesarean section. Adverse events are also mentioned such as intrauterine growth retardation or placental abruption. Inform your doctor if you have ever been diagnosed with uterine fibroids. Prenatal screening is an effective way to prevent complications of submucosal fibroids and other gynecological problems during pregnancy.

When does uterine fibroids become dangerous?

When does uterine fibroids become dangerous?

Image source: link.spinger.com

4. WHEN NEED TO SEE A Gynecologist?

You should consult your doctor for appropriate treatment if you have symptoms or any signs of complications of uterine fibroids.

If symptoms come on suddenly or are very severe, such as severe abdominal pain, high fever, vomiting or heavy uterine bleeding that makes you lightheaded or dizzy; need to be admitted to the emergency department for prompt treatment.

Doctor Le Mai Thuy Linh


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