Early symptoms of uterine fibroid malignancy

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 05, 2024
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Uterine fibroids are a type of benign lesion and generally grow slowly. Sometimes, even after several years of continuous re-examinations, the size of the uterine fibroids may not show significant changes. However, when uterine fibroids become malignant, their growth rate can accelerate, causing women to experience hidden pain in the lower abdomen. After the malignancy of uterine fibroids and an increase in size, they can also compress the pelvic floor nerves, leading to an intensification of abdominal pain; they can press forward against the bladder, causing frequent urination and urgency; and press backward against the rectum, resulting in changes in the characteristics of stools. Additionally, when some women's uterine fibroids turn malignant, they can also affect the surface area of the endometrium, impacting the menstrual cycle, such as causing irregular vaginal bleeding.

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Written by Li Lin
Obstetrics and Gynecology
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Can uterine fibroids eat donkey-hide gelatin?

Patients with uterine fibroids can consume donkey-hide gelatin. This is because uterine fibroids often cause increased menstrual flow and prolonged menstrual periods. Due to the long-term increase in menstrual volume and duration, there is an increase in blood loss, leading to anemia. The main functions of donkey-hide gelatin are to nourish the blood, moisten dryness, and stop bleeding, making it suitable for patients with uterine fibroids. Consuming donkey-hide gelatin can alleviate the anemia and excessive menstrual bleeding caused by uterine fibroids. However, donkey-hide gelatin is relatively heaty, so it should not be consumed in excess.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How to check for uterine fibroids?

Uterine fibroids can primarily be diagnosed through ultrasound and gynecological examinations. Uterine fibroids are relatively easy to diagnose; an ultrasound can reveal irregular masses on the uterus or solid echoes, with a fairly intact capsule, which could be either solitary or multiple, confirming the presence of uterine fibroids. During a gynecological examination, an irregular uterine shape with localized protrusions can be felt, which are fairly mobile and typically not associated with significant pain, further confirming the presence of uterine fibroids.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Are uterine fibroids likely to recur?

Firstly, uterine fibroids are prone to recurrence in women of childbearing age. The main cause of uterine fibroids is usually an excessively high level of estrogen in the body, along with an uneven distribution of estrogen levels, which leads to the development of fibroids. Once a woman is of childbearing age and has regular menstrual cycles, uterine fibroids tend to recur. If uterine fibroids occur, it is necessary to go to the hospital for a color ultrasound examination to check the location of the fibroids. Uterine fibroids can be categorized into cervical fibroids and corpus fibroids. If cervical fibroids are found, timely surgical treatment is required because they become more difficult to treat and more prone to bleeding as they grow larger. Additionally, for corpus fibroids, it depends on whether they are intramural or submucosal. If submucosal uterine fibroids are present, they also require timely surgical intervention due to the risk of prolonged bleeding and potential anemia.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Uterine fibroids are classified into several types.

Uterine fibroids are classified by location into two types: myometrial fibroids and cervical fibroids. Based on the relationship between the uterine fibroids and the muscular wall, there are three kinds of uterine fibroids: intramural fibroids, subserosal fibroids, and submucosal fibroids. Intramural fibroids, primarily located within the uterine wall and enclosed by a muscular layer, are recommended for surgical treatment once the fibroid's diameter exceeds four centimeters, as they tend to grow rapidly. Similarly, subserosal fibroids grow towards the peritoneal surface of the uterus and are on the exterior of the uterus. If subserosal fibroids also exceed four centimeters in diameter and are accompanied by menstrual changes, surgical treatment is advised. Furthermore, submucosal fibroids, regardless of their size, require timely surgical intervention due to their association with heavy bleeding and a high risk of anemia.

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Written by Zhao Xiao Dong
Obstetrics and Gynecology
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How many days after uterine fibroid surgery can I wash my hair?

Uterine fibroid surgery, including myomectomy and hysterectomy, does not require the postpartum practice of "sitting the month," and there are no prohibitions against washing hair or bathing, unlike after childbirth. Generally, the surgical wound will fully heal about a week after the operation, at which point it is possible to wash hair and even bathe. Of course, it is important to monitor the recovery process after uterine fibroid surgery. If there are signs of infection at the surgical site, such as redness, hardening, or discharge of pus, the wound generally needs to be opened, the stitches removed, and the dressing changed regularly. Antibiotic and anti-infection treatments are administered until the wound fully heals, after which washing hair and bathing are permissible.