Can uterine fibroids be inherited?

Written by Wang Kun
Surgical Oncology
Updated on October 25, 2024
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Uterine fibroids are common benign tumors clinically, with a prevalence rate of 20%-40% among women, approximately 20% of which are hereditary. Most tumors do not show clear clinical symptoms, so patients need not worry too much even after the tumors develop. However, some patients may experience increased menstrual flow, prolonged menstrual cycles, or even symptoms such as anemia, abdominal pain, and bloating. In such cases, surgical removal may be considered, which is a routine procedure in clinical settings, so patients should not be overly concerned.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Uterine fibroid examination items

When suspecting that a woman has uterine fibroids, the first step is to perform a routine gynecological examination by opening the vagina with a speculum. This is necessary because some women's uterine fibroids are located on the cervix; at this point, it is possible to see an increased size of the cervix and the fibroid may be visible protruding from the cervix. Moreover, during the bimanual gynecological examination, one may find that the uterus is enlarged and irregularly shaped with localized protrusions. Generally, the mobility is quite good. Additionally, some auxiliary examinations can be combined, such as the most common transvaginal ultrasound or pelvic abdominal ultrasound. For suspected submucosal uterine fibroids, a hysteroscopic examination can also be performed for diagnosis.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Does uterine fibroids require the removal of the uterus?

Whether a hysterectomy is needed for uterine fibroids depends on the specific circumstances of the patient. If the fibroids are large and numerous, making the preservation of the uterus unnecessary, then a hysterectomy can be considered. Additionally, the decision should take into account the patient's age, reproductive desires, and personal preference. If the patient is older, has no desire for children, and wishes to have a hysterectomy, then it is feasible to remove the uterus under these circumstances. However, if the patient's condition does not mandate the removal of the uterus, the decision should be made in conjunction with the patient's wishes.

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Written by Hou Jie
Obstetrics and Gynecology
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How to recuperate from uterine fibroids?

Uterine fibroids are the most common benign tumors of the female reproductive organs, composed of smooth muscle and connective tissue. Treatment varies depending on the patient's age, childbearing requirements, presence of symptoms, location and size of the fibroids, and their number. For asymptomatic fibroids, treatment is generally not necessary, especially for women nearing menopause. After menopause, fibroids often shrink or gradually disappear. In such cases, it is recommended to follow up every three to six months, or consider pharmaceutical treatment. Medication is suitable for those with mild symptoms, near menopausal age, or those who are not suitable for surgery. If there are complications such as heavy menstrual bleeding, resulting anemia, ineffective drug treatment, severe abdominal pain, or conditions like fibroid torsion or acute abdomen, surgical treatment is recommended.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Do uterine fibroids have a genetic component?

Uterine fibroids indeed have a certain hereditary quality, similar to some other tumors or diseases, with a definite familial genetic component. However, the condition of uterine fibroids varies from person to person and is also related to acquired factors such as estrogen levels. The majority of uterine fibroids are simply carried, with the incidence in the population reaching over 20%. Many people with uterine fibroids do not need to worry about them, and no surgery is required, as regular check-ups are sufficient. After menopause, some fibroids may shrink and gradually disappear on their own. Some uterine fibroids during the reproductive years will ultimately require surgery, and there is also a small chance of needing surgery after menopause.

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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.