Recently, Xiao Jiu received a private message from a reader in the background: I am only 23 years old this year, and I have not gotten married and have children. In the company’s physical examination a month ago, I found uterine fibroids, but the doctor said that no treatment was needed.Isn’t it tumor?Will it be cancer?I can’t sleep well now if I eat it well now?
When many women heard "tumors", it is easy to think of cancer and cause panic and fear.There are also many women’s physical examinations in life, but most people have a half -knowledge. Xiaojiu thinks it really needs to understand the disease of pose fibroids.
Uterine fibroids, one of the most common benign tumors in women’s reproductive systems, is mainly caused by the hyperplasia of uterine smooth muscle cells, so it is also known as metalicomatarian fibroids.
At present, there is no clear cause of the pathogenesis of uterine fibroids, but it is clear that the disease is a hormone -dependent disease.
The medical community believes that the occurrence of uterine fibroids is related to long -term stimulation of estrogen and progesterone.Affected by estrogen, uterine fibroids cells will continue to proliferate hypertrophy, which will cause uterine fibroids.Pathotin will stimulate the nucleus of the uterine fibroids to split, thereby promoting the growth of uterine fibroids.
Uterine fibroids are mostly women aged 30-50 years old, especially women aged 40-50.Early early menstrual tide, ovarian tumor and vertical tumor can cause female sex hormone abnormalities.In addition, modern women are under multiple pressures, work, staying up late, sedentary, and irregular diet can also cause abnormal estrogen hormone secretion. These have encouraged the chances of female quilt fibroids.
Although uterine fibroids are benign tumors, too large fibroids may cause women’s irregular menstruation, cause abdominal pain and compression symptoms, and may also squeeze to the fallopian tube to increase the chance of infertility.
Most patients may not have symptoms in women with high incidence in women, but some patients often have the following four manifestations.
1. Merception
The larger fibroids cause the endometrium to become thinner and affect the contraction of the uterine, which leads to menstrual disorders. Generally, the menstrual flow is increased, the menstrual cycle is shortened, the menstrual period is extended and the amount of menstruation is increased.
2. Increase leucorrhea
Uterine fibroids are too large, which may increase the secretion of endometrial glands, causing leucorrhea to increase symptoms.When a fibroids have ulcers or infections, purulent leucorrhea or bleeding can be produced.
3. Compression symptoms
With the continuous growth of uterine fibroids, the uterus may increase and even compress the surrounding organs.Confusion will occur to the rectum, and when the bladder will cause symptoms of frequent urination and urgency.
4. Abdominal pain
If some patients are twisted or fibroids degeneration of subcarcated fibroids, they may cause acute abdominal pain symptoms.
More and more people attach importance to the physical examination, and followed by the strangeness on the report form, so the body is detected to check the uterine fibroids. Should I cut it off?
Uterine fibroids may be about 60 %, divided into benign and malignant, but the probability of malignant changes is very low.
Do you have to remove the uterine fibroids?In response, Professor Xie Meiqing, director of the Gynecology of Sun Yixian Memorial Hospital of Zhongshan University, said that whether uterine fibroids need to perform surgery, it is necessary to evaluate factors such as the age, fertility requirements, the size of the fibroids, and the growth site of the patient.
It is mainly divided into the following three cases: one is that there is no need to treat fibroids without symptoms; the other is to prepare those who are pregnant. The fibroid diameter is greater than 4 cm. The third is to quickly increase the uterine fibroids with vaginal bleeding.Intervention processing.
Common treatment methods are two types of conservative treatment and uterine cutting. Patients who want to retain fertility function can consider choosing laparoscopic fibroid resection to retain the uterus; howeverPatients with no fertility requirements and obvious symptoms can be treated with all uterus surgery.However, unless it is forced, it is not recommended to remove the uterus.
After women resection the uterus, they first mean losing their fertility; the second is that ovarian function will also decrease. The blood part of the ovaries comes from the uterus. After the uterus is removed, the blood supply to the ovary will increase the risk of premature ovarian failure.Symptoms of menopause occur.Finally, the uterus has a certain supporting effect on the pelvic cavity. While removing the uterus, the reliance between the pelvic organs will also be affected, which can easily cause urinary incontinence and vaginal prolapse.
Rather than waiting for the quilt fibroids to follow the treatment, it is better to do the prevention of uterine fibroids. If you want to prevent uterine fibroids, you should try to avoid 4 behaviors as much as possible.
1. Frequent abortion
Frequent abortion surgery will cause the endometrium to become thinner. If the doctor’s skills are not in place, it may hurt other parts. Incorrect hospitals perform surgery, it may cause intrauterine infection and increase the risk of uterine fibroids. ThereforeAvoid frequent abortion.
2. Sexual life confusion
People with chaotic sexual life are easy to get gynecological diseases. In the long run, they may also increase the risk of cervical cancer and uterine fibroids.
3, bad emotions
Long -term troubled by bad emotions, it is likely to cause ovarian dysfunction, promote the secretion of estrogen, and increase the risk of uterine fibroids.Therefore, learn to relieve it yourself and maintain a good mentality.
4. Use hormones at will
In order to maintain young face, many women choose to eat some estrogen -containing supplements, which leads to excessive estrogen in the body and increases the risk of uterine fibroids. Remember not to use hormones at will.
Uterine fibroids have high incidence in women aged 30-50. Most patients may have no symptoms, but some patients will also appear abdominal pain, more leucorrhea, and compression symptoms.As for whether uterine fibroids should be cut off, there are many factors to discuss with doctors, but instead of waiting for uterine fibroids, it is better to do the prevention of uterine fibroids as soon as possible.
Reference materials:
[1] "What to do with high incidence of uterine fibroids". Beijing Daily .2020-12-23
[2] "Women who are prone to fibroids in the uterus have a commonality!The physical examination found these two abnormalities ". Tencent Medical Ceremony .2023-03-07
[3] "Uterine fibroids, women’s hidden pain". Human health. 20120-08-25
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