How to check for uterine fibroids?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 27, 2024
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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 Li Lin
Obstetrics and Gynecology
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Are uterine fibroids contagious?

The exact causes of uterine fibroids are not yet clear, but since fibroids commonly occur during reproductive years, are rarely seen before puberty, and tend to shrink or regress after menopause, it suggests that the occurrence of fibroids may be related to female hormones. Studies have shown that uterine fibroid tissues are highly sensitive to estrogen, which is one of the important factors in the development of fibroids. Additionally, research indicates that progesterone promotes mitotic activity in fibroids, stimulating the growth of uterine fibroids. Cytogenetic studies show that some uterine fibroids have chromosomal abnormalities. Based on these studies, it is evident that uterine fibroids are not contagious.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Do fibroids cause stomach pain?

Uterine fibroids, if merely present and not too large, generally do not cause abdominal pain. If there are symptoms of abdominal pain, it is necessary to check whether there is pelvic inflammatory disease by examining if there is tenderness in the uterus and adnexal areas. Uterine fibroids, if accompanied by adenomyosis, can also cause abdominal pain, particularly progressive dysmenorrhea symptoms. Therefore, if there is abdominal pain, it is essential to first perform an ultrasound to understand the specifics of the uterine fibroids, whether there are other masses in the pelvic area that might be twisted, and also to check for inflammation, the presence of an intrauterine device, etc.

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Written by Li Shun Hua
Obstetrics and Gynecology
40sec home-news-image

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 Wang Kun
Surgical Oncology
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Can uterine fibroids be inherited?

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 Li Shun Hua
Obstetrics and Gynecology
48sec home-news-image

What are the symptoms of uterine fibroids?

If the uterine fibroids are relatively small, they generally do not show symptoms. However, submucosal uterine fibroids, regardless of their size, can cause heavy menstrual bleeding and prolonged periods. Intramural uterine fibroids, if protruding into the uterine cavity, can also lead to heavy menstrual bleeding and prolonged periods. If the uterine fibroids are large and press against the bladder in front, symptoms such as frequent urination and urinary urgency can occur. If they press against the rectum in the back, it can lead to difficulty in defecation or a feeling of downward pain. Therefore, if symptoms are present with uterine fibroids, surgical treatment is necessary.