What is uterine fibroids?

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 28, 2024
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In clinical practice, uterine fibroids are common benign tumors found in female reproductive organs. Clinically, they present with symptoms such as heavy menstrual bleeding, anemia, and pressure on the rectum, causing difficulty in defecation, as well as pressure on the bladder, leading to urgency in urination. Uterine fibroids, also known as fibromyomas or uterine leiomyomas, are the most common tumors in the human body. They mainly consist of proliferating smooth muscle cells of the uterus, with a small amount of fibrous connective tissue acting as support. Uterine fibroids can affect the function of the reproductive cycle. It is advisable to visit a gynecologist for examination and actively seek treatment.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How long does uterine fibroid surgery take?

Firstly, there are several types of surgeries for uterine fibroids, so the duration of the surgery depends on the size of the fibroids, the surgical method, and the type of anesthesia used. If the surgery is an open surgery for simply removing benign uterine fibroids, the operation, including the time for anesthesia, generally takes about two hours, which is not very long. If the surgery is done laparoscopically under general anesthesia, it may take a longer time, and it takes some time for the patient to recover from anesthesia post-surgery. If the uterine tumor is malignant, then the surgery might require rapid pathological examination and the removal of other areas, leading to a more extended surgery time which can vary significantly.

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Written by Wang Kun
Surgical Oncology
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Do uterine fibroids cause pain?

Uterine fibroids are benign tumors in gynecology, and they have a very high incidence rate. However, most of these tumors do not have obvious clinical symptoms. As the condition progresses, patients may experience discomfort and pain in the lower abdomen. If the uterine fibroids affect the function of the endometrium, it often leads to prolonged menstrual cycles, which means heavier menstrual bleeding. Clinically, this can manifest as mild to moderate anemia. For this condition, patients should take iron supplements to alleviate the symptoms of anemia. For those with significant pain from uterine fibroids, or severe anemia, surgical removal is recommended. (The use of medication should be under the guidance of a professional doctor.)

doctor image
home-news-image
Written by Jia Rui
Obstetrics and Gynecology
1min home-news-image

What is uterine fibroids?

In clinical practice, uterine fibroids are common benign tumors found in female reproductive organs. Clinically, they present with symptoms such as heavy menstrual bleeding, anemia, and pressure on the rectum, causing difficulty in defecation, as well as pressure on the bladder, leading to urgency in urination. Uterine fibroids, also known as fibromyomas or uterine leiomyomas, are the most common tumors in the human body. They mainly consist of proliferating smooth muscle cells of the uterus, with a small amount of fibrous connective tissue acting as support. Uterine fibroids can affect the function of the reproductive cycle. It is advisable to visit a gynecologist for examination and actively seek treatment.

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home-news-image
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.

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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.