Do uterine fibroids cause pain?

Written by Wang Kun
Surgical Oncology
Updated on June 04, 2025
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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.)

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How to treat uterine fibroids?

Uterine fibroids are the most common benign tumors of the female reproductive organs, consisting of smooth muscle and connective tissue, mostly seen in women aged 30-50. Uterine fibroids can be classified into fibroids of the uterine body and cervical fibroids. Depending on their location, the treatments differ. Fibroids of the uterine body are further divided into intramural fibroids, subserosal fibroids, and submucosal fibroids. In cases of submucosal fibroids, prompt symptomatic treatment is necessary once detected, as these fibroids grow towards the uterine cavity and protrude into it, covered only by the endometrium on the surface. Hence, timely surgical intervention and regular physical examinations are crucial for submucosal fibroids.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How can uterine fibroids be reduced?

Uterine fibroids in women are closely related to the levels of estrogen in the body. Some women have relatively small uterine fibroids with no clinical symptoms and can be observed dynamically. Generally, after menopause, when the levels of estrogen decrease, the size of uterine fibroids in these women can naturally shrink. Additionally, certain medications can be used for treatment, such as drugs from the GnRH-a class, which act by causing ovarian ablation. This leads to a decrease in estrogen levels in the body and can also reduce the size of the uterine fibroids. Interventional treatments can also be employed to block the blood supply to the uterine fibroids, reducing their blood supply and consequently decreasing their size.

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Written by Wang Kun
Surgical Oncology
45sec home-news-image

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.)

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home-news-image
Written by Sun Shan Shan
Obstetrics and Gynecology
1min 11sec home-news-image

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 Wang Kun
Surgical Oncology
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Does uterine fibroids cause high CRP?

Normal uterine fibroids do not cause an increase in CRP. CRP is an indicator of systemic inflammatory response. Only when a patient experiences infection, rupture, or acute systemic inflammatory reactions will it cause a rise in tumor markers. Uterine fibroids often do not exhibit these symptoms; therefore, most cases will not show an increase in CRP. However, in some patients, infection or rupture, and even malignancy, can lead to an increase in these indicators. Patients should undergo relevant imaging studies to assess the size and location of the uterine fibroids, as well as the presence of uterine bleeding.