Uterine fibroids – Clinical manifestations
Uterine fibroids – Clinical manifestations of uterine fibroids
Clinical presentation of uterine fibroids
Uterine fibroids – a benign tumor of the myometrium hormone, which often occurs in women of reproductive age.
Clinical manifestations of the disease depend on the size of myoma nodes, their location, quantity, rate of growth of the tumor, presence of complications and comorbidities.
Pain that accompanies uterine fibroids, may have a different character and location. At birth, the myoma node are cramping. For subserous and interstitial sites is characterized by aching pain in the suprapubic area for intraligamentarnaya fibroids exhibit constant and severe pain in the pelvis. Suddenly developed a strong pain on the background of a picture of acute abdomen necrosis occurs when the myoma node or the legs of the torsion stalk subserous fibroids.
With an increase in tumor size of more than 14 weeks gestation there are weakness and heaviness in the legs, paresthesias, starting 10-15 minutes after the start of walk and disappear after a short holiday (due to spinal mielopatichesky syndrome, ischemia). Pain may be in the lumbosacral region and lower extremities, combined with the sensitivity, which are a manifestation of radikulalgicheskogo syndrome, which is the cause of compression of the enlarged uterus pelvic nerve plexus.
There may be a threat to abortion
A frequent complaint with uterine cancer are abnormal uterine bleeding. They can proceed according to the type of menorrhagia (cyclic bleeding with increased blood loss or duration of menstruation), metrorrhagia (acyclic uterine bleeding in intermenstrual period), or menometrorrhagia (menstruation duration of 12 days or more). Dangers of such blood loss is chronic hemorrhagic anemia, hypovolemia, myocardial dystrophy, changes in the blood coagulation system.
Due to the mechanical pressure of the growing site on the adjacent organs with the uterus, the violation of their innervation, blood and lymph circulation, patients may be concerned about frequent urination (for uterine compression of the bladder), or urinary retention (for clamping the urethra). Perhaps the development of hydronephrosis, hydroureter, pyelonephritis due to compression of the ureter or large subserous intraligamentarnaya nodes. When the location of fibroids large size of the rear wall of the uterus may have difficulty emptying the bowel.
In women with uterine cancer may reveal signs of increasing levels of estradiol in the blood, glandular-cystic hyperplasia endometrial hyperplasia dishormonal breast, ovarian follicular cysts, mucous leucorrhoea due to an increase vaginal secretions.
Follicular ovarian cysts
Maybe reproductive disorders: infertility, threatened miscarriage, weakness and discoordination of labor activity.
Despite the abundance of clinical manifestations, it must be remembered that the uterine fibroids is often asymptomatic and may be a random finding in prophylactic examination, so it is recommended to take place on a regular basis, regardless of the presence or absence of complaints.
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