Is multiple uterine fibroids serious?

Whether multiple uterine fibroids are serious or not needs to be comprehensively judged based on the size, location and symptoms of the fibroids. In most cases, they are benign lesions and do not require special treatment. If there are abnormal menstruation, compression symptoms or affecting fertility, intervention is required.

Multiple uterine fibroids refer to the presence of two or more fibroids in the uterus at the same time, which is relatively common clinically. When fibroids are small in size and have no clinical symptoms, it is usually recommended to have regular ultrasound examinations to observe changes. Some patients may experience menstrual changes such as increased menstrual flow and prolonged menstrual periods, which are related to the increase in endometrial area caused by the enlargement of fibroids or the impact on uterine contraction. When fibroids press on the bladder or rectum, they can cause symptoms such as frequent urination and constipation. Fibroids located in the submucosa of the uterus may affect the implantation of a fertilized egg.

In a few cases, fibroids increase rapidly in a short period of time and you need to be alert to the possibility of malignant transformation. Postmenopausal fibroids that do not shrink but increase in size should be taken even more seriously. Fibroids in special locations, such as cervical fibroids, may cause delivery difficulties, and pedunculated subserosal fibroids may cause acute abdomen when torsion occurs. Fibroids with a diameter of more than 5 cm may cause pelvic congestion and a sinking feeling. Those with anemia require drug or surgical treatment.

It is recommended to perform gynecological ultrasound every 6-12 months to monitor changes in fibroids and avoid long-term use of estrogen-containing health products. Maintain a regular schedule and moderate exercise, and limit high-fat food intake. If symptoms such as abnormal vaginal bleeding, pelvic pain or difficulty urinating occur, you should seek medical treatment in time. The doctor will develop an individualized plan based on age, fertility needs, etc., including drug control, fibroid removal or hysterectomy and other treatments.