Subserosal fibroids

Introduction to subserosal fibroids Subserosal fibroids refer to the majority of fibroids that protrude from the uterine serosal surface, accounting for 20-30% of fibroids. The most important symptoms are increased menstruation, prolonged menstruation, and shortened menstrual cycle. The main cause of menstrual increase is submucosal and intermuscular fibroids, and subserosal fibroids have less effect on menstruation. basic knowledge The proportion of sickness: 0.01% Susceptible people: women Mode of infection: non-infectious Complications: acute abdomen

Subserosal myoma

The fibroids grow to the uterine serosa, and the surface is covered only by the uterine serosa. Only one pedicle is connected to the uterine muscle wall, which is susceptible to necrosis and necrosis due to insufficient blood supply. If the pedicle is twisted and broken, the fibroids fall off into the abdominal cavity or pelvic cavity, forming a free fibroid.

Subserosal myoma prevention

1. Keep the vulva clean and dry, and the underwear should be wide. If the vaginal discharge is excessive, care should be taken to flush the vulva at any time.

2, to prevent excessive fatigue, especially during the menstrual period to rest.

3, eat more vegetables, fruits, eat less spicy, irritating food. However, the mango in the fruit has a hemostatic effect. People who come to menstruation should not eat it, otherwise it will produce uterine fibroids.

4, do not take extra estrogen, especially after menopause, so as not to grow uterine fibroids.

5. Avoid getting pregnant again. In women with uterine fibroids, after abortion, the uterus recovers poorly, often causing prolonged bleeding or chronic genital inflammation.

6, after the diagnosis of uterine fibroids, should go to the hospital once a month for examination. If the enlargement of the fibroids is slow or has not increased, it can be reviewed once every six months; if the enlargement is obvious, surgical treatment should be considered to avoid serious bleeding or compression of the abdominal organs.

7, if the amount of menstruation is too much, you should eat more iron-rich foods to prevent iron deficiency anemia.

8. If you need to retain fertility and must be treated surgically, you can use myomectomy.

Subserosal fibroma complications Complications

Due to the different parts and sizes of fibroids, different degrees of compression symptoms may occur, such as compression of the bladder muscles, frequent urination, urgency; compression of the rectum, resulting in difficulty in defecation. When the subserosal fibroids are twisted, they can cause acute abdomen.

Symptoms of subserosal fibroids Common symptoms Lower abdominal mass urinary frequency menstrual volume changes in menstrual cycle

Uterine subserosal fibroids refer to the majority of fibroids that protrude from the uterine serosa, accounting for about 20-30% of fibroids. It is a kind of uterine fibroids, which can be divided into interwall, subserosal, submucosal and broad ligament fibroids according to the location of the myometrium. The main symptoms are increased menstruation, prolonged menstruation, and shortened menstrual cycle. The main cause of menstrual increase is submucosal and intermuscular fibroids, and subserosal fibroids have less effect on menstruation. Therefore, subserosal fibroids can grow very large and other symptoms, patients often come to see a doctor because of the touch of the abdominal mass.

Due to the different parts and sizes of fibroids, different degrees of compression symptoms may occur, such as compression of the bladder muscles, frequent urination, urgency; compression of the rectum, resulting in difficulty in defecation. When the subserosal myoma is reversed, it can cause severe abdominal pain. In this case, it is often necessary to perform surgical removal of fibroid fibroids to increase the area of the sub-sacral cavity, and the secretion of endometrial glands increases, and leucorrhea may increase. Infection can lead to purulent leucorrhea. According to the survey, about 25% to 35% of patients with fibroids may have infertility.

Subserosal fibroids examination

Signs:

Fibroids less than 3 months pregnant uterus, generally not easy to pass through the abdomen. The person who can reach is generally in the middle of the lower abdomen, which is hard and uneven. In patients with thin abdominal walls, the outline of the tumor can be clearly seen and even its shape can be seen. Gynecological double-combination diagnosis can generally reveal the contour of uterine fibroids. The anterior wall or posterior wall of the uterus is more prominent in the anterior or posterior wall; multiple fibroids can touch multiple smooth, hard spherical masses on the uterus; the lumps protruding from the side wall of the uterus to one side may be Wide ligament fibroids; the cervix is obviously enlarged and the normal uterus can be touched on it, which is expressed as cervical fibroids; the uterus is obviously enlarged and hard, and may be hidden under the mucosa in the uterine cavity or the cervical canal. Fibroids, such as the cervix, are loose, and the fingers can often touch the smooth spherical tumor; some are exposed in the cervix, or even into the vagina, you can see at a glance; but some secondary infections, necrosis, or larger, If you can't touch the cervix, it is easy to mix with cervical malignant tumors and uterus varus.

The growth site of the fibroid can also affect the position of the cervix of the uterus. For example, the fibroids in the posterior wall of the uterus can push the uterus and the cervix to the front; the fibroids on the posterior wall of the uterus can be developed to the uterus rectal fossa, and even the uterus can be squeezed to the upper part of the pubic symphysis, and the uterus contour can be touched in the lower abdomen. The cervix also moves up, the posterior wall of the vagina expands forward, and the vaginal finger can't touch the cervix; if it is a broad ligament fibroid, the uterus is often pushed to the opposite side.

Gynecological ultrasound examination can basically confirm the diagnosis.

Diagnosis and differentiation of subserosal fibroids

According to the history of the signs and auxiliary examination can confirm the diagnosis.

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