Uterine Fibroids: Symptoms and When to Seek Help

Uterine fibroids

Hello, doctor! I would like to ask: "I have no sexual experience, and since mid-last year, my menstrual cycle has been very different.
One time the flow is normal, and the next time it is very light, so light that I can use a panty liner, and the color is a dry brown instead of the usual bright red.
There was even a time when I noticed a block of about one centimeter in width and length.
Now I feel that my lower abdomen is quite large, and I can feel a bulge in the perineal area, and my lower limbs are becoming thicker.
I am wondering if I might have uterine fibroids? I had an ultrasound during my menstrual period before, but the doctor only saw my bladder.
Could it be that the ultrasound was not accurate because I was menstruating, and the doctor did not know I was on my period at that time? Do I need to see a doctor again? If I need to see a doctor, I feel embarrassed to mention my symptoms; is that very important?"

Xiao Xi, 10~19 year old female. Ask Date: 2001/03/22

Dr. Xu Junzheng reply Obstetrics and Gynecology

If the obstetrician-gynecologist states that only the bladder is visible and that even if there are uterine fibroids, they are very small, I believe it is sufficient to monitor any worsening symptoms on your own.
However, it is important to clearly communicate your symptoms when seeing a doctor.
Thank you.

Reply Date: 2001/03/22

More Info

Uterine fibroids, also known as leiomyomas or myomas, are non-cancerous growths that develop in or on the uterus. They are quite common, especially among women of reproductive age, and can vary in size, number, and location. Understanding the symptoms of uterine fibroids is crucial for early detection and management.

Symptoms of Uterine Fibroids
1. Menstrual Changes: One of the most common symptoms associated with uterine fibroids is abnormal menstrual bleeding. This can manifest as heavy periods (menorrhagia), prolonged menstrual bleeding, or irregular bleeding patterns, such as having one cycle with normal flow and the next with very little. The brownish discharge you mentioned could indicate old blood, which might be a result of fibroids affecting the uterine lining.

2. Pelvic Pressure or Pain: Fibroids can exert pressure on surrounding organs, leading to discomfort or a feeling of fullness in the lower abdomen. You mentioned feeling that your lower abdomen is enlarged and experiencing a sensation of bulging in the perineal area. This could be due to fibroids pressing against the bladder or rectum, causing discomfort.

3. Urinary and Bowel Symptoms: Depending on their size and location, fibroids can cause urinary frequency or urgency, as well as bowel pressure or constipation. If you are experiencing changes in your bowel or urinary habits, it is essential to discuss these with your healthcare provider.

4. Leg Swelling: You noted that your lower limbs are becoming increasingly swollen. While this is less common, it can occur if fibroids are large enough to impede blood flow or if there is associated pelvic congestion.

When to Seek Help
Given your symptoms, it is advisable to seek medical attention. You mentioned having an ultrasound during your menstrual period, which may not have provided a clear view of the uterus due to the presence of menstrual blood. It would be beneficial to schedule another ultrasound when you are not menstruating, as this can provide a more accurate assessment of the uterus and any potential fibroids.

Discussing Symptoms with Your Doctor
It is understandable to feel hesitant about discussing your symptoms, especially if they are sensitive in nature. However, it is crucial to communicate openly with your healthcare provider. They are trained to handle such discussions with professionalism and confidentiality. Providing a complete picture of your symptoms will help them make an accurate diagnosis and recommend appropriate treatment options.

Conclusion
In summary, your symptoms could potentially indicate the presence of uterine fibroids, but only a thorough evaluation by a healthcare professional can confirm this. It is essential to address any changes in your menstrual cycle, pelvic pressure, or other related symptoms with your doctor. Early diagnosis and management can significantly improve your quality of life and address any complications that may arise from untreated fibroids. Don't hesitate to reach out for help; your health is important, and you deserve to feel comfortable discussing your concerns.

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