Is an intramural uterine fibroid serious?

Jul 10, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

The diameter of the fibroid is less than 5 centimeters, grows slowly, does not compress the endometrium or surrounding tissues, the menstrual cycle is normal, and there are no symptoms such as abdominal pain or anemia. In such cases, the fibroid typically does not affect health, and regular follow-up examinations are sufficient without special treatment. If the fibroid's diameter exceeds 5 centimeters or increases rapidly over a short period, it may compress the uterine cavity, leading to increased menstrual bleeding, prolonged menstruation, and potentially causing anemia.

Generally speaking, the severity of intramural uterine fibroids depends on their size and associated symptoms. Small fibroids without symptoms are usually not serious, whereas large fibroids or those causing symptoms may be more severe. If any abnormalities occur, timely medical consultation is recommended. Detailed analysis is as follows:

When the fibroid's diameter is less than 5 cm, grows slowly, and does not compress the endometrium or surrounding tissues, with normal menstrual cycles and no symptoms such as abdominal pain or anemia, it typically does not affect health. Regular follow-up examinations are sufficient, and no specific treatment is required.

If the fibroid's diameter exceeds 5 cm or it grows rapidly in a short period, it may compress the uterine cavity, leading to increased menstrual bleeding, prolonged menstrual periods, and anemia. Compression of the bladder or rectum can also cause frequent urination and difficulty defecating. These conditions can affect quality of life and require timely intervention to prevent worsening symptoms.

After diagnosis of intramural uterine fibroids, regular ultrasound examinations should be conducted to monitor changes. If menstrual abnormalities, abdominal pain, or other symptoms occur, prompt medical attention is necessary. Decisions regarding observation or treatment should be made based on a physician's recommendations, avoiding self-diagnosis and delays in management.

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What should I do if I become pregnant with uterine fibroids?

In general, women who become pregnant with uterine fibroids should manage their condition through enhanced prenatal monitoring, adjustment of daily activities, attention to nutritional diet, awareness of physical symptoms, and cooperation with medical interventions. It is important to maintain a positive mindset during pregnancy and avoid excessive anxiety, as anxious emotions may affect hormone levels and jeopardize pregnancy stability. At the same time, maintain close communication with the physician to stay informed about both maternal and fetal conditions.

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Is uterine fibroid serious?

In general, the severity of uterine fibroids needs to be determined based on their size, symptoms, and growth pattern. Small fibroids without symptoms are usually not serious and do not require special treatment; however, fibroids that cause significant symptoms or grow rapidly are considered more severe and require timely intervention. In daily life, it is important to maintain a regular作息 (作息 should be translated as "routine" or "lifestyle rhythm"), avoid excessive fatigue, limit the intake of foods high in estrogen, and reduce the risk of fibroid growth.

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How are uterine fibroids caused?

Under normal circumstances, the main causes of uterine fibroids include hormonal changes, aging, endometritis, polycystic ovary syndrome, and adenomyosis. If discomfort symptoms occur, it is recommended to seek timely medical treatment at a正规 hospital. In daily life, one should maintain external genital hygiene and avoid unclean sexual activity; maintain a regular diet and balanced nutrition.

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What causes bleeding during ovulation?

In general, bleeding during the ovulation period may be caused by a temporary decline in estrogen levels, vigorous exercise, endometritis, cervical polyps, submucosal uterine fibroids, or other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Additionally, it is important to maintain menstrual hygiene, change sanitary products frequently, and avoid unclean sexual practices.