Why Does the Uterus Develop Fibroids?

Aug 26, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, the main causes of uterine leiomyoma include hormonal changes, aging, endometritis, adenomyosis, and polycystic ovary syndrome. 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 balanced diet and consume more fresh fruits and vegetables.

Generally, the main causes of uterine leiomyoma include hormonal changes, aging, endometritis, adenomyosis, and polycystic ovary syndrome. If discomfort symptoms occur, timely medical consultation and treatment at a regular hospital are recommended. Detailed analysis is as follows:

1. Hormonal Changes

Fluctuations in estrogen and progesterone levels in women, especially sustained elevation of estrogen, may stimulate abnormal proliferation of uterine smooth muscle cells, gradually forming leiomyomas. It is important to maintain a regular lifestyle, avoid staying up late, reduce intake of high-fat and high-sugar foods, and maintain hormonal stability.

2. Aging

With aging, women experience gradual changes in ovarian function and decreased hormonal regulation capacity, making uterine smooth muscle cells prone to abnormal proliferation and increasing the likelihood of developing leiomyomas. Regular gynecological examinations, such as ultrasound scans, can facilitate early detection and early intervention.

3. Endometritis

Long-term chronic endometritis can stimulate local uterine tissues, leading to abnormal proliferation of uterine smooth muscle cells and subsequently inducing leiomyomas. Under medical guidance, medications such as doxycycline hyclate tablets, metronidazole tablets, and cefixime capsules can be used to control inflammation and alleviate irritation.

4. Adenomyosis

Adenomyosis causes structural changes in the uterine muscle layer. Affected by both inflammation and hormones, local tissues are prone to develop leiomyomas. If symptoms are mild, hormone-regulating medications such as levonorgestrel-releasing intrauterine system, drospirenone ethinyl estradiol tablets, and dydrogesterone tablets can be used under medical guidance. For severe symptoms, localized excision of adenomyosis lesions can help reduce lesion-induced irritation.

5. Polycystic Ovary Syndrome

Polycystic ovary syndrome leads to elevated androgen levels in the body, indirectly affecting estrogen metabolism and causing abnormal proliferation of uterine smooth muscle cells, thereby increasing the risk of leiomyomas. Under medical supervision, medications such as ethinyl estradiol cyproterone tablets, spironolactone tablets, and metformin hydrochloride tablets can be used to regulate endocrine function, improve hormonal imbalance, and reduce the likelihood of developing leiomyomas.

In daily life, maintaining external genital hygiene and avoiding unclean sexual practices are important. A balanced diet rich in fresh fruits and vegetables, appropriate physical exercise, weight control, emotional stability, avoiding prolonged anxiety, regular gynecological examinations, and monitoring uterine health are also recommended.

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In general, the regulation and treatment of "gong han" (cold uterus) mainly include lifestyle adjustments, dietary modifications, medication, traditional Chinese medicine therapies, and moxibustion treatment. In addition, it is important to maintain emotional stability during the treatment period and avoid prolonged anxiety or depression. Regularly monitor bodily responses, and if symptoms do not improve or worsen, seek medical advice promptly to adjust the treatment plan and ensure effectiveness.

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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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What are the ways to restore normal function in cases of uterine prolapse?

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Is uterine fibroid serious?

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