What are the symptoms of uterine fibroids?

Feb 21, 2025 Source: Cainiu Health
Disease description:

I have a friend with an abdominal mass, and we are unsure whether it is a uterine fibroid. Could you please tell us, Doctor, what are the symptoms of uterine fibroids?

Doctor's answer (1)
Dr. Zhang Lu

Uterine fibroid symptoms include menstrual abnormalities, abdominal masses, increased vaginal discharge, pressure symptoms, and abdominal pain.

1. Menstrual abnormalities: Uterine fibroids may cause enlargement of the uterine cavity and increased endometrial surface area, thereby affecting uterine contractions and resulting in heavy bleeding.

2. Abdominal mass: As the fibroid gradually enlarges, a mass may be felt in the lower abdomen, especially in the early morning when the bladder is full and the patient is fasting.

3. Increased vaginal discharge: Fibroids increase the surface area of the uterine cavity and stimulate increased secretion from endometrial glands, leading to increased vaginal discharge. If infection occurs, purulent or blood-tinged discharge may develop.

4. Pressure symptoms: Larger fibroids may press on the bladder, causing symptoms such as frequent urination, urgency, difficulty urinating, or urinary retention.

5. Abdominal pain: Acute abdominal pain may occur when fibroids undergo red degeneration, when there is torsion of a pedunculated subserosal fibroid, or when a submucosal fibroid prolapses.

If you experience these symptoms or suspect you may have uterine fibroids, seek medical attention promptly and follow your physician's recommendations for diagnosis and treatment.