Diagnostic criteria for uterine fibroids

Female friends may not pay too much attention to their own bodies in normal times, and the symptoms of some gynecological diseases are relatively hidden. Uterine fibroids are not easy to be detected in the early stages, and over time, the occurrence of the disease will be ignored, not knowing that the disease has slowly eroded your body. If you want to curb the development of the disease in the early stages, you must diagnose it early. Let's take a look at the diagnostic criteria for uterine fibroids.

Diagnostic curettage is the most commonly used, simple and easy auxiliary diagnostic method in gynecology. Its basic requirements are to explore and understand the condition of the uterine cavity and to scrape the endometrium for pathological examination. During diagnostic curettage, the depth, direction, deformation and submucosal fibroids of the uterine cavity are explored, and vaginal examination is assisted to determine the location of the fibroids and their impact on the uterine cavity. When the anterior wall fibroids protrude into the uterine cavity, the uterine probe enters in a direction that is first biased to the rear. On the contrary, if the fibroids come from the posterior wall, the probe enters forward first, and there is a sense of climbing when moving forward. Only after crossing the protruding part can it reach the fundus of the uterus. During curettage, one should feel whether the uterine wall is smooth, whether there are protrusions and sliding of tumors at the fundus of the uterus, but small submucosal fibroids are easily slipped over and missed, which is the shortcoming of diagnostic curettage. The cervix of giant cervical fibroids is stretched to more than 10 cm, and the uterus is lifted. Although the size of the uterine cavity does not change, sometimes the probe must enter 15 cm to reach the uterine fundus. It is not easy to explore the uterine cavity with this type of uterine fibroids. It requires a certain amount of experience to operate. Only by analyzing while exploring can a correct judgment be made. Another requirement for diagnostic curettage is to understand the pathological nature of the endometrium. Endometrial cancer in young women is often discovered after routine diagnostic curettage. Therefore, diagnostic curettage should be listed as a routine before uterine fibroid surgery.

Diagnostic criteria for uterine fibroids:

1. Excessive menstruation, prolonged menstruation or irregular bleeding, hard lumps may appear in the lower abdomen, a few may have pain and pressure symptoms, or accompanied by pelvic bleeding.

2. The uterus is enlarged and hard.

3. Detect growth or deformation of the uterine cavity.

4. During the curettage, a convex surface is felt in the uterine cavity.

5. B-ultrasound and/or hysteroscopy can assist in diagnosis.

Female friends must pay attention to their physical health. With the frequent occurrence of gynecological diseases, the incidence of gynecological tumors is also increasing year by year. Therefore, the prevention, diagnosis and treatment of uterine fibroids are urgent.