Symptoms of uterine fibroids growing on the posterior wall

When uterine fibroids are located in the posterior wall of the uterus, common symptoms include abnormal menstruation, symptoms of compression, and abdominal discomfort. Uterine fibroids may be related to abnormal hormone levels, genetic factors, stem cell mutations, etc. It is recommended to confirm the diagnosis through ultrasound and provide timely intervention.

1. Abnormal menstruation

Fibroids on the posterior wall of the uterus may compress the lining of the uterus, causing longer periods, heavier periods, or non-menstrual bleeding. Some patients may experience blood clot discharge or anemia-related symptoms such as dizziness and fatigue. For those with obvious symptoms, you can use tranexamic acid tablets, ethinyl estradiol cyproterone tablets, etc. to regulate menstruation as directed by your doctor, or consider oxytocin injection to improve uterine contraction.

2. Lower abdominal distension

The increase in the size of fibroids can cause persistent dull pain or bloating in the lower abdomen, which is especially aggravated when sitting for a long time or during defecation. This symptom is often related to fibroids compressing the pelvic nerves or intestines. Hot compresses may relieve mild discomfort. If it is accompanied by constipation or frequent urination, it is necessary to rule out the possibility of fibroids compressing the rectum or bladder.

3. Lumbosacral pain

Posterior wall fibroids are adjacent to the sacrum, which may cause radiating pain to the lumbosacral region and are easily confused with lumbar spine diseases. The pain worsens during menstruation or after exertion, and is characterized by a fixed retroversion of the uterus during physical examination. If necessary, bimanual diagnosis or MRI can be used to identify the condition. Physical therapy such as low-frequency electrical stimulation may help relieve symptoms.

4. Abnormal pressure urination

Large posterior wall fibroids may press forward on the bladder, causing frequent urination, urgency, or difficulty urinating. In rare cases, secondary urinary tract infection may occur, with symptoms such as painful urination and fever. It is recommended to exclude other causes through urinary system ultrasound, and occasionally an indwelling urinary catheter is needed to relieve acute urinary retention.

5. Infertility or miscarriage

If posterior wall fibroids protrude into the uterine cavity, they may change the embryo implantation environment and increase the probability of infertility or early miscarriage. Decreased endometrial receptivity is common in such patients, and hysteroscopic surgery to remove fibroids or use of gonadotropin-releasing hormone agonists such as leuprolide microspheres may improve pregnancy outcomes.

When the above symptoms occur, it is recommended to regularly review the size and location of fibroids, and perform gynecological ultrasound monitoring 1-2 times a year. The diet needs to limit the intake of high-estrogen foods such as royal jelly, and supplement high-quality protein and vitamin D in an appropriate amount. Avoid strenuous exercise to aggravate pelvic congestion, and choose low-intensity activities such as swimming or yoga. Patients with anemia should supplement iron and folic acid tablets under the guidance of a doctor. If symptoms continue to progress or the diameter of the fibroid exceeds 5 cm, the indications for surgery need to be evaluated.