What are the initial symptoms of uterine fibroids?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I also feel extremely cold and afraid of the cold. What are the early symptoms of uterine fibroids?

Doctor's answer:

1. Irregular menstruation: Irregular vaginal bleeding is the most common symptom of uterine fibroids, occurring in more than half or more of the patients.
2. Abdominal mass: A lower abdominal mass is a common complaint among uterine fibroid patients, accounting for up to 69.9%.
3. Pain: Approximately 40% of patients experience abdominal pain, 25% experience lower back pain, and 45% experience dysmenorrhea; some may also experience a sense of lower abdominal fullness or lower back pain, which is usually not very severe.
4. Symptom control: Due to the different growth locations and sizes of uterine fibroids, various control symptoms may occur, such as controlling the bladder, urethra, or rectum, leading to frequent urination, difficulty urinating, urinary retention, or constipation.
5. Abnormal leukorrhea: A reduced uterine cavity, an increase in endometrial glandular tissue, and pelvic congestion or inflammation can all lead to increased leukorrhea.

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