What are the complications of uterine fibroids?

Patient's question:

I am 32 years old. A few days ago, I had a gynecological examination and was told I have uterine fibroids. The doctor recommended surgery, but I refused. I said, "I'm already at this age to have surgery, what will I do in the future?" However, my tumor is still a bit large, and now I don't know what to do.

Doctor's answer:

Hello:
1. Infection and Inflammation: The transmission of fibroids is mostly a result of pedicle inversion or acute endometritis, and hematogenous transmission is extremely rare. The infection may sometimes be purulent, and in very few cases, it may form an abscess within the tumor.
2. Inversion: Subserosal fibroids can undergo inversion at the pedicle, leading to acute abdominal pain. Severe pedicle inversion, if not treated surgically promptly or if it cannot self-correct, may result in pedicle torsion and the formation of a free-floating fibroid, as previously mentioned. Inverted fibroids can also displace the entire uterus, causing uterine axial inversion.
Uterine fibroid conditions are severe. It is recommended that patients seek timely treatment and follow the doctor's advice for symptomatic management.

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