Health

Menstruation, prolonged anemia due to uterine fibroids – VnExpress


Prolonged menstrual disorders, the patient discovered a fibroid tumor up to 81x136mm in size after being examined at Tam Anh General Hospital in Hanoi.

Ms. Nguyen Thi Oanh, 32 years old, Ha Nam appeared a large fibrous tumor, which can be seen clearly with the naked eye. The lower abdomen is swollen and hard. She experienced menorrhagia lasting for a year, tired and pale due to anemia.

The 32-year-old woman often appears dizzy and unsteady when working. The decline in health coincided with the time of vaccination against Covid-19. Oanh thinks that vaccination can cause menstrual disorders. After a while, her health did not improve, when she examined her, the doctors said she had uterine fibroids.

Associate Professor, Doctor, Doctor Nguyen Duc Hinh – Director of the Center for Obstetrics and Gynecology at Tam Anh General Hospital in Hanoi, said that according to FIGO’s classification, the patient’s uterine fibroids are classified as type 0 (also known as polyps). uterine fibroids). The tumor has little risk of malignancy but is large, occupies the entire uterus, and the diameter of the stalk is approximately 4 cm. Uterine fibroids make the mucous membranes vulnerable, causing menorrhagia and bleeding that lasts for nearly a year.

The blood test results showed that the patient’s hemoglobin index was at 64, 50% lower than the number with a safe index of 120, diagnosing severe anemia. Ms. Oanh was prescribed surgery to remove the tumor in order to stop the menstrual bleeding, restore her health, retain the uterus, and maintain fertility.

The team of doctors at Tam Anh General Hospital in Hanoi performed surgery to remove uterine fibroids. Photo: Tam Anh General Hospital

The surgical team chose the laparotomy method to remove the tumor with an incision along the uterus to reveal the fibroid, easily removing the tumor from the uterus. The tumor was dissected and brought out, weighing 621 grams, showing signs of necrosis. The doctor ordered a cold biopsy (immediate biopsy) to confirm the tumor was benign.

Ms. Oanh performed surgery in a short time, resuscitation, blood transfusion before and during the operation. She quickly recovered her physical strength, appearing after 4 days.

Benign uterine fibroids are still dangerous

Hinh, uterine fibroids are benign in nature, so many people subjectively do not pay attention to regular monitoring and examination, even when they know they have the disease. Experts say that fibroids can still affect health.

Some common complications caused by uterine fibroids include: heavy menstruation, prolonged cycle, menstrual disorders, excessive discharge, severe menstrual pain, infertility… Many patients have Uterine fibroids experience unexplained persistent lower abdominal pain. The lower abdomen swells and swells, causing a feeling of heaviness, symptoms of hypogastric compression such as constipation, urinary retention, frequent urination …

In particular, the typical complication of uterine fibroids is affecting reproductive function. This is one of the causes of hindering pregnancy, reducing the ability to conceive, causing infertility. During pregnancy, they can cause recurrent spontaneous abortions, premature contractions, or an abnormal position. Tumors can cause some bad problems such as slow fetal growth, increased risk of placental abruption, premature birth.

Uterine fibroids greatly affect a woman's quality of life, especially reproductive function.  Photo: Shutterstock

Uterine fibroids greatly affect a woman’s quality of life, especially reproductive function. Photo: Shutterstock

Uterine fibroids can be easily detected during clinical examination by ultrasound, medical or surgical intervention depending on the condition. Therefore, medical experts recommend that women should monitor their health and get regular checkups to detect and intervene in time complications caused by the disease.

Uterine fibroids are common in women of reproductive age. An estimated 70% of women will experience uterine fibroids in their lifetime. The rate of women over 30 years old with uterine fibroids is 50%, women aged 50 years and older have the rate of 70%.

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Khue Lam

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