Fibroids also called as uterine fibroids, fibromas or myomas are benign tumors of uterus. They are not involved in any life-threatening activities. As they are benign in nature, they are not responsible for causing cancer. They are very common in women throughout the globe. However, they are mostly prevalent in African American women. Caucasian women have 50% less probability of having fibroids as compared to non-caucasians. For the most part, they are innocuous and not linked with any sort of malicious activities. Rarely, these may become a source of nuisance and can cause some serious risks to life.
Key points for TCM diagnosis
(1) Progressive increase of menstruation, prolonged menstruation, or irregular uterine bleeding and even secondary anemia as well as symptoms of bladder and rectum pressure when tumor is enlarged.
(2) Gynecological examination. Irregular enlargement, hardening, normal movement and no tenderness of the uterus.
(3) Type B ultrasonic examination, hysteroscopy and abdominoscopy are helpful for accurate diagnosis.
(4) It should be differentiated from gravid uterus, ovary tumor, metrauxe, adenomyosis, pelvic inflammatory mass and deformity of uterus.
Five syndromes of fibroid categorized in TCM diagnosis
Syndrome of qi stagnation and blood stasis
Syndrome of qi asthenia and blood stasis
Syndrome of mixture of phlegm and stasis
Syndrome of cold coagulation and blood stasis
Syndrome of yin asthenia and liver hyperactivity