子宫肌瘤是一种良性肿瘤，在女性群体中发病率较高，在某些书中还有称做叫做纤维肌瘤、子宫纤维瘤。由于子宫肌瘤主要是由子宫平滑肌细胞增生而成，其中有少量纤维结缔组织作为一种支持组织而存在。
\n临床症状：
\n多数患者无症状，但是一个较小的黏膜下肌瘤常可引起不规则阴道流血或月经过多。临床上常见的症状有：
\n（1）子宫出血：这是子宫肌瘤最主要的症状，50%以上患者可出现此症状。其中以周期性出血为多，可表现为月经量增多、经期延长或周期缩短。
\n（2）腹部包块及压迫症状：肌瘤逐渐生长，可以在在腹部扪到包块，清晨膀胱充盈时更为明显。包块呈实性，可活动，无压痛。肌瘤长到一定大小时可引起周围器官压迫症状，子宫前壁肌瘤贴近膀胱者可产生尿频、尿急
\n（3）疼痛：一般情况下子宫肌瘤不引起疼痛，但不少患者可诉有下腹坠胀感、腰背酸痛。
\n（4）白带增多：子宫腔增大，子宫内膜腺体增多，加之盆腔充血，可使白带增加。
\n（5）不孕与流产：有些子宫肌瘤患者伴不孕或易发生流产，对受孕及妊娠结局的影响可能与肌瘤的生长部位、大小及数目有关。
\n（6）贫血：长期月经过多或不规则阴道流血可引起失血性贫血
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治疗方式：
\n1.随诊观察：如患者无明显症状也没有恶变迹象，可定期复查
\n2.药物治疗：在子宫肌瘤患者出血期，若出血量多，还可用子宫收缩剂（如缩宫素、麦角）及止血药物（如止血酸、氨甲苯酸（止血芳酸）、立止血、三七片等），可起到一定程度的辅助止血作用。
\n3.手术治疗
\n子宫肌瘤的手术治疗包括肌瘤切除术及子宫切除术，可经腹部亦可经阴道进行，也可行内镜手术（宫腔镜或腹腔镜）。术式及手术途径的选择取决于患者年龄、有否生育要求、肌瘤大小及生长部位、医疗技术条件等因素，下面两种手术方式较为常见：
\n（1）肌瘤切除术：将子宫肌瘤摘除而保留子宫的手术，主要用于40岁以下年轻妇女，希望保留生育功能者。
\n（2）子宫切除术：症状明显者，肌瘤有恶性变可能者，无生育要求，宜行子宫切除术。
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导致女性子宫肌瘤的原因是什么?子宫肌瘤是女性比较常见的一种恶疾，子宫肌瘤的致死率是很高的，那么导致子宫肌瘤的原因是什么呢?针对这个问题，就请专家为我们详细介绍一下导致子宫肌瘤的原因。
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一、更年期提前这是导致女性子宫肌瘤的原因之一
\n妊娠期和哺乳期，由于激素的作用，导致卵巢暂停排卵，直至哺乳期的第4-6个月才恢复，卵巢由此推迟了一定数量的排卵，有生育史的女性要较晚进入更年期。
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二、最常见的导致子宫肌瘤的原因：性生活
\n夫妻间正常的性生活方式，可刺激怀才就像怀孕，使人体激素正常良好地分泌，而长期性生活失调，容易导致激素水平分泌紊乱，从而盆腔慢性充血，诱发子宫肌瘤。
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三、抑郁
\n一些中年妇女面临着工作、家庭的双重压力，导致抑郁情绪，这样很容易促使雌激素分泌量，这也是导致女性子宫肌瘤的原因。
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以上是专家对子宫肌瘤的原因的介绍，希望能够帮助您。
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1、性生活紊乱。如果女性性生活放纵，或未成年便开始性生活，将对自己的身心健康造成损害，容易导致宫颈糜烂以及子宫肌瘤等疾病。
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2、不洁性生活也是导致子宫肌瘤的原因。性生活时不讲究卫生，子宫肌瘤的病原体可经阴道进入子宫腔内，引起子宫内膜感染。另外，男性的包皮垢对宫颈的刺激也是引起子宫肌瘤的原因之一。
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3、妊娠后性生活。妊娠初期和临产前两个月应该禁止性生活，否则会引起流产或早产，也会对子宫造成损害，从而导致子宫肌瘤。
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4、子宫肌瘤的生长与雌性激素过度刺激有关，因此子宫肌瘤易发生在卵巢功能旺盛的生育期妇女，怀孕妇女激素水平升高，子宫肌瘤也会随之增大;反之，绝经期妇女子宫肌瘤一般会停止生长，有的甚至会萎缩。
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综上所述，就是引起子宫肌瘤的原因的几大因素，仅供参考。要做好预防子宫肌瘤的工作，以上几点一定要尤其注意，患有子宫肌瘤的患者也要做好相应的预防。
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多发性子宫肌瘤是女性生殖系统最常见的良性肿瘤，多发生于35～50岁。子宫肌瘤常为多发性，并且以上不同类型肌瘤可同时发生在同一子宫上，称为多发性子宫肌瘤。据资料统计，35岁以上妇女约20%发生多发性子宫肌瘤，但多数患者因肌瘤小、无症状，而未能发现，临床上报告肌瘤发生率仅在4～11%之间。
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多发性子宫肌瘤的病因是什么呢？确切病因不明，可能与体内雌激素水平过高，长期受雌激素刺激有关。
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(一) 妊娠时雌激素水平增高，肌瘤多迅速增大;
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(二) 多发性子宫肌瘤偶见于初潮后妇女，多见于中年妇女，绝经后肌瘤多停止生长并逐渐萎缩;
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(三)卵巢颗粒细胞瘤、卵泡膜细胞瘤(可分泌雌激素)患者常合并子宫肌瘤;
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(四) 多发性子宫肌瘤多并发子宫内膜增生;
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(五)外源性雌激素可加速肌瘤生长
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以上就是五点最常见的多发性子宫肌瘤的病因。专家建议：有些疾病是隐藏在人的体内的，所以女性朋友最好定期去妇科医院进行检查，及时发现隐藏病情，及时治疗，避免隐藏病情的突袭。
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这些因素是否能促进雌、孕激素诱发子宫肌瘤的发生，目前仍然没有完整正确的定论。尽管如此，近年来流行病学的调查发现下面这些因素可能是子宫肌瘤的病因的高危因素。
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(一) 肥胖
\n近年来研究发现，肥胖与子宫肌瘤的发病率呈正相关。且妇女每增加10kg的体重可增加21%患子宫肌瘤的风险，或每增加1单位体重指数可增加6%患子宫肌瘤的风险。
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(二)年龄
\n晚生育期年龄常被认为是子宫肌瘤发病的高危年龄。
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这种年龄常为40岁左右接近围绝经期，在此期间可能存在卵巢排卵功能障碍，同时也可能是妇女在此期间已有20～30年雌、孕激素累积作用的结果。
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(三) 口服避孕药
\n目前研究发现，口服避孕药是否能增加子宫肌瘤的发病率，主要视口服避孕药的雌、孕激素组成成分而定。
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如果是含有高效高剂量孕激素为主的口服避孕药，则可降低子宫肌瘤的发病率;相反，则可提高子宫肌瘤的发病率。
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如在较早的年龄(<13～16岁)使用口服避孕药，则可明显增加子宫肌瘤的发病率。
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(四)饮食
\n尽管饮食与子宫肌瘤发病的相关性常不引起人们重视，但有研究报道，主食为动物食物的妇女，其子宫肌瘤的发病率显著高于主食为绿色蔬菜的妇女。
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另外，多食维生素特别是维生素也可降低子宫肌瘤的发病率。
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(五)种族差异
\n研究表明，美国黑人患子宫肌瘤的发病率是白人的3.4倍。而东方人子宫肌瘤的发病率又低于西方人。
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进一步研究发现，美国黑人体内有高水平的雌酮、雌二醇和游离雌二醇，从而可能促进子宫肌瘤的发生。
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(六) 精神因素：
\n工作过度紧张、压力过大或家庭不和，情感受创，情绪不佳等都可能引起卵巢功能紊乱，导致子宫肌瘤发生。
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(七) 吸烟
\n吸烟对人体健康的危害为人们所共知。但研究发现，吸烟能降低子宫肌瘤的发病率。
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一般认为，目前仍吸烟的妇女，其子宫肌瘤的发病率比非吸烟的妇女可减少50%。且吸烟的数量与子宫肌瘤的发病率呈负相关。
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(八)激素替代治疗(HRT)
\n研究发现，绝经后使用激素替代疗法的妇女，无论是单用雌激素或雌、孕激素联合应用均有促进子宫肌瘤生长的作用。
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同时还发现，绝经后使用激素替代疗法的妇女，可明显提高子宫肌瘤的发病率。
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(九)外源性雌激素类物质
\n主要为环境中的有毒物质，其作用机制较复杂，有拮抗雌激素作用的物质，也有促进雌激素作用的物质。
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新近研究发现，农业使用的杀虫剂——二氯二酚三氯乙烷(DDT)及其类似物有雌激素源性的作用，可促进子宫肌瘤的发生。
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(十) 月经初潮的年龄和分娩次数
\n研究发现，月经初潮年龄越早，则子宫肌瘤的发病率越高。
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<12岁月经初潮的女性，其子宫肌瘤的发病率显著高于>16岁月经初潮的女性。
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近年研究发现，有生育能力妇女子宫肌瘤的发病率显著低于不孕的妇女，并且随着妊娠次数的增加，子宫肌瘤的发病率逐渐下降，其原因可能为妊娠可减少雌激素作用的时间。
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(十一)遗传
\n子宫肌瘤没有明显的遗传倾向。但直系亲属妇女中往往同时出现肌瘤。家族里面的姊妹或母女，如果其中一个长有肌瘤的话，其它人也容易长有肌瘤。
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以上就是最主要导致子宫肌瘤的病因的因素，希望对您有所帮助。另外专家建议女性朋友定期去医院妇科进行体检，及时发现潜伏期的疾病，早发现早日治疗，并且改善自己的饮食，锻炼自己的身体。
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患有子宫肌瘤其实对受孕也有一定影响，有可能会导致不孕的，所以就算想怀孕，有时也是比较难怀上的。影响受孕的机制主要有下面几点：
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1、如果子宫肌瘤长在宫颈部位的话，由于子宫颈管受肌瘤的压迫，会让精子的运行改变，或是让颈管位置有改变，从而让颈口偏离精池，影响精子上行，从而导致受孕受影响。
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2、在子宫腔内的粘膜下肌瘤，会阻碍精子的着床，另外肌瘤如出现出血，坏死等现象易引起子宫内膜炎，这对受孕也是有影响的，炎症易导致不孕。
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3、肌壁间肌瘤大的话会让子宫腔变形，影响精子上行，对受精卵着床和胎儿发育都会有影响。
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4、在阔韧带和子宫角的肌瘤，大到一定程度是可以压迫、扭曲输卵管的，这无疑也不利于精卵的运行，易造成不孕。
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5、子宫肌瘤有时会并发其它症状的，如出现子宫内膜异位症，附件炎等，这些也会导致不孕。
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通过上面的介绍，可见有子宫肌瘤是不可以怀孕的，尤其是大的肌瘤，更是会影响受孕，就算受孕成功了，对胎儿也是有很大影响，易造成流产并出现其它的一些不适，困此建议有子宫肌瘤的女性最好是治疗后再怀孕，当然如果瘤体小，没症状又急于怀孕，经过检查对怀孕影响不大的，那么也是可以考虑先怀孕的。
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