Fibroids (fibromyoma) is a benign tumor of the muscle (muscle and connective) tissue.
What are uterine fibroids?
Uterine fibroids arises from the fact that uterine cells spontaneously begin to actively share. The causes of this phenomenon is not fully understood, but found that it is stimulated by hormones and is primarily associated with increased secretion of estrogen. Roughly speaking, estrogens stimulate the growth of fibroids, and progesterone, in contrast, cause its return development. This, however, does not mean that the normal balance of the content of estrogen and progesterone in the blood clearly indicates the absence of fibroids. The fact that local changes in the level of estrogen in the uterus are often not reflected or reflected very little on the content of this group of hormones in the blood.
Common fibroids frequently, according to medical statistics it is diagnosed in 20% of all women who have reached the age of 30. Moreover, in most cases, in the uterine wall appears not one but several tumor nodules of various sizes.
Fibroids are different, some can “sit” in the wall of the uterus, the other bulges in the abdominal cavity, and others — in the uterine cavity.
Since the main cause of the disease — a hormonal shift, namely the increased content in the body of female hormones, fibroids almost never bother young girls and women at the time of menopause. But with 25 to 50 odds of getting it are very high. Especially sharply this probability increases during pregnancy, in inflammatory processes of genital organs and General decline of immunity.
What can cause the appearance of fibroids
- genetic predisposition (uterine fibroids were my mom or grandmother)
- problems with the menstrual cycle;
- infertility and miscarriage
- metabolic disorders (obesity, diabetes)
- numerous abortions
- in addition, not so long ago scientists have discovered that there is a direct link between uterine fibroids and stress.
How to recognize?
Uterine fibroid is usually asymptomatic. However, there are some signs that a woman may suspect a uterine myoma:
- excessive bleeding during menstruation;
- breaking the cycle
- pain in the abdomen or lower back.
Although fibroids can live many years without even knowing about its existence, the disease can cause a lot of trouble and. For example:
- excessive bleeding may lead to anemia
- node enlarged tumor may compress the adjacent organs, and then there is pain, problems with urination, occur constipation;
- if the fibroids are not completely immersed in the wall of the uterus, we must be wary of torsion “legs” (the part that connects the tumor with the uterus), in this case, woman faces death of tumor, inflammation and rupture; it is manifested by bleeding, acute abdominal pain and sharp rise of temperature;
- yet another complication fibroids — problems with conception, pregnancy and childbirth.
Uterine fibroids – Diagnosis and treatment
The only reliable way to detect fibroids — once a year to go on routine inspection to the gynecologist.A good specialist can detect the tumor site to the touch, but to confirm the diagnosis, will send the patient for an ultrasound. In doubtful cases may require laparoscopy (endoscopic examination of the uterus through a small puncture in the abdominal wall) and hysteroscopy (an optical instrument inserted through the vagina and cervix).
To determine the size of fibroids gynecologists use the analogy of pregnancy. When they say “the fibroids three months”, it means that the uterus because of tumor nodules grew to the size corresponding to pregnancy for a period of three months.
Treatment of fibroids depends on the age of the patient and plans. If for many years fibroids does not increase, and pregnant woman is not going to, many doctors offer to treat the tumor pills. Hormones allow you to slow and in some cases to stop the growth of fibroids.
Young women who want to have a baby, doctors advise not to postpone the surgery. The most sparing — myomectomy, when cut out only the hosts themselves: the uterus is almost not damaged and, further, may be a normal pregnancy. This surgery can be done endoscopically through several small punctures in the abdominal wall. This method allows you to avoid scars and significantly reduce the time of hospitalization. If tumor nodules are very large, or too much, you have to remove the whole cervix or even the uterus with appendages.