Fibroids of the uterus. All about the disease, its symptoms and treatment
Fibroids of the uterus are benign maturea tumor that consists of connective tissue and comes from the walls of the uterus. The size of the fibroid may be different, the minimum size may be less than a millimeter, and the maximum size may be up to several centimeters. The appearance and growth of the fibrotic tumor proceeds without visible and tangible signs. Fibroids of the uterus can be of two kinds: either it is a cluster of nodes, or one seal.
According to statistics, this disease is diagnosed inWomen, the average age of which varies from 30 to 40 years. This is a type of tumor that often occurs in women, which only in 25% of cases requires removal, in other cases, fibroids are not dangerous and are treated medically.
There are several types of fibrosis. Their classification is based on the location of the tumor within the uterus.
- Submucosal fibroids. Such a fibroid grows under the uterine membrane, inside the uterine cavity. With the growth of this fibroids, pain and spasms often occur, bleeding occurs.
- A subserous fibroid. This type of tumor is formed outside the uterus on the outside. Fibromas of this type do not manifest themselves in any way, until they become such a size that interferes with the work of neighboring organs.
- Interstitial fibroid of the uterus. This tumor is very common, it is formed on the walls of the organ. The growth of such fibers leads to an increase in the size of the uterus.
- Interconnected fibroma. This type of fibroma is formed between the supporting ligament of the uterus. Removal of these tumors is very risky, there is a high probability of damage to blood vessels and other organs.
- Stem fibroid. This kind of fibroids appears as a result of the formation of the stem in a subserous tumor. The increase in stalked fibroids is accompanied by an excess of the leg and leads to severe pain.
- Parasitic fibroids. These fibromas are very rare, they are characterized by the fact that tumors join other organs, and this can lead to cervical uterine fibroid.
Fibroids of the uterus: symptoms
In most women with uterine fibroids, the disease is asymptomatic and only 16-25% show symptoms.
The presence of a tumor of the uterus can be accompanied byprofuse menstruation (menorrhagia), turning into bleeding, which often cause anemia. In some cases, uterine bleeding has an acyclic character.
Menorrhagia is characterized by severe pain andspasms, and also allocation of dark blood clots. Pain often occurs in the intermenstrual period. In case of uterine fibroid a woman feels heaviness in the lower abdomen, pressure on the stomach, pain during urination and during sex, and frequent flatulence. With this disease, all these symptoms can be observed together, as well as any one or several separately.
Fibroids of the uterus: treatment
Methods of treating a tumor can be different, they depend on the size, type and stage of fibroid growth. All women who have this disease are under the supervision of a gynecologist.
If the patient is concerned about pain, bleeding, andspasms, then they prescribe drugs that remove or minimize these symptoms. With severe pain prescribed strong painkillers, and with severe bleeding recommend taking drugs with a high content of iron. Also, to slow the growth, fibromas are prescribed for taking birth control medications or hormonal therapy, which reduces the level of estrogen.
Another option is embolizationFallopian tubes. In this procedure, there is a blockage of blood vessels, through which the flow of blood to the fibroids stops and it stops growing. Such treatment is often used in tumors for which surgical intervention is dangerous.
But in general, the treatment is aimed at removing fibroids. There are several operations that make this possible.
Hysterectomy is a type of surgery that removes fibroids along with the uterus.
Myomectomy is an operation that removes fibroids without removing the uterus. Such an operation is used for women who are of childbearing age and plan the birth of a child.
Hysteroscopic resection is a procedure in which fibroids are removed through the cervix. In this operation, a microchamber and the necessary instruments are inserted through the cervix.