Uterine fibroids: symptoms and treatment
Women's health — the thing is quite fragile. Even if a woman tries to lead a completely healthy lifestyle, it is, unfortunately, still not immune from the diseases of "a female part". One of the most common of such diseases fibroids of the uterus.
Uterine fibroid (myoma, leiomyoma) is a benign tumor from the smooth muscle fibers, which appears in the myometrium - the muscular layer of the uterus. Usually the nodes of myoma have a rounded shape and a size of several mm to several cm, although there are also huge nodes.
Uterine fibroids depends on the content of hormones in the body, so it appears at reproductive age and after menopause usually begins to regress (if the woman is postmenopausal not taking estrogen preparations). But the exact cause is unknown .
Uterine fibroid is the most common tumor in women. According to various sources, it occurs in 25-50% of women of reproductive age (usually aged over 30 years). The symptoms of fibroids depend on the location of the nodes, sometimes they are not too noticeable, so not all women with fibromioma suspect of their disease.
A typical symptom of fibroids is prolonged painful periods. With the growth of fibroids, they become more and more prolonged, which can lead to the development of anemia (anemia). There may also be a feeling of discomfort or pressure in the lower abdomen (in the pelvic region), sometimes there are pain during sex.
If a uterine fibroid presses on nerves that go to the pelvis and lower extremities, the disease may be accompanied by pain in the loins, back, buttocks. If the tumor presses on the urinary system, you may experience frequent urination (including at night), less often - disruption of the kidneys (due to pressure on the ureter).
Due to the fact that fibroids symptoms are varied and vague, a woman may go to different doctors. But to identify the tumor on examination by a gynecologist. Primary the diagnosis is confirmed or refuted by ultrasound. Sometimes you may need CT or MRI.
Knowing that they have uterine fibroids, many women perceive this diagnosis almost as a sentence, building a mental Association with a tumor — surgery — infertility. Actually, it's not so bad. Hysterectomy (removal of the uterus) is only applicable in the most extreme cases, so don't panic .
The choice of treatment depends on the severity of symptoms, as well as the size and location of the nodes. If a woman does not experience discomfort, and the nodes are small, your doctor may offer a "careful waiting". In this case, no treatment is prescribed, but the woman should be examined regularly. If the nodes do not grow, well-being and the general condition is normal, fibroids can not be treated.
But if tumor growth continues, and the symptoms appear or increase, your doctor may suggest one of the existing methods of treatment. Uterine fibroids treated medication. the doctor may prescribe birth control pills or more serious hormonal medications. Medications are prescribed if the size of the fibroids does not exceed 9 weeks (meaning that the size of the uterus with fibroids corresponds to the size of the uterus at the indicated time of pregnancy, i.e., 9 weeks).
If the fibroids size of uterus corresponds to 10 weeks of pregnancy and more treatment will be surgical. It can be myectomy (delete nodes) oruterine artery embolization. Embolization is the occlusion of vessels supplying the tumor with blood, causing the fibroid stops growing and even shrinks.
Finally, a last resort is a hysterectomy, surgical removal of the uterus. Previously, it was the only treatment for fibroids. She has one serious drawback - infertility. Therefore, middle-aged women agree more often on hysterectomy, who no longer plan to have children.
Fibroids of the uterus — is not a sentence, but to let the disease to chance is not worth it. Therefore, every woman should be examined regularly by a gynecologist, even if she thinks she is completely healthy .