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 of smooth muscle fibers that originates in the myometrium — the muscular layer of the uterus. Usually the fibroids have a rounded shape and size from several mm to several cm, although there are huge knots.
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 nodes, sometimes they're not visible, so not all women with fibroids unaware of their disease.
A typical symptom of fibroids is prolonged painful periods. With the growth of fibroids they are becoming longer and more abundant, which may lead to the development of anemia (anemia). Can still be discomfort or pressure in the lower abdomen (pelvic), there are sometimes pains 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 kidney failure (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 not assigned, but the woman needs to undergo regular inspection. If the nodes do not grow, the health and General condition is normal, the 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. your doctor may prescribe birth control pills or a more serious hormones. Medications prescribed, if the size of the fibroids is less than 9 weeks (meaning that the size of the uterus with the fibroids is the size of the uterus on the 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 (deleting nodes), or uterine 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, she was the only treatment for fibroids. It has one serious drawback — the infertility. So often agree to hysterectomy women of middle age who already do not plan to have children.
Fibroids of the uterus — is not a sentence, but to let the disease to chance is not worth it. Why every woman should regularly see a gynecologist, even if she thinks that she is completely healthy .