Uterine fibroids: symptoms, treatment and pictures
Uterine fibroids – a problem familiar to many women, as this tumor is the most common of all neoplasms in the small pelvis organs. Statistics say that every fifth woman in the reproductive age, it is possible to observe the uterine fibroids and the risk of disability after age 30 increases even more.
The origin of the tumor of the uterus
Uterine fibroids – benign tumor of the character, which is a tumor of connective tissues up to 20, sometimes 30 cm. it is Important to note that uterine fibroids, despite the fact that you are the tumor that almost never transform into malignant tumors. However, in 2-3% of cases, physicians are faced with a moment of rebirth, so it is impossible to completely exclude the occurrence of cancer.
The reason for the appearance of the tumor is still not established, however, in medicine there is already a clear definition of time to the possible occurrence of fibroids. Based on years of observations, it was concluded that the tumor appears only in girls after the first menstrual cycle and childbearing age. Neither before nor after this period, the fibroid is not formed in the female body, and existing sightings are extremely rare, and they can be attributed to anomalous phenomena.
These data allow us to draw a simple conclusion that the risk of fibroids increases dramatically during periods of increased estrogen, and therefore, there is a direct correlation between hormonal and fibroids.
The increase in the concentration of hormones in the body occurs not only during pregnancy but also when taking preparations that contain high amounts of hormones. In addition, there are several key factors that, according to doctors, are determining to start the process of tumor formation of the uterus:
- Quite the late start of menstrual cycle;
- Multiple diagnostic curettage of the uterus, and the numerous abortion;
- The lack of birth to the turn of the 30-years anniversary;
- Irregular sexual life.
Symptoms of uterine fibroids
Usually, uterine fibroids are generally in no way themselves could not take a long time and find it, in many ways, by accident, on a scheduled gynecological examination. And only 20% of women the swelling of the uterus can manifest in the form of certain manifestations, which are strictly dependent on the lesion, size, and how much was formed fibroids nodes.
Often a symptom of acts is long, plentiful and rather painful bleeding during menstruation,and all this can even lead to anemia. Sometimes you can see if fibroma violation of the menstruation cycle. If fibrouznye nodes reach a significant size, you can feel the heaviness and discomfort in the pelvic area, which are caused by pressure of the tumor on the nearby joints and organs.
Perineal pain and lower back pain can be caused by the fibroid begins to exert pressure on the nerve plexus, the bladder. In the second case, the woman begins to feel the constant urge to urinate. When pressure on the rectum, the patient is having problems with normal bowel movements, which flow into a chronic constipation. And during intercourse may be felt a sharp pain.
Treatment of the uterus
First and foremost, it is necessary to pass survey at the gynecologist-endocrinologist. Moreover, with uterine fibroids, this should be a survey that will systematically until the tumor is removed.
The fact is that small uterine fibroids requires the constant monitoring of its growth, and if there are no contraindications and inconvenience, such a tumor requires absolutely no treatment or intervention.
Any conservative treatment is only meaningful if it is due to the large size of the tumor and the beginning of the manifestation of specific symptoms. Thus, in the first place doctors offer hormone therapy, which should lead to the suppression of the production of a large number of estrogen.
For this purpose, preparations based on derivatives of androgens, for example: Danazol, Gestrinone, Buserelin. However, such therapy should be approached with sufficient caution, as there may be quite serious side effects.
To slow the growth of uterine fibroids used intrauterine hormonal compound "Mirena". The preparation includes progestin hormones, the presence of which has an overwhelming impact on the growth of uterine fibroids. In addition, for the oppression and slow the growth of uterine tumors can be used for Janine, Regulon, which provide the inhibition and knots fibroids.
However, the therapy is based not only on the use of drugs is strictly hormonal sense, medicine today offers painkillers, antispasmodics, vitamins if the symptoms suggest pain syndrome high-level.
If a tumor of the uterus reaches a significant size, and begins tissue necrosis, need prompt surgicalintervention. During the operation on the woman of reproductive age, which still plans children, surgeons always carry out the intervention so that the damage is touched as can a smaller number of tissues, for example using the technique of laparoscopy.
Is enucleation fibroadenoma node, after which the uterus remains completely in normal and healthy functional state, and the girl can get pregnant. Another modern variant of a surgical intervention allows to block the vessels feeding the fibroid, resulting in the growth nodes of the tumor completely stops.
There is a completely radical method of dealing with fibroids, it is a complete removal of the uterus. This operation can be performed a woman if she is not planning any more children.
Prevention and pregnancy
Some specific methods or recommendations prevention plan for uterine fibroids does not exist. Doctors remind that you can eliminate the risk factors, which we mentioned in the beginning of the article, and it is already seriously lower the chances of tumor formation in the uterus.
Another important point concerns the tumor during pregnancy because many questions exist on the subject of how fibroids dangerous to fetus and for the woman.
Let's start with the fact that if a tumor of the uterus are asymptomatic, it is absolutely not harmful, however, if the tumor is large enough in size, it can lead to incorrect position, first the embryo and then the fetus. This option necessarily affects the child's development in the womb.
Another danger lies in the possibility of miscarriage or early premature birth. Large fibroids can lead to the fact that it would be impossible to hold the natural act of birth, and will have to perform a caesarean.
The most unpleasant position of the fibroids can be fixed if it is right at the cervix.
The fact that such a localization of the tumor, become an obstacle to the passage of the head of the fetus during the tribal journey. All these factors lead doctors to the conclusion that the observation of a fibroid of the uterus in the pregnant patient is improved, and the tumour, if possible, to remove.
It is important to note the fact that a small tumor of the uterus, which occurs without symptoms, can be an obstacle to pregnancy, however, if the fibroid blocks the fallopian tubes, the sperm cannot reach the egg and fertilize it.