Signs and treatment of uterine fibroids. How to remove large fibroids

Symptoms of uterine myoma. How to remove a large myoma

Myoma is a benign neoplasm of the muscle layer of the uterus. It is most often found in women over 30 years of age. In gynecology, a clear classification of the disease is accepted, the pathology is thoroughly studied, operations are successfully performed, doctors can provide complete information even on how to remove large myomas.

Types of uterine fibroids

When diagnosing, doctors must specify the size of the fibroid node. It is indicated in centimeters or weeks. For example, if the medical documentation states "myoma 10 weeks", it means that the size of the uterus together with the formation corresponds to the size of the uterus at the same period of pregnancy.

The clinic uses the classification of fibroids based on the location of the fibroid node:

1. Interstitial (intramuscular, intramural). It is the most common type of pathology, it can be diagnosed at an early stage of development. Treatment of interstitial myoma of the uterine body is carried out by a conservative or operative method.
2. Submucosal (submucosal). The formation is formed under the mucous membrane. Why is submucosal myoma dangerous and what is it - these questions are covered on the pages of our website https://dobrobut.com/.
3. Subserous (subperitoneal). Such a myoma is located in close proximity to the sheet of peritoneum that covers the uterus. The causes of subserous fibroids are a violation of the hormonal background of a woman, frequent childbirth, abortions, sexually transmitted infections.

With the diffuse form of myoma, there is no clearly defined node, but the growth of the muscle layer of the uterus is revealed. Myoma can be on a broad base and on a leg - the properties of such types of pathology are almost the same. The latter form of formation is considered more dangerous, because there is a constant danger of twisting the leg of the myoma or its detachment with subsequent massive bleeding.

Symptoms of uterine myoma

Often, the disease is asymptomatic and is diagnosed only during a preventive examination. Typical symptoms of pathology:

• pain in the lower abdomen with radiation to the lower limbs and back - characteristic of the period between menstruation;
• violation of the duration of the menstrual cycle;
• periodic bleeding between periods.

It often happens that a woman cannot get pregnant, she is diagnosed with infertility, and during the examination it is found out that the cause is a uterine fibroid.

Active growth of the fibroid node leads to an increase in the abdomen against the background of maintaining the total body weight. A woman can pay attention to the phenomenon of severe pain after physical exertion or sexual intercourse, sharp psycho-emotional changes.

Diagnosis of the disease

An experienced gynecologist can suspect the presence of a benign formation of the uterus when examining a patient on a gynecological chair - the uterus will be enlarged, and palpation reveals its lumpiness. Additional examination is important - for example, signs of intramural uterine myoma on ultrasound will be noticed already at the initial stage of growth of the node. The final diagnosis can be made thanks to an ultrasound examination, after which the doctor prescribes treatment. But computer tomography may also be needed, which will allow us to understand the degree of expression of the pathology.

Treatment of uterine myoma

Treatment is carried out by conservative and operative methods. The choice of a specific method is carried out taking into account several factors:

• presence of symptoms and their intensity;
• the size of the tumor;
• degree of spread;
• localization of the node.

Remedies for the treatment of fibroids, which are used in the conservative method:

• hormonal drugs to normalize the menstrual cycle;
• antibacterial and anti-inflammatory agents (in the presence of infectious diseases).

If conservative therapy is ineffective or a large fibroid is diagnosed, a cavity or laparoscopic operation to remove the uterus is performed. Indications for such treatment:

• the size of the fibroid node is more than 12 weeks;
• too fast growth of formation;
• frequent and massive bleeding;
• intense pain;
• previously diagnosed endometriosis.

Uterine artery embolization for uterine fibroids is a modern method of treatment. Its essence is to stop the blood flow through the arteries that feed the fibroid node. This is a non-invasive method of treatment, which is carried out under x-ray control and with the use of local anesthesia. The results of such treatment are atrophy of the node and reduction in its size. Relapses are rare.

Popular questions

Uterine fibroids are often diagnosed, so women have a lot of questions about it. Some of them are:

1. What to do with the symptoms of the growth of a fibroid node? It is necessary to urgently seek qualified medical assistance. Competent treatment prevents the development of the pathological process and its complications.
2. How to treat myoma during menopause in women? During this period, the reproductive function fades, so conservative therapy will be effective. But the doctor makes the final decision on the choice of treatment tactics.
3. What are the consequences of cervical myoma during pregnancy? This location of the formation can lead to miscarriages, premature births and the impossibility of natural childbirth. Most often, a woman undergoes a cesarean section, and after the birth of a child, treatment for uterine fibroids is selected.
4. How to cure multiple nodular myoma of the uterus? In this case, surgical intervention is prescribed. A decision may be made to remove the uterus.

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