Despite the frightening name, this is one of the most common gynecological diseases. The myoma of the uterus accounts for 12 to 25% of all problems with women’s health. This disease is also called fibromyoma or leiomyoma. In fact, it is a benign tumor that occurs in the muscular layer of the uterus.
Most often this disease comes already in adulthood, before the menopause. The emerging nodes grow from a few millimeters to centimeters, but can rapidly increase and weigh even kilograms. The reasons for the appearance of such formations are not completely clear, it is obvious that hormones are to blame for this.
For a long time, the nodes were removed surgically, in the most neglected cases – along with the uterus. But now non-surgical methods have appeared.
In any case, the combination of the words “swelling” and “womb” causes a woman to panic. Many myths are guilty of this, which misrepresent both the disease itself and the methods of its treatment.
Myoma of the uterus means a precancerous state of the body. Many people consider myoma as a cancer. In fact, the disease has nothing to do with oncology, does not cause cancer and is not even a factor contributing to its appearance. In smooth muscle cells of the uterus, a malignant tumor can only be leiomyosarcoma. But among tumors of soft tissues this variant is extremely rare. It arises in the uterus not as a result of the development of uterine fibroids, but as an independent phenomenon. So myoma can not cause cancer, do not rush to perform a radical operation. But it is usually with the help of such a myth that doctors convince patients to remove the entire uterus. Rapidly growing nodes also should not make one suspect cancer, this is proved by numerous studies. This development is caused by changes in the nodes themselves and their edema. Therefore, the doctor’s statement about the connection of fibroids with a possible oncological disease and recommendations to radically solve the problem only indicates that it is necessary to replace a specialist. True, it is still about malignant diseases of the uterine muscles. If there are no cancer cells in the myoma, then where are the guarantees that they will not appear in other parts of the organ – in the mucosa or the cervix? But prevention and early detection of cancer cells are well known and available. And these processes are not connected with myoma, so it’s not worth the diagnosis.
Myoma of the uterus appears because of hormones, it is necessary to take tests on them in time.
Usually, when a woman is examined with a uterine myoma, she does not need hormone tests. Sometimes a doctor can prescribe such a study, hoping that it will help him to understand the causes of education and the choice of subsequent treatment. However, myoma is a local pathology of the muscular membrane of the uterus. Each node begins to grow due to damage to one cell. And hormones in no way affect the appearance of a defect and the development of nodes. Myoma can be found in a woman with a normal cycle of menstruation, even with this disease, you can get pregnant and give birth. And the choice of methods of treatment is not determined by the level of hormones. So in such a study there is no need. If a doctor imposes him, he simply does not understand the nature of the disease. Will he then be able to find the right treatment?
When a miom is immediately necessary to do a scraping (cleaning).
This procedure is not suitable for all patients with uterine myoma. For scraping the uterine cavity a number of indications must be observed. These are polyps found with the help of ultrasound, incomprehensible uterine bleeding, endometrial hyperplasia, complaints about spotting during the period between menstruations. In all other cases, when a woman has regular menstruation, when ultrasound is clearly visible on the ultrasound and without pathological changes, it is sufficient to perform an aspiration biopsy. This procedure is painless, carried out without anesthesia on an outpatient basis. It, as well as curettage, can give the necessary information on the status of the mucous membrane of the uterus.But such methods in any case, nothing will tell you about the condition of the nodes, as often explained to patients. Research is required to rule out the pathology of the mucosa. Otherwise, it will not be possible to carry out such treatment, which would preserve the entire body.
Myoma of the uterus must be actively treated.
If the uterine myoma is not accompanied by unpleasant symptoms, and the woman does not intend to give birth, then it is not necessary to treat it. Not all nodes are constantly growing during the reproductive period. Some may stop in their development or slowly progress. If such formations of the uterus cavity are not deformed and do not affect the life of a woman in any way, it is enough to simply observe them. But the patient herself may not understand that something unusual is happening to her – profuse bleeding during menstruation, pressure on the bladder, abdominal growth. So in any case it is necessary to undergo regular examination at the gynecologist, to do ultrasound, to monitor the level of hemoglobin. His fall, for example, can speak of an incorrect estimate of the volume of blood during menstruation. The growth of the abdomen or waist can be considered a set of weight, rather than an increase in myoma nodes. Do not agree to surgery if there are no clear symptoms of the disease.
Even a small fibroid should be removed.
Doctors recommend removing fibroids simply for the purpose of prevention. But there is no way to predict how these knots will grow and the disease develop. Therefore, there is no need for surgical interventions, including the removal of the whole uterus. An exception can only be the patient’s unwillingness to have children at all. When choosing methods of treating an organ, a doctor can not rely on his only assumptions about the prospects of a disease or inaction. Myoma of the uterus is known for its unpredictability in terms of growth. The disease should be evaluated in its dynamics, taking into account the age of the patient, her complaints, plans to become pregnant in the future. Myoma of the uterus in menopause will pass, that is, it has its logical end. You can not treat the uterus, only as an organ for embroidering children. It plays an important role by participating in various processes in the body. Thanks to the uterus, a full sexual life follows, it forms an orgasm. Without this body, the risk of cardiovascular diseases, metabolic disorders will increase. Hundreds of studies are convincing evidence of this. Some gynecologists forget about this, persuading the patient to solve the problem radically.
uterine removal is a simple and quick solution to a problem.
Removal of this organ is not at all a simple and safe operation that does not affect the body in any way. It can not be considered as the main way to treat uterine fibroids. Even the most simple surgical intervention can have serious consequences, up to a lethal outcome. That is why it is difficult to predict the occurrence of possible complications. Competent surgeons say that the best surgery is the one that managed to be avoided. Intervention should be carried out only on strict indications and when there is no way to do without it if there is a direct threat to the patient’s life or quality. If it remains possible to preserve the uterus, it is better to do it. In domestic medicine, after the diagnosis of “uterine myoma” is most often removed the entire body without offering treatment options. Doctors inspire the myth of the safety of removal of the uterus, assuring her of not much need for the body. Frightened by the diagnosis, the patients agree to do everything to avoid the terrible consequences. But what will happen to a woman after removal of the uterus with or without appendages is known. The risk of developing cardiovascular diseases will increase, malfunctions in the endocrine system will start, weight will grow, sex will worsen, the risks of malignant tumors will increase. It is worth remembering also about failures in the nervous system, mood swings, loss of motivation. And such changes will appear not immediately after the operation, but gradually, for several years.Patients do not even associate these symptoms with a previous operation, attributing them to other diseases. Gynecologists also do not see these women, believing that they have no problems. It is not possible to consider removal of the uterus as the only possible and simple method of treating fibroids. This is the last step, which should be resorted only in the most extreme cases. It is necessary to be afraid of the doctor who considers operation simple, giving positive statistics of successful outcomes without complications.
Myoma needs to be cut.
If a woman does not plan a pregnancy in the near future, then removing the myom is absolutely pointless. Now there is a good alternative – embolization of uterine arteries, or EMA. Removal of nodes from the uterus is called myomectomy. In most cases, this operation allows temporarily restore the anatomy of the uterus, so that a woman can bear the child and give birth to it. But this temporary effect and the recurrence of node growth are quite high – up to 10-15% per year. If you do not plan to have a baby or if you have symptomatic uterine fibroids, then it’s better to choose an EMA. Such a procedure with a probability of up to 96-98% can remove all the symptoms of uterine fibroids, that is, directly improve the quality of life of a woman. The probability of recurrence is small, it is only 2% for the entire observation period. And most often problems are associated with the restoration of blood flow, that is, can easily be solved by an additional procedure. EMA is able to permanently solve the problem of uterine fibroids. In this case, the woman avoids anesthesia, intracavitary surgery. And with laparoscopic surgery complications appear even more often than with conventional laparotomy. Yes, and a long operation under anesthesia will be accompanied by blood loss, relapse. Is this the best option to eliminate heavy menstruation or feelings of pressure on the bladder? You can just do embolization of uterine arteries.
There is a fibroid – you can not visit the bath and sunbathe.
Women with this diagnosis are not forbidden to go to baths, saunas, sunbathe, and take a massage. There is no scientific evidence of the effect of these procedures on the growth and development of myoma nodes. There is simply no connection between the sauna and the growth of formations on the uterine cavity, reflections on this subject are purely speculative. This does not mean that you can sit for hours on end in the sun or sit in the sauna. Just the presence of such a disease does not make you make strong restrictions on your lifestyle. One should reasonably limit oneself, observing moderation and not abusing pleasures.
If myoma is present, then it will never be possible to give birth.
Myoma of the uterus is rare, when in itself is the cause of infertility. However, this disease can prevent a successful pregnancy. So, before going through fertilization, the myomatous nodes are better, in the opinion of some specialists, nevertheless removed. But the course of pregnancy can affect those formations that grow inside the uterine cavity or deform it. True, not all nodes are potentially dangerous, some are small or grow outside. First, we need to correctly assess the importance of the formations for pregnancy and understand that it is more risky to carry a child with fibroids or scars on the uterus as a sign of removal of the nodes. Recently, more and more women have decided to have a baby with myomatous nodules. Reproductive specialists have recently achieved good results with ECO-fertilization, even with such a violation on the uterus. Modern medicine is not afraid of uterine fibroids in terms of bearing a baby and its appearance. Where more trouble is to be expected from scars on the uterus after removal of the nodes. They can be poorly sewn, which is fraught with rupture of the uterus, ingrowth of the placenta and other complications.
The ultrasound can accurately determine the size of the fibroid.
Evaluation of the dynamics of growth of myomatous nodes with the help of ultrasound is considered insufficiently accurate. For objectivity use another method – MRI.Often a patient with a uterine myoma is told that her nodes have recently increased significantly in size, which ultrasound showed. Doctors strongly suggest an operation to avoid serious consequences. We must understand that the knot of its form is not a ball, not an oval. Its shape is wrong and looks like a potato potatoes, not at all symmetrical and not perfect. Measurements of such a node in a two-dimensional plane can be carried out in different ways, and the readings may differ significantly. In order to understand objectively how much nodes have grown, it is necessary not only to record measurements, but also to store photographs. This will make it possible to understand in what planes the measurements were made. In the case of ultrasound, this is rarely done. So much more objective is MRI. If a gynecologist frightens a woman with rapid growth of nodes, and she feels well, then do not panic. First, it is not related to oncology, as mentioned earlier, and secondly, it is not known how accurately the nodes were measured. It is better to fix the dimensions, save the photo and repeat the test after 3-4 months, to make an MRI as a duplicating procedure. After such a period, you can see the trend and have time to respond to growth without launching a problem.
Myoma of the uterus can be cured with herbs, bioadditives and other techniques.
The market has a lot of funds that promise to get rid of uterine fibroids. These are epigalate, indinol, herbs, leeches, grass, boric uterus, bioresonance therapy. The first two drugs in general can not be considered medicines, these biologically active additives and can not in essence have a therapeutic effect on the body. They are engaged in replenishment of a stock of vitamins and microelements. So do not spend money and time trying to heal with these tools. A similar situation with the hog-queen is proposed for the treatment of fibroids, even a certain brush. Myomatous nodes consist of fibrous and muscle fibers, like dry and sinewy meat. Growth grows out of the uterus wall, being all the same muscles. Their structure is like ordinary meat. You can not just pills, leeches or decoctions to remove from meat its piece. You can either cut it off, or deprive it of blood supply, so that the outbreak itself is withered. Such a naturalistic picture allows us to understand what the disease really is and how various methods are applicable to it.
To start treatment of fibroids must be with dyufastone.
Duphaston is even contraindicated in this case, as the only method of treatment. Nevertheless, women with this diagnosis continue to prescribe this remedy. But the second generation of drugs that reduce uterine nodules has already entered the market. Their effect on the tissue of the nodes is completely different than that of dyufastone. Duphaston is almost completely identical to the natural hormone progesterone. It is one of the main factors that stimulate the growth of myomatous nodes. It turns out that the appointment of dyufaston only strengthens the growth of the formations, and does not reduce them. The latest version of the drug selectively blocks the receptors of progesterone, not allowing it to affect the cells. So the nodes cease to grow and decrease. But this effect is reversible, because the drug can not be taken for a long time. As a result, dyufaston does not treat myoma of the uterus, but only grows nodes. If the doctor believes that by such a means he can solve the problem – a specialist needs to be changed. Dyufaston is acceptable when it is necessary to cause menstruation.