Fibromioma is a benign neoplasm that develops on the uterus as a result of hormonal disorders in the body of a woman. It consists of connective and muscular tissues. If muscle tissue prevails, then the tumor is called myoma, and if the neoplasm consists mainly of connective tissue, it is fibroids.
Fibromyoma can occur in women of reproductive age. Most often the disease affects middle-aged women, up to 40 years. However, in recent years, there has been an increase in the number of cases among the younger generation, at the age of 20 years. Physicians explain the rejuvenation of the disease by increasing the negative effects on the female body associated with poor ecology. But the greatest danger is the early abortion and other surgical interventions that accompany the violation of the integrity of the genitals.
The impetus to the development of the disease is a certain hormonal failure, which can be a consequence of various factors. The formal reasons for the appearance of fibroids are: Changes in the quantitative composition and functional characteristics of receptors in myometrium cells, Failure in the hormonal function of the ovaries, Inflammatory and non-infectious inflammation in the internal genital organs, Poor blood flow in pelvic organs, Infertility due to abnormalities in the functioning of the reproductive system, Irregular Sexual contacts, Vegeto-vascular disorders, Genetic predisposition to cancer diseases, Infectious abolevaniya, comorbidity, problems with the immune system.
Fibromyoma – symptoms.
Fibromyoma can manifest itself in different ways. The picture of the disease depends on a combination of factors, which are determined by the age of the woman, the limitation period of the neoplasm, the hormonal background, and the presence of concomitant deviations in health.
The main sign of fibromyoma is prolonged bleeding from the uterus, weighed down by the pain syndrome in the lower abdomen. At the initial stage of the disease there are abundant menstruation, which can last quite a long time, considerably exceeding the normal period. However, these symptoms are not observed in all ill women. The quality of the menstrual cycle depends on the exact location of the uterus. In the case of a subperitoneal location, fibroids are usually treated with mild blood loss.
In the presence of a large tumor, a woman experiences pelvic pain, body temperature rises, blood coagulability increases, and leukocyte counts increase.
The nature of the pain may be different, which also depends on the factors listed above. Most often they are present throughout the entire period, are pulling and aching. In acute form, the disease passes when the fibroids begin to grow rapidly, deforming nearby tissues. In this period, the syndrome of an acute abdomen may appear.
From the presence of fibroids, neighboring organs can also suffer, which experience pressure: the bladder, rectum, kidneys, liver. Due to the growth of the tumor, these organs can also suffer, which will cause a malfunction in their work.
As a result of the initial examination, the gynecologist can put a preliminary diagnosis using the patient’s story and the data obtained from the examination in the gynecological chair.
Next, a comprehensive examination of the whole organism is prescribed. The following activities are carried out: General examination, which includes determining the nature of the build, the degree of hairiness, the identification of signs of obesity. Study of the quality of the thyroid gland (hormonal background). Examination of mammary glands. Clarify whether there are concomitant diseases in the body. Within 4 weeks follow the nature and development of fibroids, conducting regular gynecological examinations. Research of smears (on oncocytology and microflora). General tests of urine, blood, additional blood tests. Tests that determine the functional characteristics of the ovaries. Colposcopy. Ultrasound examination. Echography. Diagnostic curettage of the uterus. Determining the quality of the endometrium through metrosalpingography. Laparoscopic examination. Phlebography intrauterine.
Fibromyoma treatment and prevention.
Treatment of fibroids also depends on the nature of the tumor and the general condition of the body. It can be conservative or operative. Conservative method. Assumes dietotherapy (changing the quality of nutrition), treatment of vegetative-vascular disorders, vitamin therapy, normalization of blood flow, increased immunity, anti-anemic measures, hormone therapy. Operative method. Removal of a tumor if its size exceeds the size of the uterus at a 13-week gestation period. In the most severe cases, the uterus and appendages are removed.
Prevention of the occurrence of fibroids may include regular examinations of the gynecologist, normal nutrition and a balanced sex life.