Quite often among women you can hear the phrase that myoma of the uterus at the reproductive age can not be treated. Is it really? Is the myoma so harmless and regress itself in the future? Let’s try to understand this by example of answers to the most frequently asked questions about uterine myoma.
Quite often among women you can hear the phrase that myoma of the uterus at the reproductive age can not be treated. “Itself will pass” – a frequent phrase of women, observed in the women’s consultation about this disease. Is it really? Is the myoma so harmless and regress itself in the future? Let’s try to understand this by example of answers to the most frequently asked questions about uterine myoma.
Why and who often has a uterine myoma.
How to suspect myoma of the uterus.
First of all, it is worth paying attention to age. Despite the progressive “rejuvenation” of the disease, it is still more common in women older than 27-30 years. During this period, many women think of children and are trying to get pregnant. Here the first problem arises – conception does not occur, the childbearing function is violated. In this regard, a woman often begins to resort to simple methods of calculating the days of ovulation. Here the second problem – often ovulation is difficult to identify in view of either a non-permanent, or broken, or missing menstrual cycle. Realizing that a doctor can not do without, a woman turns to a gynecologist. And immediately on the first admission when palpating the abdomen above the bosom, she exhibits a tuberous formation, usually about the size of about 12 weeks. The gynecologist directs to the ultrasound examination of the “find”. Laparoscopic and hysteroscopic examination is also possible. So they make a diagnosis.
As in the future should observe a woman with uterine myoma.
The main thing that every woman needs to know is periodic observation in a woman’s consultation with a mandatory ultrasound examination every 3-6 months from the date of diagnosis.
Further, a more detailed examination should be carried out in order to clarify the diagnosis of myoma (localization of nodes, their size and structure, the presence of complications and other concomitant pathologies). Localization of myoma nodes is the most important, because here the question arises as to the choice of the further method of treatment.
Then determine the direct treatment tactics – conservative (non-operative), combined (surgery + drug treatment), surgical.
Conducting conservative therapy for the prevention of myoma growth.
General recovery of the body, treatment of concomitant diseases, inflammatory diseases of the pelvic organs, because they can cause possible complications.
Scheme of conservative treatment of uterine fibroids.
The main criterion in choosing a method is the presence of a complete picture of the disease. In this case, frankness is important in talking with a gynecologist, trust, the realization that the doctor will help the patient only if he knows. So, the main goal of conservative treatment is to slow down the growth of myomatous nodes and avoid surgery. In view of the fact that myoma occurs on a hormone-unstable background, treatment is performed before the menopause period, when it really can decrease due to age-dependent involutive processes in myometrium. Also conservative therapy is performed in cases when the presence of pathology of other organs or systems does not allow resorting to surgical treatment. In such cases, surgery is performed only for vital indications (necrosis of the node with the clinic of the acute abdomen, a born myomatous node with heavy bleeding.
hematomas and local complications in the puncture of blood vessels.
absence of menstruation due to a violation of blood flow in other vessels.
necrosis (necrosis of the tissues) of the uterus (it is very rare). Long ago I heard about three cases in all 25 years of using this method.
There is, along with complications and a lot of advantages over other methods of treatment.
organ-preserving procedure (minimal intervention occurs.
at multiple nodes, an action takes place at the same time.
absence of blood loss.
the effectiveness of 85-96.
In the following, the overwhelming majority of women did not grow fibroids.
the minimum period of rehabilitation after the procedure.
Do not use general anesthesia, only local.
no pre- and post-operative treatment is required.
after the procedure, bearing and childbirth is not contraindicated.
Surgical treatment of uterine fibroids.
Prevention of uterine fibroids.
In conclusion, it is worth mentioning, of course, about prevention. It should be noted that the basis for any prevention is timely examination and identification of risk factors. Hence, if the mother, grandmother, great-grandmother of myoma had a place, it is necessary to visit the gynecologist at least 2 times a year from the age of 24-25. Along with this, a healthy lifestyle, the prevention of abortions and sexually transmitted diseases, the elimination of insolation, especially after 40 years, are important. When using combined oral contraceptives, low-dose should be selected. Undoubtedly, even with strict implementation of all recommendations, the formation of fibroids is possible. But it is important to understand that in this case there is an opportunity for timely treatment and absence of complications.