uterine fibroids - a problem faced by many women.This is the most common tumor of the pelvic organs.The disease is found in 20% of women in reproductive age and 30 years after the risk of fibroid greatly increased.Uterine fibroids is a benign tumor, which consists of connective tissue, tumor size can be from 1 mm up to 20-30 cm in diameter.The neoplasm is not prone to malignancy (malignancy), but 2-3% of the cases may still occur degeneration of a benign tumor into a malignant. Content
cause of uterine fibroids is not certain, but doctors noticedthat the tumor is found only in women of childbearing age, and never in young girls before the onset of menstruation, in postmenopausal women with disease occurs very rarely.This means that the risk of the emergence and growth of fibroid tumors is significantly increased in the active production of estrogens (female reproductive age, pregnancy),
believed that the occurrence of uterine fibroids may contribute to such factors as the late onset of menstruation, repeated abortions and diagnostic curettage, lack of birth to 30 years, the lack of regular sexual life.
In most cases, uterine fibroids does not manifest itself and can be discovered by chance during examination for pregnancy or gynecological diseases.In 15-20% of women may still clinical symptoms appear, which depends on the localization of tumors, the size and number of fibroid nodes.
uterine fibroids most often manifests itself abundant, long, very painful menstrual bleeding, which sometimes can lead to anemia.In some cases, possible disruption of the menstrual cycle.
In case fibroid nodes reached a considerable size, a woman may feel discomfort and a feeling of heaviness in the pelvis.This is because the tumor puts pressure on surrounding organs.Often marked pain in the perineum and lower back caused by compression of the nerve plexus.
Fibroid nodes can put pressure on the bladder, resulting in frequent urination.Constipation and pain during bowel movements when uterine fibroids could be the result of pressure on the wall of the rectum.Women with uterine fibroids may also experience discomfort and pain during intercourse.
all women with uterine fibroids, the gynecologist must be monitored and better gynecologist-endocrinologist.Small fibroids only require growth control, in this case in the absence of any symptoms of the disease treatment is not required.
Conservative treatment is justified for large size tumors and the presence of appropriate symptoms.Women are appointed by hormone therapy to suppress estrogen production in the body.In this case, we used hormones - androgen derivatives (Gestrinone, Danazol) and GnRH analogues (Zoladex, Buserelin).However, be aware that such hormonal therapy has a number of side effects.
effective in the treatment of uterine fibroids the use of intrauterine contraceptive hormonal system "Mirena", which contains one of the progestin hormone, which is released regularly in the uterus slows the growth of fibroids.Application COC (Yasmin, Regulon, Jeanine) is also effective to reduce the growth rate of knots, the dimensions of which do not exceed 2 cm.
addition to hormone drug therapy includes the appointment of the necessary symptomatic drugs, such as painkillers, antispasmodic, iron supplements and vitamins.
Surgical treatment of uterine fibroids must be at a distinct clinical symptoms, the large size of fibroid nodes and necrosis.
women of reproductive age, planning to become pregnant, doctors are trying to perform ablative surgery, during which the assembly is done fibroid enucleation, and the uterus is preserved in the future able to function normally.
modern highly effective method of treatment of this disease - an operation which is performed during endovascular occlusion (closing of the lumen) vessels that nourish the uterine fibroids.As a result, blocking the blood supply to the growth of the tumor node stops.
radical treatment - complete removal of the uterus (hysterectomy) is performed to patients who subsequently do not plan a pregnancy.
no specific ways to prevent uterine fibroids is not, but the exclusion of factors such as multiple abortions, scraping, uncontrolled intake of contraceptive drugs can help reduce the risk of disease.
Many women with uterine fibroids, are wondering whether compatible uterine fibroids and pregnancy.
Asymptomatic fibroids small size are usually not a barrier to pregnancy.Exceptions are growths that by blocking the fallopian tubes prevent a fertilized egg.
presence of a benign tumor may adversely affect the pregnancy.Units larger, reduce the space of the uterus, may interfere with the full development of the embryo.In this case, uterine fibroids can cause an abortion on late term or premature birth.
large fibroid nodes may cause malposition, making it difficult or impossible act of natural childbirth.The most dangerous in this respect are the fibroids that are localized at the cervix, creating obstructed the baby's head through the birth canal and the threat of bleeding.
Considering all the possible complications, pregnant women with uterine fibroids require increased attention of Gynecology and Obstetrics.
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