Removal of uterus myoma are now trying to do only women who do not plan to have children. Women of childbearing age is trying to carry out organ-saving operations. But there are times when, and young women have to remove the uterus.
Why is performed hysterectomy with uterine
Removal of uterus myoma (hysterectomy) is considered to be a radical operation. This means that after such an operation with uterine problems no longer arise. But such an operation is not suitable for all women, as many women of childbearing age still want to have children in the future. Therefore, they attempt to remove only the fibroids. Carrying out such an operation does not preclude the recurrence of fibroids.
It is excellent for removing uterine fibroids are large size - more than 12 weeks pregnant. But this figure has already learned, in some cases to circumvent: conducting preoperative course of conservative hormonal therapy with the use of drugs the group of GnRH agonists (gonadotropin hypothalamus) in most cases to reduce the size of fibroids to the required digits.
Today, indications for hysterectomy
Hysterectomy (removal of the uterus) - a terrible need
are uterine fibroids with severe clinical symptoms after the age of 35-40 years, when the woman is not planning a pregnancy, uterine fibroids with the simultaneous presence of omissions or uterine prolapse, large size and rapid growth of fibroids, submucosal (directly under the mucosa) fibroids combined Location in frequent prolonged bleeding, pain, and iron deficiency anemia, subserous (under the outer serosa) fibroid on a stalk (possible torsion legs and tumor necrosis), fibroids in the cervix, the functions of organs near the uterus, suspected malignant degeneration of tumors.
Types of hysterectomy
Hysterectomy can be performed with removal of the cervix (in which case it is called a hysterectomy) and without removal of the cervix (supravaginal amputation of the uterus).
The cervix is not a frills - that keeps the neck and allows you to function normally to other bodies of the perineum, including the urinary organs and intestines. So try to keep the cervix, but it is possible only after a thorough examination of the mucous membrane surfaces and the cervical canal and exclude the presence in this area fibroids and abnormal cells (cancer cells).
Prior to hysterectomy also raises the question of whether to delete or save of the uterus - fallopian tubes and ovaries. In most cases, uterine appendages are preserved even in older women, since it allows you to save a woman habitual way of life. After a hysterectomy the ovaries cease to function a little earlier than if the uterus is not removed, it does not affect the condition of the woman, on the contrary, its state of health is stable.
But sometimes, of the uterus is removed, the indication for such an operation is a severe abdominal pain
Abdominal pain: Types and Symptoms
combined with significant blood loss and signs of severe iron deficiency anemia. After removal of the ovaries condition of women is normalized.
Methods of operation hysterectomy
There are several ways to carry out this operation. Which one to choose, determined by the physician: laparotomy, laparoscopy and hysteroscopy.
Laparotomy - this is a common surgical procedure in which the access to its location is carried out by making an incision with a scalpel. Today, such operations are conducted infrequently and mainly in large or multiple fibroids that remove the uterus through a small incision is problematic.
Laparoscopy - an operation using a laparoscope apparatus. In this case, the abdominal wall is several micro-incision through which the abdominal cavity is entered tools. The doctor performs surgery, watching her progress on the monitor.
Hysteroscopy - removal of the uterus through the vagina using a hysteroscope. Used mainly in small hysterectomy.
What are the consequences for a woman to remove the uterus
If a woman is not planning a pregnancy, there are no negative consequences of the removal of the uterus is not. In contrast, removal of the uterus will lead to improved quality of life will be a lot of pain, cyclic and acyclic uterine bleeding
Uterine bleeding outside of menstruation - a sign of a serious breach
Disappear symptoms of iron deficiency anemia, such as fatigue, headaches, dizziness, fainting, irritability
Irritability - you try to control my temper
, Decreased performance.
Therefore, if the doctor thinks that removal of the uterus and the woman indicated no plans to pregnancy, it is better to perform the surgery, and to forget about the problems associated with uterine myoma.
- treatment of uterine fibroids