Multiple uterine fibroids are very common. Wherein the fibroids can be located within the muscle layer of the uterus, at or under the serosa mucosa. Depending on the location, size and number of units, as well as the woman's age, her chosen individual treatment.
Multiple uterine fibroids - what is it?
Multiple hysteromyoma occurs in over 80% of women suffering from this disease. How hard it will occur and with what consequences depends on the size, location sites, the rapidity of their growth and age of the woman.
Begins to develop multiple uterine fibroids with simultaneous or divided in small time intervals of several mutations gladkomyshnechnyh cell wall of the uterus. Why this process begins at the present time is not set, but it is supported by high blood levels of female sex hormones. In osnovenom estrogen. But progesterone
Progesterone - norm and pathology
also can stimulate tumor growth. Changed the cells start to divide rapidly - so developing a tumor - fibroids.
Hormonal changes that stimulate the growth of fibroids can occur after abortion, pelvic injuries, occurring against the backdrop of long-term infection-pelvic inflammatory disease, severe physical and neuropsychiatric load, stress and so on.
Some fibroids can be positioned as the next, so have a different location, including to treat the same or different types of fibroids - subserous, submucous or interstitial.
If the fibroids are small, located on the outer surface of the uterus or in the depths of its muscular layer, the disease is often asymptomatic and only found during ultrasound (US).
But even if one myoma node is located under the mucous membrane of the uterus (submucous node) or inside the uterus grows one of the nodes located intramural (within the muscle layer of the uterus), the symptoms can be very characteristic.
Primarily developed cyclic and acyclic bleeding that lead to chronic blood loss and iron-deficiency anemia
Iron deficiency anemia: how dangerous it is?
. Cyclic bleeding associated with the menstrual cycle - it is long and heavy menstruation (menorrhagia). Acyclic bleeding with the menstrual cycle are not bound and can occur in any of his day (metrorrhagia).
Characteristic for multiple uterine fibroids and pain. They may wear different character. If submucous location of one or more sites of pain usually associated with menstruation - they are paroxysmal spastic character and occur mainly during and before menstruation.
If one or more nodes are located within the muscle layer (interstitial), the pain can be constant, aching - they say that the tumor compresses the surrounding tissues, causing their ischemia (insufficient blood supply).
Finally, for large myoma nodes located under the surface layer of the uterus (subserous), compressing the urinary tract or rectum, pain may appear when urinating or defecating. Disrupted function of these organs.
When multiple uterine fibroids treatment is prescribed individually. Thus, in small multiple myomas (less than two centimeters in diameter or 8 weeks of gestation), which are accompanied by copious blood loss, severe pain and infertility are usually used conservative (hormonal) treatment. Initially, these women carried out an active course of hormone therapy
Hormone therapy - is it possible to fool nature?
a destination agonist of gonadotropin-releasing hormone (GnRH, such as Zoladex) that completely suppress ovarian function. The course of treatment lasts six months and reduces components and suppress their growth. Then appointed prolonged courses of hormonal contraceptives (eg regulon or Novinet). You can also use an intrauterine hormonal coil Mirena
Spiral Mirena: advantages in the application
When larger (medium, up to six centimeters in diameter) nodes located submucous or intramural most effective treatment is uterine artery embolization. But this method does not usually apply to women who are planning a pregnancy in the future - they held conservative myomectomy, ie surgical removal of fibroids. Sometimes still have to conduct a phased treatment of uterine artery embolization followed by myomectomy.
With several large uterine fibroids conducted staged medical and surgical treatment. The type and scope of operation, as well as surgical access to the operated tissues physician selected individually.