Uterine fibroids larger revealed today is not so often. Modern medicine can detect much smaller fibroids. The most common symptoms grow to a large size fibroids are located under the top, serous layer of the uterus. These fibroids may not manifest itself in any way as long as the uterus will compress the surrounding organs.
What determines the growth and the timely detection of uterine fibroids
A benign tumor of the uterus - fibroids can grow slowly or quickly. Noted the rapid growth of fibroids is possible in the case where it is located under the inner lining of the uterus (submucosal fibroids) - such fibroids seen a number of characteristic symptoms associated with menstrual irregularities.
It is more difficult to notice the symptoms of fibroids located inside the muscle layer of the uterus (interstitial fibroids). It can grow inside the uterine wall and cause the typical menstrual irregularities.
Subserous fibroids (located under the outer serous membrane of the uterus) is able to for a long time does not manifest itself. If it is not marked hormonal disorders
Hormonal disorders - oversupply and a lack of equally dangerous
Accompanied by uterine bleeding
Uterine bleeding outside of menstruation - a sign of a serious breach
, The first manifestations of this tumor may be symptoms of compression to the uterus adjacent pelvic organs.
Symptoms of uterine fibroids larger
Longer be considered the size of fibroids, the corresponding 12-15 weeks of pregnancy and more. Thus symptoms usually depend on the location of fibroids in the uterus. The uterus can be positioned as a myoma node, and a few that often have a different localization. Therefore, large fibroids often manifest themselves by a characteristic set of symptoms.
The main feature is a large fibroid uterine bleeding. Uterine bleeding can be manifested as a prolonged and heavy menstrual bleeding (menorrhagia), bleeding not related to the menstrual cycle arising, for example, at its midpoint (mertorragy) as well as combinations thereof. Large fibroids require the continued presence of such violations. Therefore, during the initial identification of a large fibroid appearance of a woman she says she has an advanced iron deficiency anemia.
Signs of anemia are pallor of the skin and mucous membranes, lethargy, apathy, decreased performance, constant headaches and dizziness, fainting. If time does not treat a fibroid, the iron-deficiency anemia can lead to irreversible damage to the woman's body.
Bleeding in the large uterine fibroids are always accompanied by aching pain in the abdomen
Abdominal pain: when to sound the alarm?
and in the lumbar region. A large fibroid on a stalk may threaten the torsion legs, which is accompanied by blood circulation and tumor tissue necrosis (dying away). This is a very serious complication that is accompanied by severe abdominal pain and require emergency surgery.
Some types of fibroids can be shown, only reaching larger sizes in the form of symptoms of compression of surrounding pelvic organs. When squeezing the urethra and bladder may develop progressive renal failure and urinary tract. Stagnation of urine will also contribute to the formation of stones, and additional bacterial infection - cystitis and pyelonephritis developed. In this case, the woman often refers not to a gynecologist and a urologist and fibroids detected only in the course of the survey.
With the growth of fibroids in the direction of the rectum, disturbed defecation, there are chronic constipation, which can lead to persistent digestive disorders, as well as to the development of hemorrhoids and infectious and inflammatory processes in the rectal area. When such symptoms first woman turns to the proctologist.
Uterine fibroids large well detected during ultrasound (US), which allows you to identify all the components of fibroids, their size and location. The size and location of the fibroids can also be set with the help of magnetic resonance or computed tomography.
To clarify the diagnosis is sometimes performed hysteroscopy
Hysteroscopy - examination of the uterus inside
(endoscopy, which allows to consider in detail the inner surface of the uterus) and hysterography (X-ray examination of the uterus).
Large fibroids that grow quickly, causing severe anemia and compress the surrounding organs, usually removed. Depending on the age of the woman and her desires to have or not to have children or are held organ sparing surgery (only removes fibroids), or together with it completely or partially removed the uterus (such an operation is usually performed after the menopause).
For large fibroids can also be performed uterine artery embolization by introducing into them a substance that blocks the artery feeding fibroids. This leads to tissue death (necrosis) of the tumor, its germination with connective tissue (sclerosis) and encapsulation.
Uterine fibroids larger sizes can threaten the health and lives of women.