Intramural (interstitial) uterine fibroids treated differently from younger women who want to preserve fertility, and women after forty years without planning procreation. Thus the main criterion for choosing a method of treatment is the choice of the woman.

Intramural uterine fibroids - Diagnostic

Intramural uterine fibroids can be detected even when examined by a doctor - the uterus increases in size as in pregnancy. To confirm the diagnosis carried ultrasound, which helps to clarify the size and location of the tumor. If necessary, a hysteroscopy Hysteroscopy - examination of the uterus inside   (examination of the uterus using a special device - a hysteroscope, to illuminate and increase to the correct size test surface).

Sometimes, for further diagnosis is necessary to carry out X-ray examinations, magnetic resonance and computed tomography (MRI and CT).

Treatment of intramural uterine fibroids in women of childbearing age

If a fibroid uterus in women of childbearing age is small, located in the wall of the uterus, does not increase in size, it can not cure, but only monitor its growth. To do this, the woman must visit the doctor every six months. If the pregnancy occurs, then under the influence of hormones fibroids may decrease to a minimum.

If the tumor has a tendency to increase, it is better to remove. Women who are in the future want to have children, held organ operations - only the tumor is removed (conservative myomectomy). When small tumors (up to 12 weeks of pregnancy), situated closer to the outer surface of the uterine wall and the growing step can be carried out using a laparoscopic approach. This is done using a laparoscope apparatus, which allows you to make several mini-incisions in the skin, they enter through special tools and conduct an operation under the control of (the image is displayed on the screen).

If a tumor grows inside the uterus, the following operation is performed using the hysteroscope, which is inserted through the vagina and cervix in its cavity.

But large tumor was removed by laparoscopic or hysteroscopic impossible. Therefore, prior to the operation woman administered hormone therapy, with which it is possible not only to suppress tumor growth time, but also to reduce its size. After tumor size is reduced, operation is conducted sparing methods.

Very large fibroids, which can not be reduced to the desired size, are removed by conventional operations with large incision - that access to the site of surgery called laparotomy.

After conservative myomectomy woman can become pregnant and bear a child. Delivery with the most commonly performed by cesarean section.

Treatment of intramural uterine fibroids in women who are not supposed to have children

Women after forty years in the future if they are not intended to have children, it is recommended a radical (to get rid of the disease forever) operation - the removal of fibroids from the uterus together (hysterectomy).

Hysterectomy may also be different. Subtotal hysterectomy or uterine supravaginal imputation - the removal of the uterine body above her neck. Saving the cervix is ​​very important because it is the basis of the perineum, supporting the pelvic organs. Therefore, in most cases with intramural uterine fibroids do just this operation. It can be done in different ways (using laparoscopy, laparotomy, hysterectomy) - in this case the choice of the physician.

Total hysterectomy (removal of the uterus and cervix) is carried out if the intramural myoma nodes have not only the body but also in the cervix. In addition, the indication for surgery is a suspicion of malignancy (degeneration of fibroids in a malignant tumor). This operation is called a hysterectomy Hysterectomy - the uterus is sometimes necessary to remove .

Hysterectomy always saves a woman from fibroids, allowing it to maintain in the future normal life and improves quality of life. Since in most cases the ovaries are removed, removal of the uterus Hysterectomy (removal of the uterus) - a terrible need   It does not affect the appearance and sexuality Nine ways to experience their sexuality   women. Linked with uterine pains disappear immediately after surgery, and the gradual restoration of hemoglobin and disposal of iron-deficiency anemia women returnees activity, performance and ability to enjoy life.

Treatment intramural (interstitial) fibroids may be different. The choice in this case is a woman. But the physician should explain to the woman what method of treatment and why it will suit most.

Galina Romanenko

Malformations of the uterus does not occupy the last place in the structure of gynecological diseases. These defects include infantile uterus, which is one of the degrees of hypoplasia or hypoplastic uterus Hypoplasia of the uterus - require timely detection and treatment . Infantile uterus presents difficulties in treatment, and in subsequently carrying a pregnancy. But, despite this, a hypoplastic uterus modern medicine successfully fights. The main treatment - is the timely detection of defects and the appointment of adequate treatment. Following this principle, the girl in the future be able to have children.

What is infantile uterus?

Infantile (children, underdeveloped) uterus - is lagging behind in the development of a well-formed body, what happens after the birth of a girl.

The normal size of the uterus in adult nulliparous women are: the length of 4, 2-4, 8 cm, width 4, 2-5, 0 cm. Women who had been pregnant, but the size of the uterus nulliparous are: length 4, 8 5, a 4 cm wide, 4, 5-5, 5 cm. Women with a history of birth have a uterus dimensions: 5, 5-6, 1 cm in length and 4, 8-6, 0 cm in width. In the case backlog in size suggests hypoplastic uterus. Hypoplasia of the uterus is divided into three levels of development: embryonic (fetal), infantile (childhood) and adolescence (virginal) uterus.

Reasons infantile uterus

Underdevelopment of the uterus is not only a violation of embryonic development, but also external factors affecting after birth:

• hormonal imbalance, which is a major factor in underdevelopment of the uterus (in violation of the hypothalamus-pituitary and ovarian failure, resulting in the synthesis of estrogen is reduced);
• long-term and regular stress in the family or at school, mental disorders, depression Depression - a little more than a bad mood ;
• educational and sports overload;
• cruel diet, leading to the development of anorexia nervosa, breast hypoplasia and underdevelopment of the uterus;
• infectious and viral diseases (frequent SARS, flu, sore throat, etc.);
• action of toxic substances, including smoking and drugs;
• inadequate functioning of the endocrine glands, immunity to ovarian hormones of the pituitary gland.

Clinical manifestations of infantile uterus

Underdevelopment of the uterus rarely speaks of individual symptoms .  Often infantile uterus combined with sex and / or general infantilism .  Signs of sexual infantilism are small, hypoplastic labia small size, narrow lumen of the vagina with mild arches, the head of the clitoris is not hidden behind the labia and protrudes beyond the vulva .  There is a small undeveloped ovaries, which are high, the fallopian tubes are crimped and thin, their diameter is minimal, which contributes to the development of an ectopic pregnancy .  Patients say painful menstruation (algomenoreya), due to the wrong location infantile uterus (giperretrofleksiya and Retroverted) .  Menses are scarce in nature and of short duration .  Infantile queen leaves its mark on the sex life .  Women with underdeveloped uterus marked decrease in sexual desire and anorgasmia (lack of orgasm) .  In adolescence alarming is the lack of secondary sexual characteristics, or delay their development and amenorrhea The absence of menstruation (amenorrhea) - ambiguous symptom   (absence of menstruation) at the age of fifteen years.

Infantile uterus and pregnancy

In the presence of infantile uterus problems conceiving. In case of pregnancy, it flows with a pronounced toxicity and threat of interruption. The labor marked weakness of labor, delayed disclosure of the cervix, prolonged bearing-down period.

Treatment of infantile uterus

Treatment underdeveloped uterus long and complex process. The earlier treatment is started, the better the chances of success. Girls appointed nutritious food with high protein and vitamin cyclic. It is shown that psychological counseling to restore emotional balance. The main stage of treatment is hormone therapy with low doses. Also recommended a variety of physiotherapy, pelvic massage Gynecologic massage physical therapy in a female   and physiotherapy.

Anna Sozinova