Submucosal fibroids are rarely asymptomatic. More often it is accompanied by characteristic signs such as cyclic and acyclic uterine bleeding, severe pain, and iron deficiency anemia. Submucosal fibroids also provides significant complications during pregnancy and childbirth.
Submucosal fibroids - causes of
Submucosal fibroids - a tumor that grows from the middle muscular layer of the uterine wall into the uterine cavity. As a rule, such a tumor creates many problems of women, even if it is very small.
Causes of submucosal fibroids are not exactly known (like all other tumors). But precisely defined its hormone-dependent character: submucosal fibroids growing in excess in the body of the female sex hormone estrogen. It is known and what factors often lead to hormonal disorders of this type, it is abortion, trauma, severe labor, pelvic inflammatory disease, high nervous and mental load, stress and so on. The mechanism of action of these factors on the neuroendocrine system is not fully understood.
Submucosal fibroids can be small sizes, and can occupy the entire uterus is constantly increasing in size. There are also submucous fibroids on the leg, are prone to falling out of the vagina.
Symptoms of submucous uterine fibroids
The main symptoms of submucous uterine fibroids are menstrual disorders and pain.
Menstrual disorders are usually in the form of long-term heavy menstruation (cyclic bleeding or menorrhagia) or in the form of uterine bleeding
Uterine bleeding outside of menstruation - a sign of a serious breach
not associated with the menstrual cycle (bleeding or acyclic metrorrhagia). Bleeding these occur regularly, going long and over time lead to the development of iron deficiency anemia.
A sign of iron deficiency anemia is a paleness, weakness, malaise, drowsiness, decreased performance, headaches, dizziness, fainting tendency to short-term, a complete lack of appetite. Such anemia hardly treatable as long as the source is not eliminated chronic blood loss.
Menstrual disorders are always accompanied by pain in the abdomen
Abdominal pain: when to sound the alarm?
and in the lower back. The pains are more or less pronounced aching in nature, but before and during menstruation, they may take an intense cramping in nature. Cramping appear on a roll of fibroids from the uterus into the vagina.
The symptoms significantly reduce quality of life of women, and iron deficiency anemia can even threaten her life.
A significant threat is submucous uterine fibroids during pregnancy. It contributes to miscarriage
Miscarriage - why you lose the most precious thing?
- Miscarriages and premature births as it improves motor activity of smooth muscle of the uterus. If submucous myoma on or near the embryo is attached, it reduces the chances of his healing and promotes abortion.
And the placenta may be affected if it is located near the uterine. In such cases, often develop premature detachment of the placenta, which is accompanied by bleeding.
Most submucosal fibroids can compress the fetus and change its position in the uterus. For example, instead of the correct position of the head down, the fetus can take oblique or lateral position, which certainly will create complications in childbirth.
The diagnosis of submucosal uterine fibroids is made by examination of the gynecologist (increased uterine fibroids corresponding week of pregnancy), ultrasound data. If necessary, the diagnostic hysteroscopy
Hysteroscopy - examination of the uterus inside
- The study of the walls of the uterus using a special optical device - hysteroscope.
Sometimes, to clarify the location and size of fibroids held X-ray - hysterography.
Treatment of submucous uterine fibroids should only be operative. The volume of surgical intervention, above all, depends on the age of the woman and her desire to have children. A young woman holds organ-sparing operations mainly using the hysteroscope - layered myomas removed (myomectomy). For such operations are only suitable fibroids small. So sometimes before surgery is performed conservative treatment of uterine fibroids in order to reduce its volume, and only then performed myomectomy.
Women after forty years, if they are not intended to have children, carry out radical surgery - fibroid is removed along with the uterus.
Treatment of submucous uterine fibroids, it is desirable to carry out before the start complications.