- Fibromatosis of the uterus - do not be afraid
- The clinical picture
Fibromatosis of the uterus - is the initial stage in the development of uterine fibroids - benign tumors that occur in a large number of women. Fibromatosis develops when healthy muscle cells of the uterus begin to grow abnormally. Gradually, these tumors are benign tumors derived.
Who can develop uterine fibromatosis
Fibromatosis - a very common disorder. Most tumors are so small that they do not cause any problems, and women are not even aware of their existence. The cause of this disorder is unknown, but it is assumed that fibromatosis of the uterus associated with exposure to estrogen - the female sex hormone. Fibromatosis of the uterus very rarely occurs in women younger than 30 years. After menopause, when estrogen levels are drastically reduced, tumors in the uterus, usually disappear by themselves.
For some unknown reason, while women of African descent fibromatosis of the uterus occurs in 2-3 times more likely than white women. In addition, they usually are the most obvious symptoms of this disorder.
In addition to the race, on the development of fibromatosis of the uterus can affect the following factors:
- Childbirth. Women who have given birth to at least one child, the chance of developing uterine fibromatosis lower than those who have never given birth;
- The first menstruation at an early age. The risk of fibromatosis is greatest in women who started menstruating before the age of 10 years;
- Combined oral contraceptive pill reduces the chance of developing uterine fibromatosis;
- Have fibromatosis family history increases the risk of developing this disorder.
Most often asymptomatic fibromatosis of the uterus - so many women do not know about it, and he accidentally revealed, or not detected at all. However, some women fibromatosis can cause the following symptoms:
- Prolonged menstrual bleeding (continuing for 7 days or more);
- Unusually heavy menstrual bleeding;
- Pain in the lower abdomen;
- Pain during sexual intercourse.
In addition, experts believe that the development of fibromatosis of the uterus, which can lead to the formation of fibroids, some women reduces the chance of pregnancy.
For the diagnosis of fibromatosis of the uterus can be used the following procedures:
- Vaginal ultrasound. A special device inserted into the vagina, and the monitor displays an image of the uterus and surrounding structures of the pelvis.
- Magnetic resonance imaging (MRI) - a technology that allows you to get a very clear picture of the internal organs. MRI is appointed only in those cases when the doctor has doubts about the diagnosis.
- A biopsy may be imposed if a doctor has reason to suspect that the tumors in the uterus - is not fibromatosis, a malignant tumor.
- Hysteroscopy - examination procedure of the uterus, which is carried out with the help of an endoscope.
In most cases, in order to diagnose fibromatosis of the uterus, pelvic examination is sufficient
Gynecological examination: an important component of women's health
Typically, when the uterine fibromatosis treatment is not required. Prior to menopause, most patients tumors grow little, or only slightly increased. In some cases, a doctor may prescribe for the treatment of uterine fibromatosis following means:
- Combination oral contraceptives help normalize the menstrual cycle (including menses do not so painful, and bleeding - less abundant).
- Lupron - hormonal drug that blocks the ovaries, causing menstruation ceases and tumors in the uterus decreases. Typically, Lupron is used as a temporary means of treatment before surgery.
- Intrauterine devices, levonorgestrel-releasing, help to normalize the menstrual cycle.
- Analgesics may be prescribed to patients who have uterine fibromatosis causing persistent pain in the lower abdomen.
- Iron. Heavy bleeding caused fibromatosis, can lead to iron deficiency and anemia. Administration of drugs containing iron, will normalize the level of this agent in the blood.
Surgery is usually given only in the later stages of the disease, that is, when fibromatosis develops in uterine fibroids. In this case, it can be used myomectomy (removal of fibroids) or hysterectomy (removal of the uterus). Approximately one-third of women after myomectomy in the womb again formed benign, and often require repeated operations. After the formation of uterine fibroids hysterectomy, of course, impossible, but this operation is suitable only for women who do not plan to in the future to have children. Currently, the removal of the uterus
Hysterectomy (removal of the uterus) - a terrible need
not necessary to conduct an open operation - this can be done using a minimally invasive technologies, such as laparoscopy
Laparoscopy - why is it necessary?
Sometimes the treatment is applied, such a procedure as uterine artery embolization (UAE). During EMA artery that feeds benign tumors of the uterus, with a catheter introduced particles which block the flow of blood to the tumor. As a result, fibroids will gradually decrease, which lead to the relief of the symptoms of the patient. EMA - a minimally invasive procedure, and most patients can go home the same day when it was carried out, or, in extreme cases, the next day. Within a few days after the procedure, the patient may experience cramping in the lower abdomen, but usually this can be quickly overcome with the help of non-prescription painkillers.
Fibromatosis of the uterus and pregnancy
Fibromatosis of the uterus - is a very common disorder in women of reproductive age. It is estimated that over the life of fibromatosis develops in approximately 20-50% of women. Most vulnerable to the violation of women older than 35 years. In women younger than 20 years of fibromatosis is extremely rare. Studies show that the likelihood of fibromatosis is particularly high in women who are overweight or obese - probably due to the fact that they have the level of estrogen
Estrogen - the key to bone health
Blood is highest.
Since fibromatosis usually occurs in the reproductive years, the most natural question arising in connection with this violation - Does it affect pregnancy?
In most cases, fibromatosis of the uterus does not have a negative impact on a woman's fertility. However, about 3% of women suffering from fibromatosis or the next stage - uterine fibroids, there are difficulties with conception.
Sometimes large benign tumors of the uterus compress the fallopian tubes, in some cases - they overlap completely, resulting in the egg can not get into the uterus, and sperm can not fertilize it. Tumors were located in the region of the cervix, sperm path can overlap the uterus, and because of this conception also becomes impossible. Some tumors inhibit uterine contractions, causing the movement of eggs and sperm is difficult.
Some tumors are very large may restrict blood flow to the endometrium, which leads to a gradual change in its structure, and reduces the likelihood of implantation of the fertilized ovum and normal pregnancy. Neoplasms can change the shape of the uterine cavity, and act almost as well as the intrauterine device, causing miscarriages in the very early stages of pregnancy.
Even if the pregnancy, the presence of benign tumors in the uterus, depending on their size and location, increases the risk of premature birth.
Due to the increase in estrogen levels in the blood during pregnancy fibromatosis may start to progress rapidly, leading to the formation of large fibroids, and this, in turn, can cause movement of the placenta.
Neoplasms large size can lead to a shortage of space for the growth of the child, and the consequence may be a variety of miscarriage or congenital disorders.
If the tumor will increase significantly during pregnancy, they can block the birth canal, resulting in the need to do a caesarean section.
During pregnancy, because of the increased risk of bleeding and death of the fetus treatment of uterine fibromatosis surgical techniques are not performed. This is another argument in favor of that pregnancy should be planned, and before its onset undergo a medical examination and, if necessary, treatment.