The female reproductive system is directly related to the negative factors that surround each person: poor ecology, the use of poor-quality food, non-compliance with the daily regimen. That is why the disease of the uterus has become common in recent times. And in order not to miss their development, it is necessary to regularly undergo an examination by a gynecologist, even if nothing bothers you. In our center, only professional gynecologists Boris Y. Bobrov and Dmitry Mikhailovich Lubnin - candidates of medical sciences work. When you contact them, you can identify the disease in the early stages, proceed to timely treatment, avoiding complications.
This article was written for informational purposes, without the participation of our Expert Council, all information is informative.
Myomatous formations have recently become more and more troublesome for women. If it is possible to detect them at the initial stage, then you can get rid of fibroids with the help of hormone therapy. If the formations have reached a large size, then long-term therapy will be required, and in some cases it is necessary to perform an operation with removal of the uterus. A large fibroid has a negative effect on the development of a woman’s internal organs and on her entire health. If you do not treat the disease, there may be a risk of developing the disease and the danger of life. When diagnosing this disease, complex treatment and constant monitoring by a doctor is necessary. Photos of large uterine fibroids can be found on the Internet.
What is uterine fibroids
Large uterine myoma - This is a gynecological tumor disease, an inflammatory process in which it begins in the muscles. Recently, this disease has often become diagnosed in women of reproductive age. The causes of this phenomenon are numerous, but the main factor is hormonal imbalance. If you refuse timely treatment, the tumor can develop into complications and cancers that are difficult to treat.
Especially dangerous for women huge fibroids, the size of which exceeds 20 centimeters, it is equal to 14 weeks of pregnancy. Often the doctors of our clinic had to diagnose a disease that resembles the 20th week of pregnancy in size, namely fibroids of this size are considered large.
The causes of fibroids
In recent years, more and more women are turning to a gynecologist with large uterus uterine myoma. The main causes of this disease are in poor ecology, against the background of which human immunity is reduced. However, not only this affects the growth of nodes. As mentioned above, one of the main causes can be called hormonal imbalance: there is little progesterone, and there are many estrogens in the body, and against this background there is a negative effect on uterine cells. The provoking factors of these diseases include the following:
- absence of pregnancies
- irregular periods,
- endocrine diseases
- abrupt discontinuation of hormonal drugs,
- frequent abortions,
- regular stress
- surgery on the uterus,
- long stay of the helix.
Uterine fibroids - a hormone-dependent disease, and therefore often the nodes dissolve or become smaller in size during menopause. Also, pregnancy can have a positive effect on the disease. Some women a year after the birth of the child and lactation nodes no longer appear.
Uterine fibroids are classified according to different parameters: degree, number of nodes, localization. If we talk about the number of nodes, then they can be many or one. Localization of the disease is:
- Subzero. The node is located on the outer wall of the uterus and grows in the direction of the abdominal cavity. For such an arrangement, the following symptoms are typical: pain in the lower abdomen, constipation, and urination problems. Bleeding in this form of the disease does not occur.
- Submicose. The tumor spreads to the inner wall of the uterus. The woman is worried about a sharp increase in the abdomen, sharp pains in the lower abdomen, radiating to the lower back, heavy bleeding, which bring discomfort and pain.
- Intramural. In this form, the nodes are located in the muscle layer, thereby provoking an increase in the uterus. The most common symptoms of this form are painful and heavy menstruation, abdominal cramps, intermenstrual bleeding.
In size, fibroids can be small in size, when its diameter does not exceed a few millimeters, the average, large and giant uterine myomareaching several tens of centimeters in diameter.
How is a large uterine fibroids
Skip development fibroidslarge sizes impossible because the disease is characterized by severe symptoms:
- urinary incontinence,
- painful cramps in the lower abdomen, radiating to the lower back and anal passage,
- uterine bleeding that occurs during and between menstruation,
- intestinal disorders
- frequent urination,
- violation of menstruation,
- excessive sweating
- pain during intercourse,
- vaginal discharge with an unpleasant odor,
- fast fatiguability,
- increase in the abdomen, which is not associated with weight gain.
If you notice at least a couple of these symptoms in yourself, you need to consult a doctor and get treatment. It is important to understand that big myoma It has a negative effect not only on the urogenital system, but also on all nearby organs. If not treated, it is impossible to avoid serious consequences, in some cases death occurs. Large uterus pain - This is one of the main symptoms.
Possible complications of large fibroids
Large uterus myoma does not pass without a trace; complex treatment and, in some cases, surgery, are necessary. Having reached a large size, myoma needs constant nutrition, which it receives through vital organs, depriving them of oxygen. The first problems arise with the kidneys, liver and pancreas. Frequent problems that arise from untreated fibroids include:
- violation of the cardiovascular system,
- heart attack
- violation of metabolic processes,
- ischemic heart disease
- fistula formation on the bladder.
But that's not all what is dangerous uterine fibroids large. The most serious consequence can be called necrosis miamotozny site, which develops due to circulatory disorders on the background of the fact that fibroid reaches large sizes. Such a condition is dangerous for a woman and requires immediate surgical intervention, since a malignant tumor can develop.
About, which is not possible with large uterine myoma The doctor tells each patient individually, since the restrictions depend on the size of the education. But it is definitely worth refusing to tan in the sun, since ultraviolet negatively affects the formation and can increase its size.
To identify the disease is very simple: the gynecologist will be able to identify the disease with simple palpation, and besides, the woman will suffer from the symptoms described above. Before making a diagnosis large uterus myoma, doctor studying the history of the disease and patient complaints. Difficult cases require additional diagnostic methods:
Unequivocally say what kindthe size is considered the biggest fibroid you can not decide whether to carry out the operation or not, should the doctor after the examination and diagnostic methods.
The basis of treatment of this stage is only the surgical method, because conservative methods in the later stages will be ineffective. Most often, doctors in our clinic choose hysterectomy or myomectomy. When choosing a method of treatment, the doctor is guided by the patient's age, the severity of the disease, the size of the nodes, the presence of additional diseases.
Hysterectomy is a surgical intervention in which the genital organ is removed along with an enlarged node. Most often, this method of treatment is used for patients older than 45 years who do not plan to have a baby. If a fibroid of a large size is found in a young girl, another treatment is selected in which it is possible to preserve the organ. After carrying out this procedure in the body of a woman there is a strong hormonal disruption and disruption in the work of many organs.
Myomectomy is also a type of surgical procedure, in which only a node or a small part of the uterus, on which it is located, succeeds. This is a more benign method of treatment, in which the body is preserved and the ability to become pregnant. The disadvantage of this method of surgery is that the risk of recurrence is high.
Do not forget that large uterine fibroids - a serious disease that requires immediate treatment by a doctor. Only due to properly conducted diagnostics and therapy is it possible to preserve the genital organ. The above methods of treatment are effective, but they do not always guarantee the preservation of the body.
Is it possible to recover with the help of EMA
An alternative to surgical intervention can be called EMA, which is not an operation and is not accompanied by complications and unpleasant symptoms. Anesthesia is not provided for its performance and the uterus is preserved, without scars and cicatrices. Another advantage of the procedure: a short rehabilitation period that lasts no more than a week. From surgery, the recovery period is several months. And of course, the main advantage of this procedure is that there is no risk of recurrence.
EMA can be performed at any stage of the disease, regardless of the number of nodes and their size. Sometimes EMA is the only treatment method that can avoid complications. However, this method is prohibited to conduct in the presence of an allergic reaction to iodine, pregnancy and cancer process.
In our clinic, experienced doctors will be able to perform the EMA procedure on modern equipment, which guarantees complete safety to women with a giant uterine myoma, the size of which exceeds a large ball. Our center is equipped with radiographic operating rooms. If you want to know the cost of the procedure, its duration and rehabilitation period, make an appointment with our specialist or get an online gynecologist consultation by e-mail.
Most often, large fibroids are diagnosed in women who refuse to observe the rules of hygiene at a gynecologist. Also, if a disease is suspected, it is necessary to immediately consult a doctor, without self-healing and without wasting time until the organ can be saved. If you do not know what to do with a large uterine myoma, you need to consult a doctor and tell him about the symptoms.
What is fibroids?
A benign formation that develops from the uterine muscle tissue and is basically a collection of connective tissue elements - this is uterine fibroids. Its sizes can be different, from several millimeters in diameter to 10 and more centimeters. By the way, for more convenience, doctors register not only the size of the neoplasm, but also the size of the uterus, which correspond to a particular stage of pregnancy. For example, in a medical record, a doctor can record a diagnosis as “uterine fibroids, the size is about 12 weeks of pregnancy.”
The peak of the disease, according to statistical studies, falls on the age group of 35-50 years. Approximately 35-45% of women of this age suffer from one form or another of this disease. On the other hand, over the past few years, cases of tumor formation at an earlier age have become more frequent.
Forms of the disease
Immediately it should be noted that tumors can be either single or multiple. In addition, they are classified depending on the location:
- Subserous uterine fibroids grows under the peritoneum.
- An interstitial tumor (sometimes referred to as itramural) is located directly in the thickness of the uterine wall.
- The submucous form of a tumor is characterized by the fact that a large part of the formation bulges into the uterine cavity, as a result of which its deformation is observed.
Uterine fibroids: the causes of
This problem is considered one of the most common today. Therefore, women are primarily interested in the question of why uterine fibroids develop. The causes of the disease can be different:
- For a start it is worth noting that in this case there is some genetic predisposition.
- It has been proven that neoplasms can form as a result of hormonal imbalance, namely, when estrogen and progesterone levels change. That is why uterine fibroids with menopause rarely appear, and the neoplasms already present may decrease in size or even disappear altogether. At the same time, tumors often form closer to the end of reproductive age, since during this period there are significant changes in hormonal levels.
- The risk factors can also include various injuries of the genital organs, including abortion, childbirth, gynecological surgery.
- Uterine fibroids can develop on the background of thyroid disease, diabetes, obesity, high blood pressure, etc.
- Irregular sex life also increases the risk of developing such a neoplasm. By the way, statistical studies have shown that women unable to experience sexual satisfaction suffer from this disease much more often.
- Also risk factors are genital infections, especially in advanced cases when treatment has not been provided.
What are the symptoms of the disease?
In most cases, the disease proceeds without any symptoms, or the clinical picture is so blurred that it is perceived as a variant of the norm. For the most part, the tumor is detected by chance, during a routine examination at the gynecologist.
Symptoms of violation appear in the presence of multiple nodes, large tumors or their rapid growth. Symptoms will depend on many factors, including the location of the fibroids.
One of the most common manifestations of the disease are heavy menstruation, in which the amount of discharge is uncharacteristically increased. Sometimes there are bleeding outside of menstruation. Permanent blood loss over time leads to the development of anemia, which in turn is accompanied by weakness, decreased performance, fatigue, pallor of the skin.
Other symptoms include pain in the lower abdomen, which often give to the lower back. As a rule, they are aching in nature and appear regularly. If the tumor constricts the blood vessels, the pain can be acute, even cutting.
Subserous uterine fibroids, as well as other types of large tumors, can cause disruption of the work of neighboring organs. In particular, the tumor may compress the bladder, urinary tract or rectum. Patients often have problems with urination, the number of urinary system infections is increasing, and chronic constipation develops. If you have these symptoms, you should immediately consult a doctor.
Modern diagnostic methods
How exactly is uterine fibroids determined? Reviews of doctors suggest that the detection of such a tumor, as a rule, is not a problem. Since small fibroids rarely cause any violations, they are most often diagnosed during a preventive gynecological examination. This procedure allows you to note an increase in the uterus, after which the doctor prescribes additional research.
The first ultrasound examination of the pelvic organs. As a rule, patients are prescribed a transvaginal examination, as it gives more accurate results. This technique allows you to identify the tumor, to clarify the place of its localization, to determine the shape and size. As a rule, this is enough to make a diagnosis, but sometimes additional procedures are required.
For example, a hysteroscopy may be performed, during which the doctor carefully examines the internal genitals with a hysteroscope. This technique is more effective in the presence of interstitial and submucous neoplasms. In addition, during the procedure, the doctor can perform a biopsy and give the collected tissue for laboratory analysis - this helps to clarify whether the tumor is really benign.
In the event that it is not possible to accurately determine whether the tumor is a benign or malignant tumor, laparoscopy is performed - a microsurgical operation to remove uterine fibroids. After the procedure, the removed tissue is sent for analysis, where specialists can determine the exact diagnosis.
No less informative diagnostic procedures are magnetic resonance and computed tomography, but these techniques are used only in the most controversial cases in view of their high cost.
What therapy is indicated for the diagnosis of uterine fibroids? Treatment may be conservative. Its main goal is to stop the further growth of the tumor, prevent the development of complications and gradually reduce its size. Conservative therapy is possible only in some cases:
- the nodes are located in the muscle layer or under the peritoneum,
- tumor sizes do not exceed 12 weeks of pregnancy,
- no pain, heavy bleeding,
- the patient has contraindications for surgery.
Drug treatment includes taking various hormonal drugs.
- Quite often, patients are prescribed medications that are derivatives of androgens. The mechanism of their action is to suppress the synthesis of steroid hormones by the ovaries, which, accordingly, leads to a decrease in the size of the tumor. Gestrinon and Danazol are considered quite effective. The course of therapy in this case is quite long - up to about eight months.
- Combined oral contraceptives, in particular, "Yarin", "Regulon". These drugs suspend the growth of the tumor, but their use is advisable only if the size of the tumor does not exceed 2 cm. The course of treatment lasts not less than three months.
- Also in the course of therapy may include taking drugs such as "Zoladex" and "Buserelin." They inhibit the synthesis of estrogen, which also helps to reduce the size of the tumor. Prolonged use of these drugs is dangerous, as it can cause menopause.
- In the presence of hyperplastic processes in the endometrium (this is not uncommon with myoma), progestin administration is also prescribed, in particular Norkolut, Utrogestan, Duphaston. Sometimes these drugs contribute to the process of tumor reduction, but have no particular effect on myoma.
Uterine fibroids: sizes for surgery, indications for surgery
Unfortunately, not every case may be conservative treatment. If there are large tumors, squeezing organs, bleeding, surgical intervention is necessary. What should be uterine fibroids in this case? Sizes for surgery correspond to an increase in the uterus at 12 weeks and more.
There are several ways to remove such a neoplasm. Only the attending physician can choose the appropriate procedure, depending on the characteristics of the patient's condition.
The safest way is embolization of uterine fibroids, or rather uterine arteries. This is a minimally invasive procedure during which an embolus is inserted into the vessel. It interrupts the blood flow to the tumor, which causes its gradual death. This method is suitable for young women who are planning a future pregnancy.
You can also preserve the ability to conceive and bear a child by performing a myectomy. During the procedure, the doctor removes the myoma nodes, leaving only healthy tissue. Access to the affected tissues is carried out either with a laparoscope or through an abdominal incision.
How else is uterine fibroids treated? Treatment may be more radical. In some cases, the only possible solution is complete removal of the uterus - hysterectomy. This method is used in the presence of large tumors or a large number of nodes, inconvenient localization, if it is impossible to remove all fibroids without organ damage, and also if diagnostic procedures cannot confirm the goodness of the detected tumor.
Even if uterine fibroids are removed, the patient is prescribed a course of hormonal therapy to prevent subsequent relapses. The combination of conservative and surgical treatment today is the "gold standard".
What complications are possible?
Today, many patients are interested in questions about what is dangerous uterine fibroids. Immediately it should be said that the presence of such an education can be quite dangerous, since its growth affects the work of the entire reproductive system.
At one time, myoma was considered a precancerous condition. Doctors said that the probability of malignant degeneration is high. Today, this topic is not so relevant, because during recent studies it was proved that the probability of transition to cancer is extremely low. However, in some cases, without surgical removal of the tumor, it is simply impossible to determine whether it is benign or malignant.
Possible risks include the rapid growth of a neoplasm, as a result of which it begins to put pressure on the nearby pelvic organs, blocking the normal blood flow, interfering with the nutrition and blood supply to the tissues.
There are other risks associated with uterine fibroids. The consequences of having such a formation are also profuse uterine bleeding, which over time leads to the development of anemia. The development of pyelonephritis and hydronephrosis is also possible, which is also dangerous. Pregnant women have a high probability of early spontaneous interruption, as well as hypoxia and malnutrition of the fetus. Due to the loss of the uterus tone, the risk of uterine bleeding is much higher.
According to studies, fibroids can lead to infertility, as well as the development of various forms of endometrial hyperplasia. That is why in no case should we ignore the disease - follow all the recommendations of the attending physician.
Are there effective prevention methods?
Unfortunately, today there are no tools that can fully protect against the occurrence of such a problem. However, by following some rules, you can significantly reduce the risk of both a neoplasm and its associated complications. So how to prevent a disease called uterine fibroids?
The causes of the disease can be different, so the first thing to avoid is risk factors. In particular, you need to adhere to the rules of good nutrition, to ensure that the body received enough vitamins C, A and E, as well as minerals, including iodine, zinc and selenium. It is important to engage in physical activity and maintain body weight in the optimal range.
Since one of the risk factors are abortions, it is better to use qualitative methods of contraception, for example, hormonal drugs (but they must be selected by the attending physician after an examination). Positively, the state of the hormonal background and reproductive system will be affected by regular sex life (but not promiscuous sex).
It is also necessary at least twice a year to undergo preventive examinations at the gynecologist, as well as an ultrasound examination of the pelvic organs once a year. The sooner a disease is detected, the easier it will be to get rid of it.
Some useful tips
The presence of such a disease is a signal to the need to reconsider the lifestyle. Women with a similar diagnosis are recommended to more closely follow the diet. In particular, from the diet should be eliminated fatty and fried foods, to minimize the amount of preservatives, dyes and other substances. At the same time, it is recommended to include in the menu fresh fruits and vegetables, foods rich in vitamins, fiber and trace elements. It is extremely useful in such situations are fish dishes.
It should also be noted that patients diagnosed with myoma should avoid heat exposure. This means that you need to abandon the long sun baths, visits to the bath, sauna and solarium, as well as a hot shower.
Compliance with these rules will not only speed up treatment, but also reduce the likelihood of relapse in the future.
Folk remedies: how effective are they?
As you can see, uterine fibroids without surgery can be treated quite often. Preparations, the scheme and the duration of their admission is determined by the doctor. But many patients are also interested in questions about whether any home remedies can be used in the fight against the disease.
Of course, traditional methods of treatment of fibroids exist. But it should be said that it is possible to apply any recipes with the permission of the doctor and only as auxiliary elements of therapy.
So what is effective with a similar ailment? For example, the usual burdock helps many patients. The root of this plant must be dried and crushed to powder. Approximately 5 g of this powder should be poured 400-500 ml of boiling water, cover with a lid and let it brew for 12 hours. Take the infusion need for half a cup four times a day. The course of treatment lasts about 30 days, after which you need to take a break for at least two weeks. No less effective are tinctures of mint, nettle, hawthorn and celandine. But any thermal procedures (for example, hot baths, warming compresses and ointments) are strictly contraindicated, as they can accelerate the growth of a neoplasm.
Why size matters
A small tumor may not show itself for a long time. But with its growth, many signs become not just obvious, but painful, as the neoplasm interferes with the functioning of the uterus and other organs.
Naturally, the presence in the body of such a tumor can not threaten its functioning. The danger of large fibroids is as follows:
- The bleedings caused by it lead to anemia, deterioration of health in general, reduced immunity.
- The presence of a tumor in the inner space of the uterus leads to the impossibility of childbearing due to miscarriages. Its localization outside the organ interferes with the work of the intestines and the bladder, as the fibroid puts pressure on them. And in both cases, uterine deformity is likely.
- Increases the risk of hemorrhage in the body, threatening rapidly developing inflammatory process. This may necessitate removal of the uterus.
- There is a chance that a neoplasm will degenerate from benign to cancerous. And although it is not great, you should not experiment, delaying with treatment. Because myoma is reborn into an instantly developing sarcoma.
Signs and symptoms of a large tumor
Signs of highly developed fibroids depend on its location:
- With a submucous tumor of large size, menstruation turns into anguish, becoming abundant, long, painful. Bleeding occurs even beyond critical days. The same is possible with intramural tumors.
- Subserous myoma disrupts the organs on which it presses. A woman can be tormented by constipation, the need to urinate often and with pain. If the tumor has grown close to the appendages, it affects their work, leading to obstruction of the fallopian tubes, interfering with the functioning of the ovaries. This is manifested by pain, monthly delays.
- Tumors of any location lead to permanent discomfort in the abdomen, pains that increase with sex.
- Due to frequent bleeding, periodically weakness, palpitations, chills, nausea. Such an attack can begin from a simple change in the position of the body.
- The belly increases in circumference. The rest of the volume of body parts do not change.
Types of myomas by their location relative to the uterus
How big fibroids are diagnosed
A large education signals its existence with obvious signs. But only relying on the data of the patient's survey, the doctor will not make a diagnosis. A complex of research is needed:
- Gynecological examination. It will allow to detect the measurement of the size of the uterus, and in some cases the node itself.
- Ultrasound of the pelvis. Here you can see the location of fibroids, sizes, changes caused by it in the body. Ultrasound can be done through the abdominal wall or intravaginally.
- Hysteroscopy. This type of examination is needed when a tumor is localized in the uterus.
Treatment methods for big fibroids
The treatment of large fibroids is a process that does not tolerate postponing for a long time. The tumor is triggered by an imbalance of hormones. But its recovery with the help of drugs will not give the desired effect. That is, conservative therapy is not suitable as a primary measure. It can only be used to reduce neoplasm before surgery.
To do this, use the tools:
- on the basis of artificial progesterone (Duphaston, Utrozhestan),
- overwhelming ovarian function (Danazol, Byzanna, Gestrinon, Buserelin).
By reducing the size of the tumor, they will also reduce the area of tissues damaged during surgery. Hormone therapy is also used after the intervention to stabilize the general background and prevent new development of fibroids.
The main course of therapy
A large myoma requires removal. In what way it will be produced, the doctor decides in each specific case, there is no uniform method for all. There are several options for removal:
- Laparotomic operation. Conducted through the incision of the anterior abdominal wall.
- Laparoscopic intervention. Make a few punctures.
- Hysterocopy The operation is carried out through the vagina.
If hormones fail to reduce fibroids to a size of 6 cm, all these techniques are used to remove it together with the uterus. And in this case, the proven method of laparotomy is preferable, despite its greater invasiveness in comparison with the other two. Modern methods of operations make it possible to preserve the neck of the organ.
How uterine fibroids are treated also depends on age. If the disease appears in a young woman, doctors try to leave the organ in place, removing only the tumor. The condition is its reduction to 6 cm. If it turned out to be done by hormonal therapy, the tumor is removed:
- laparoscopically, when it is subserous or intramural, but located closer to the outer lining of the uterus,
- hysteroscopically, if myoma is submucous.
But after such an intervention, the likelihood of recurrence of education remains.
Are traditional methods applicable to the treatment of large fibroids?
Most women who are not even young are afraid of surgery, especially when it is assumed that the uterus cannot be preserved. Some are afraid of hormones, having learned that the drugs used in myoma have many side effects. In this case, the use of medicinal herbs, juices, honey and other folk remedies remains.
It is irresponsible to expect that they will relieve from large fibroids or at least reduce its size. Folk remedies are applicable only as an addition to the hormone therapy preceding the operation for general body strengthening, pain reduction, bleeding intensity. They can also be used after intervention for the same purpose - to increase immunity, to support psychologically. And in all cases can be used only when the gynecologist has nothing against it.
Refusal of professional treatment in general will lead to a deplorable result. If the tumor is large, it tends to grow rapidly. This may result in emergency hospitalization and an operation to save the patient's life. Doctors will no longer be able to preserve its reproductive capabilities.
We recommend reading the article on menstruation for uterine myoma. From it you will learn about the effects of the disease on menstruation, the causes of poor and abundant secretions, violations of the cycle.
How to prevent the development of fibroids
Fibroids occur against the background of an imbalance of hormones, which can cause many factors. If you eliminate them, the likelihood of such a neoplasm will be significantly lower even with unfavorable heredity. Prevention of myoma nodes is as follows:
- prevention and professional treatment of inflammation and infections affecting the reproductive organs,
- rejection of abortion
- the desire for psychological comfort, peace of mind,
- normal intimate life
- pregnancy and childbirth at the age of 20-30 years,
- proper nutrition with the restriction of animal fats,
- physical activity aimed at eliminating blood stagnation in the pelvis,
- avoiding long exposure to ultraviolet rays,
- smoking avoidance.
It is easier to treat at the initial stage. But even with a neoplasm rapidly growing to a significant size, which forced the removal of the uterus, the quality of life after the operation changes for the better.
For example, when a large amount of pills are needed, the spiral is prohibited. And after 40 years it is necessary to take into account associated diseases. . And here more about the uterine myoma large size.
Therefore, it is likely to start the disease. And it is important to know what is uterine fibroids, symptoms and signs during menopause. . As already mentioned, myoma of small size during menopause may not cause noticeable manifestations.
In case of a multiple neoplasm of a drug, it makes sense to use it if its size is small, and it progresses slowly. . Multiple uterine fibroids cause more difficulties with treatment than a single one.
We recommend reading an article on large uterine myoma. From it you will learn about the signs and symptoms of a large tumor, methods of diagnosis and treatment. And here more about the use of homeopathy in the treatment of uterine fibroids.
Intramural uterine fibroids and its types. Diagnosis of the disease. The effect of intramural fibroids on pregnancy. . How to treat uterine fibroids large. Is it possible to put a spiral in uterine myoma?
If a uterine fibroid has not reached a large size in a patient, gynecologists are successfully used to treat a combination of various hormonal protoxicopathies.
Indications for removal of uterine fibroids in size in weeks or centimeters - how to carry out the operation
Доброкачественные новообразования убирают консервативными методами, а их лечение протекает под врачебным контролем. Если опухоль растет, оказывает давление на соседние органы, тогда подлежит немедленному удалению. Специалисты клинически определяют, при каких размерах миомы матки делают операцию, чтобы избежать осложнения.
Dimensions for uterine fibroid surgery in millimeters
Absolute indications for surgical intervention is the rapid growth of benign tumors. Pain is present in the advanced stage of the disease, and it is important not to ignore such complaints from the patient. The operation is not done to all women with a characteristic tumor, the doctor individually determines the allowable size for the operation of uterine fibroids in millimeters. The parameters are as follows:
- Small fibroids can be as large as 6 mm, 14 mm or more, corresponding to a gestation period of 4-5 weeks. The limit of this stage of the disease is the parameter of the tumor 20 mm in diameter.
- The average mime size is 40-60 mm, which corresponds to the gestational age of 5-11 obstetric weeks.
- Most fibroids - from 60 mm in diameter, which corresponds to the beginning of the second trimester.
Size of fibroids in weeks and centimeters
To determine the parameters of a benign tumor can be clinically achieved by performing an ultrasound. The size of the tumor is determined by weeks and centimeters, and the doctors in this matter adhere to the standard classification. If in the female body the focus of pathology reaches a large size, an operation is necessary. Approximate sizes of fibroids in weeks and centimeters for reliable diagnosis are presented below:
- 5 obstetric weeks - up to 5 cm
- 7-week obstetric period - from 6 cm,
- 10-13 week obstetric period - 10 cm
- 18-19 week obstetric period - 16-21 cm
- 24-25 - weekly obstetric period - 23-28 cm,
- 30-32 obstetric week - 29-33 cm,
- 40-41 - weekly obstetric period - 34-35 cm.
How to operate myoma
If active growth of myoma nodes is observed, a diagnostic procedure is necessary - an ultrasound scan. If there is a small fibroid, the doctor offers a minimally invasive type of surgery with minimal health complications. The neoplasm of large size is subject to immediate excision, so doctors urgently operate on uterine myoma. Before doing this, it is recommended that the patient undergo a full examination, determine the features of the clinical picture. If the focus of the pathology grows, doctors operate, while choosing one of the following surgical interventions:
- abdominal surgery.
Indications for surgery for myoma
In practice, cases are different, but large tumors are subject to mandatory excision. Indications for surgery for uterine myoma voiced by a doctor. Leaves small cysts under observation, the patient is registered with the gynecologist. The answer to the main question, whether it is necessary to remove uterine myoma, depends on the size of the neoplasm and the characteristics of growth. If uterine fibroids develop, the dimensions for the operation determine the clinical picture:
- severe pain,
- abundant menstruation of different etiology,
- uterine bleeding,
- necrosis of myoma node,
- subserous and submucous myoma on the leg,
- twisting the long leg of the knot,
- deformation of an organ or group of neighboring organs,
- intramural myoma,
- not carrying pregnancy, infertility,
- dysfunction of neighboring organs, for example, intestinal obstruction,
- appearance of symptoms and signs of rebirth in cancer.
Fibroid surgery 8-9 weeks
If the tumor has acquired a characteristic of the middle stage, while continuing to grow, doctors recommend surgery. The best option for myoma surgery at 8-9 weeks is laparoscopic myomectomy, which involves removal through the small punctures in the abdominal wall. The scars on the skin do not remain, but after such a surgical procedure, the woman needs a two-week rehabilitation.
Such a surgical method is appropriate to safely remove 3-4 pathogenic nodules with a joint diameter of not more than 1.5 cm. For difficult-to-reach nodes, complicated clinical pictures and large formations, it is better to choose another treatment method that already involves making incisions, access to the nidus through the vagina . An alternative is hysteroscopy, which is more considered a diagnostic procedure.
Myoma surgery 10 weeks
If the average fibromyoma develops, bladder dysfunction is not excluded, a laparotomy is recommended by doctors. This is a serious operation, appropriate for large fibroids, corresponding to obstetric period of 12-15 weeks of pregnancy. Surgical manipulations are performed through an incision in the anterior wall of the peritoneum. The operation is appropriate if the ultrasound shows the deformation of the uterine body against the background of the pathogenic growth of a benign neoplasm. Delaying the procedure is dangerous. The operation of fibroids 10 weeks requires a long rehabilitation.
Myoma operation 12 weeks
If the tumor is large and growing, it is important to act immediately. If there is one node in the cervix, the anterior or posterior wall of the uterine body, a hysterectomy is recommended. This radical method of treatment involves the complete removal of the genital organ. Such an operation of myoma at 12 weeks is carried out if other methods of treatment are not suitable or are ineffective. In complicated clinical pictures, doctors do not exclude the possibility of abdominal surgery with a solid size of the pathology center.
Indications for removal of the uterus with myoma
If it is not possible to remove the tumor, or its size exceeds the permissible parameters for surgical procedures, the reproductive organ must be completely removed. After surgery, the development of anemia and other complications in the body are possible. The patient needs long-term rehabilitation therapy. The main indications for removal of the uterus in myoma are presented below:
- loss or prolapse of the reproductive organ,
- suspicion of cancer,
- late diagnosis of a characteristic neoplasm,
- prolonged bleeding
- intensive growth of fibroids,
- progressive anemia.
What to do and what treatment to use, with uterine myoma large size?
Uterine fibroids occur in many women, but the formation of large sizes is not often, but it still happens. And all because the fair sex ignore the symptoms and do not turn in time for help. It must be remembered that the fibroids of the large organ of genesis are a serious pathology that has a detrimental effect on the nearby organs and carries a danger to the general health of the woman. What symptoms can tell about the education of very large sizes? Is it possible to cure uterine myoma without surgery if it is very large?
What symptoms indicate a large tumor?
First of all, I would like to say that uterine fibroids are a benign education. It is formed from the tissues of the reproductive organ under the influence of external factors. It is worth remembering that, even despite the fact that it is a benign tumor, it is still dangerous to the health of a woman. A large tumor is very dangerous, and its presence can be recognized by the following features:
- aching pain in the abdomen,
- spontaneous urination,
- bowel problems,
- vaginal bleeding,
- menstruation disorders
- frequent urination,
- discomfort during and after sex,
- mucous discharge from the vagina with an unpleasant odor,
- fatigue and weakness
- shortness of breath
- pathologies of the heart and blood vessels
- excessive sweating
- pain in the pelvic region, which gives to the anus and lower back,
- a slight weight gain
- an increase in the abdomen, like during pregnancy.
After the lady finds such symptoms, she should, without delay, seek qualified help. After a thorough examination, the doctor will be able to accurately diagnose, find the cause of the pathology and select the best method of therapy. After all, uterine fibroids are very dangerous and can lead to serious irreversible consequences in the female body.
What can cause uterine fibroids?
Until now, the exact reasons for the appearance of uterine fibroids have not been established, but there are suggestions that such factors may provoke its appearance:
- polluted environment environment
- frequent stress
- disruptions in the endocrine system
- chronic infections
- kidney disease
- frequent loads
- adrenal lesions,
- thyroid disease,
- frequent abortions,
- gynecological pathology in chronic form,
- long-term use of hormonal drugs
- prolonged ultraviolet irradiation.
In addition to the above reasons, very large fibroids can develop if there is a small node, if there is no treatment.
What complications are possible with large fibroids?
A large tumor is very dangerous, and if nothing is done, it can lead to very serious consequences. The thing is that myoma constantly requires nutrition, which it can pull from nearby organs, most often the pancreas, liver and kidneys suffer. Also, if you do not start treatment in a timely manner, such pathologies may develop:
- malfunctions of the heart and blood vessels,
- disruptions in the metabolic processes of the body,
- bronchitis, rhinitis,
- fistulas on the walls of the bladder.
But the most serious consequence without action in uterine myoma is necrosis of the tumor nodes that occurs when the blood supply to them is disturbed, and it is caused by the very large size of the neoplasm. Such a condition requires urgent surgical intervention, without it in such a state is not enough. In addition, doctors believe that cancer of the reproductive organ may be the result of inactivity with myoma. Which treatment will help better?
For the treatment and prevention of fibroids, our readers successfully use the Natalia Shukshina Method. Having carefully studied this method, we decided to offer it to your attention. Read more.
Depending on where the tumor is located and in what direction, several types of myomas are distinguished:
1. Intramural (intermuscular) myoma is formed in the muscle layer (myometrium). With this arrangement, the tumors of the uterus myoma large sizes are not uncommon. Sometimes the myoma uterus can be as large as the uterus of a woman at 9 months of pregnancy. Due to changes in the contractility of the uterus is often accompanied by painful periods and increased blood loss. Unfortunately, this is the most common type of uterine tumor.
2. Submucous (submucous) myoma is characterized by location in the endometrium and growth in the uterine cavity. In severe cases, it requires urgent surgical intervention.
3. Subserous (subperitoneal) myoma is located on the outer wall of the uterus and grows into the cavity of the pelvis. If uterine fibroids are large, then compression of the organs located nearby occurs, and, as a result, the functioning of the bladder, rectum is disturbed.
4. Mixed fibroids are diagnosed if the woman has several tumors and they are in different uterine cavities, for example, intramural-submucous.
To determine how the myoma uterus has grown, gynecologists compare it with the uterus of a pregnant woman and indicate its size in the weeks of pregnancy. Although some doctors measure the size of the tumor in centimeters. Alas, there is no single standard in this matter. Consider how uterine fibroids are classified according to size.
1. Uterine fibroids are small. One or more tumors up to 2 centimeters in size. It can be both asymptomatic and manifest as abundant menstrual flow, pain syndrome, infertility.
2. Uterine fibroids are medium in size. This group includes single neoplasms up to 4 cm in size and multiple tumors with a dominant node up to 6 cm.
3. Uterine fibroids large. One can speak about this type of tumor when the size of myoma nodes exceeds 6 cm or gynecologists determine the size of the uterus more than 12 weeks of pregnancy.
Symptoms of uterine fibroids
The symptoms of fibroids are quite diverse, since they are affected by the following factors: the location and size of the fibroids, the direction of growth of the neoplasm.
A subserous uterine myoma of a small size may not manifest itself in any way, since it has no effect on the functioning of the uterus and the course of menstruation. If subserous fibroids have grown and become large, then the woman feels pain in the lower abdomen during movement or physical exertion. This is due to the fact that with the growth of tumors, the peritoneum is stretched. Also, a symptom of a large uterine fibroid is a difficult bowel movement, painful urination, back pain.
With intramural neoplasms, the volume of menstrual flow increases significantly, and menstruation itself is accompanied by pain. This is due to the fact that the contractility of the uterus is reduced. Large intramural myoma of the uterus can deform the organ, it acquires an asymmetric shape. As in the case of a subserous tumor, the intramural large uterine myoma puts pressure on neighboring organs and prevents them from functioning normally.
Infertility is one of the symptoms of a submucous neoplasm, especially if the fibroid is located near the fallopian tubes. The main symptoms of a submucosa are prolonged and heavy menstruation. Also often there are occasional bleeding with an unpleasant odor. Large uterine fibroids submucous type prevents the conception of the child.
Diagnosis of uterine fibroids
New growths in the uterus can be detected completely by chance during a routine examination by a gynecologist. Uterine fibroids small size does not manifest itself. If during a manual examination of the vagina and uterus, the doctor found a lumpy or uneven surface with compacted areas, then he may be suspicious of myoma and send the patient to an ultrasound examination. This diagnostic method will provide an opportunity to establish the number of myoma nodes, their size and location. For a more accurate result of ultrasound, it is desirable to undergo an examination with two sensors: transvaginal and transabdominal.
Also, for a more accurate assessment of the size of large uterine fibroids, a woman can be sent for magnetic resonance imaging (MRI). With strong uterine bleeding, a blood test is necessary to determine the level of hematocrit and hemoglobin. When diagnosing a submucous tumor, a hysteroscopic examination is performed.
When diagnosing uterine fibroids, the most important thing is to differentiate a benign tumor from a malignant one.
Treatment of uterine fibroids large
The treatment of uterine fibroids depends on its size and the symptoms that accompany the disease. If uterine fibroids are small - up to 2 centimeters, there is no bleeding and pain, then the gynecologist may not prescribe any treatment, but recommend monitoring of the myoma.
If the size of the neoplasm is less than 12 weeks (up to 2.5 cm), there is no heavy menstrual flow, leading to anemia, severe pain, there are minor irregularities in the menstrual cycle, then conservative treatment is prescribed - hormone therapy. The disadvantage of this method is that after stopping medication, symptoms of the disease may appear again.
If conservative treatment did not produce the expected result and a rapid tumor growth is observed, then surgical intervention is recommended. With large uterine myoma, conservative methods are not used. The exception is preparation before surgery.
Sometimes, when the uterus is large, surgery is the only way to save a woman's genital organ or life.
Types of operations for uterine myoma large
When uterine myoma is large, there are several types of surgery:
- hysterectomy (removal of the uterus),
Removal of the uterus is an extreme method used only when there is no other option to save health and life or the age of a woman is close to the onset of menopause. Indications for hysterectomy:
- myoma in combination with ovarian cysts,
- myoma of the uterus of the big size,
- recurrent endometrial polyposis,
- multiple uterine fibroids,
- endometriosis of the uterus,
- rapid growth of fibroids,
- strong pain syndrome
- prolapse of the genitals,
The biggest drawback of this operation is obvious - a woman can never have children. The recovery period after removal of the uterus lasts up to 6 weeks. If the ovaries are removed together with the uterus, hormone replacement therapy is necessary.
Abdominal myomectomy is abdominal surgery for large uterine myoma. During the surgical procedure, an incision is made in the lower abdomen, and myoma nodes are removed from the uterus, and the organ itself is preserved.
Laparoscopic myomectomy is an operation to remove intramural and subserous myomatous nodes. Conducted through 3-4 puncture-incision in the abdominal cavity.
Indications for abdominal and laparoscopic myomectomy are the same:
- subserous nodes on the leg,
- inability to conceive or endure a pregnancy,
- rapid growth of a tumor or large uterine myoma,
- pain in the pelvic region,
- disruption of the functioning of the internal organs due to their compression by the neoplasm.
The disadvantages of these methods are:
- damage to the bladder or intestines during the operation,
- the probability of recurrence of fibroids,
- The appearance of adhesions at the site of the operation.
The uterus myoma of the big sizes, as well as other types of such educations, arises from a myometrium cells, can be single or multiple. In addition, large nodes can be located both under the mucous membrane, in the muscle layer of the uterus, and under the peritoneum. Often, large nodes have a leg in which the main vessels pass, feeding it.
The size of education is usually compared with pregnancy, when they talk about myoma of 12 weeks of pregnancy, this means that the volume of a woman’s abdomen corresponds to this period. The classification of fibroids is as follows:
- small, the value corresponds to a pregnancy of less than 12 weeks,
- big, from 12, till 16 weeks,
- gigantic, over 16 weeks.
The largest fibroid that was registered was 63 kg. But usually there are smaller formations. Large fibroids often cause irregularities in the menstrual cycle, which can be perceived as a false pregnancy, as the woman’s abdomen increases, there are no periods and you can even listen to the aortic pulsation, which is perceived as a fetal heartbeat.
Why this disease occurs has not yet been clarified, there are only observations and studies indicating various factors that can cause its development. The causes of large uterine fibroids are:
- hormonal disorders,
- myometrial damage during operative, diagnostic procedures,
- urinary infections
- reduced overall immunity.
A tumor may grow slowly, but its rapid growth is sometimes observed. The cause is often a violation of the level of hormones in the blood. This can be with a variety of endocrine disorders. Stress, overwork can also accelerate the growth of education.
Symptoms of uterine fibroids of large sizes have certain differences. So, they often cause irregular menstruation. Moreover, large volumes often reach education on the leg, in the uterus or in the abdominal cavity. Usually large myoma nodes give the following symptoms:
- monthly disturbances, maybe their absence, but more often there are long, heavy menstruation,
- bleeding, when menstruation is delayed and continue for more than 2 weeks, you need to talk about uterine bleeding,
- pains in the abdomen, they can be cramping or become severe, unbearable, when torsion of the knot legs occurs, in which the vascular bundle passes, feeding it,
- constipation, disorders of the digestive tract associated with the pressure of a large node on the intestines,
- frequent urination due to pressure on the bladder,
- symptoms of anemia, weakness, fatigue, shortness of breath, dizziness, loss of consciousness.
Studies show that in uterine myoma of a large size there are also symptoms of dysfunction of other organs, since a rapidly growing formation requires a large amount of nutrients and vitamins. In such cases, talk about the symptom of "stealing", which manifests itself in the formation of a value corresponding to 12-16 weeks of pregnancy.
Complications of uterine fibroids of a large size occur more often than with small multiple myomas, and often there are complications from other organs:
- uterine bleeding, they are abundant, because a large education has a good blood supply,
- kidney disease, due to stagnant urine and the addition of infection,
- acute intestinal obstruction, due to a violation of the passage of food through the intestines, when it is squeezed,
- peritonitis, occurs due to torsion of the leg and necrosis of the myomatous node, it is also possible bleeding, due to the destruction of the wall of the feeding vessel.
The prevention of uterine fibroids of large sizes is the timely detection and treatment. Since it takes time to increase the volume of nodes, and fast-growing myomas are rare, large nodes are more often a neglected disease. This can happen if a woman does not care about her body, or if she does not have regular gynecological examinations. Therefore, an important part of prevention is timely visits to the gynecologist, with any violations of the menstrual cycle, heavy menstruation and pain.
Uterine fibroids are large and small. What are the differences?
Uterine fibroids - a benign tumor that forms most often in the muscle layer of the uterus. According to statistics, of all gynecological diseases, this pathology is detected in approximately 30% of cases and is the most common tumor in women. As a rule, uterine fibroids are affected by women after the age of thirty, but in some cases the disease can develop, regardless of age.
Usually the development of this pathology is very slow:
- For reasons unknown to modern science, one of the muscle cells of the uterus begins to divide,
- creates tumor cells, from which a node is formed in the uterine wall - myoma.
Depending on where exactly this pathology is localized, doctors distinguish:
- Interstitial myoma - the node is located in the thickness of the uterine muscle layer
- Subserous myoma - the pathological formation is located in the surface layer of the uterus and grows into the abdominal cavity,
- Submucous myoma, in which the node is located immediately under the inner mucous membrane of the uterus and grows into its lumen
- Ligamentous fibroids - pathological node develops between the wide ligaments of the uterus
- Cervical fibroids, which is localized in the muscle layer of the cervix.
The main clinical symptoms of the disease
Usually, if uterine fibroids are small, then it is very difficult to identify, since the symptoms at the early stage of the disease do not appear in most cases. In fact, the symptoms that occur in this pathology are directly dependent on the localization of the pathological formation, its size and growth rate.
In most cases, the myoma of a small size begins to grow rapidly when a woman reaches 38-40 years of age, which is associated with a decrease in the level of sex hormones, which is characteristic of the forthcoming transition of the body to menopause.
If uterine fibroids are large, the following clinical signs may appear:
- More abundant menstrual bleeding and an increase in their duration.
- Uterine bleeding between two cycles
Pain in the lower segment of the abdomen, passing into the lower back or legs. Usually, when uterine myoma reaches a large size, severe and sharp pain may occur, but most patients complain of weak, aching and prolonged pain,
In addition to the above symptoms, with this pathology, there may also be other signs from the organs located far from the localization of the tumor:
- Pain in the heart,
- sudden headaches
- hot flashes,
- the appearance of anemia,
- general weakness and fatigue, etc.
As mentioned above, the specialist usually identifies the pathology either after reaching the uterus myoma of a large size or diagnoses it by chance, during a routine examination. It is very difficult to diagnose that at the early stage of fibroid development, the course of the disease is asymptomatic.
Treatment for uterine myoma
The treatment of this disease depends on many factors, among which the most important is the growth rate of the pathological node and its size, exponential symptoms, age of the patient, general body condition and the desire to have children in the future. Modern medicine, depending on the combination of such factors, in each particular case prescribes a specific treatment.
In fact, there are only two options for treating such a disease, a conservative one, in which hormone preparations are used as part of the therapy and an operative one, during which the pathological formation is surgically removed.
If the uterine fibroids of a large size grows toward the bladder, thereby squeezing it, there may be an increased urge to urinate. When the lesion grows towards the rectum, constipation may occur.
The conservative treatment of uterine fibroids makes it possible to reduce the rate of tumor growth to the minimum possible, and also to preserve the uterus, which in the future allows the patient to bear and give birth to a child. Conservative treatment in this pathology is carried out with small-sized formations, slow growth rates, and localization of myomatous nodes in the thickness of the muscular uterine layer or under the superficial membrane of the uterus. Within the framework of such treatment, hormone therapy and symptomatic treatment are basic.
Surgical treatment of such pathologists is indicated if the disease is detected at a late stage and the pathological node has reached a considerable size, rapid growth of the tumor, as well as pronounced symptoms of the disease. Surgical treatment of uterine fibroids involves the removal of a pathological formation. Depending on the location of the myoma node and some other factors, the operation for its removal can be carried out using different techniques.
The unique method of treatment of uterine fibroids from Professor Puchkov:
Share it with your friends and they will definitely share something interesting and useful with you! It is very easy and quick, just click the service button that you use the most:
Evgenia 10.11 14:30
Read better what Elena Malysheva says about this. For several years she suffered from poor health - headaches and dizziness, weight problems, abdominal pain, nausea, constipation, weakness, loss of strength, weakness and depression. Endless tests, visits to doctors, diets, pills did not solve my problems. Doctors did not know what to do with me. BUT thanks to a simple recipe, headaches, problems with the gastrointestinal tract in the past, my weight returned to normal and I feel HEALTHY, full of strength and energy. Now my doctor is wondering how it is. Here is the link to the article.
Causes of pathology
Doctors identify various causes of uterine myomatosis. The formation of fibroids mainly begins due to hormonal disruption in the body. But there are other reasons provoking an increase in fibroids:
- hereditary factor
- frequent stress
- endocrine gland diseases,
- chronic infections
- chronic infections
- renal failure, pyelonephritis,
- excess weight,
- physical fatigue,
- thyroid disease,
- frequent abortions,
- ultraviolet irradiation
- Irregular hormone therapy
- gynecological diseases.
All these factors provoke the appearance of a tumor. Large fibroids may gradually grow if the small-sized node is not treated in time.
What sizes of fibroids are considered large
A growing tumor fills the uterus, like a fetus growing in it, so the sizes of fibroids are considered in obstetric weeks. For example, a neoplasm of 6–9 centimeters is six to nine weeks of gestation. What sizes of fibroids are considered to be large:
- Small size from 0.1 to 2 cm or 20 mm - obstetric period - four weeks.
- The average size is from 2 to cm or from 20 to 60 mm - obstetric period is ten to twelve weeks.
- Large size - from 6 cm and above - obstetric term from twelve to sixteen or more weeks.
The formations are large, from 6 cm, and gigantic, from 25-30 cm. That is, for example, 42 mm is a medium size - only 4, 2 in centimeters, and 120 mm is already a very large tumor of twelve centimeters or sixteen obstetric weeks . A giant sized tumor is over 30 weeks.
Treatment of uterine fibroids large
Treatment of large uterine fibroids is rarely limited to conservative methods. They are aimed at reducing the tumor to a small size. It is impossible to cure the uterine myoma of the large size with medicines, it needs to be removed.
The method of treatment of fibroids are determined by the gynecologist after diagnosis. What are the ways to remove a large tumor:
If hormonal therapy did not bring results, the tumor did not become smaller, then it is removed along with the organ.
Only the doctor will tell you to take what is possible with a large tumor, and what is not recommended. There are a number of drugs for the treatment of large uterine fibroids, aimed at reducing it to size, when it can be removed, while maintaining reproductive function. Prescribed medications containing progesterone. (course Duphaston or Ugrogestana). Means that stop the function of the ovaries such as Danazol, Vizanna, Gestrinona and Buserelin.
When the hormonal background is normalized and the amount of estrogen decreases, uterine myoma decreases in size, the growth of the neoplasm stops. Thus, it is much easier to remove it, and the uterus can be saved. In addition, hormonal drugs prescribed during the recovery period, as the prevention of disease recurrence.
Hysterectomy is a surgical operation to remove uterine fibroids. The purpose of hysterectomy is the removal of the uterus along with the tumor. The operation is recommended for women who have entered menopause. Hysterectomy with removal of the uterus leads to serious hormonal disorders. If a woman can still give birth to a child, doctors are trying to save the uterus. If there is a risk to the life of a woman, the fibroid is located unsuccessfully or it is too large, then doctors cut out the reproductive organ along with the tumor.
There are other surgeries to remove uterine fibroids, which are used in modern gynecology. Held:
- Myomectomy - surgeons remove the knot or part of the uterus with the knot, while maintaining reproductive performance. This operation is safer for the female body, but the risk of myoma recurrence remains.
- Hysteroscopy - surgery through the vaginal canal. In this way, submucous myoma is removed, which is located towards the outer membrane of the organ. In this case, the risk of relapse is quite high.
- Laparoscopy is a minimally invasive surgical procedure. The operation is done through punctures in the anterior part of the abdominal cavity. Recommended for women of childbearing age, because doctors remove only fibroids, without touching the uterus itself.
Folk remedies for uterine fibroids are effective enough for the treatment of tumors of small size. To preserve the uterus and avoid surgery, women often resort to such treatment.
From the uterine fibroids large folk remedies can not completely rid. But they can reduce large fibroids and stop the symptoms of the disease. Traditional medicine has preserved many recipes for herbal decoctions, tinctures, ointments that help to cope with the tumor and support the body in the postoperative period. Home remedies can reduce pain, bleeding, relieve nervousness, support hormones. But it is impossible to completely get rid of the big fibroids with the home therapy. A tumor can only be reduced in size, to the level where it can be removed, without harm to reproductive function.
The postoperative period depends on the type of operation that was performed to remove the fibroids and a number of other aspects:
- size and location of the tumor,
- type of anesthesia
- the presence of chronic or infectious pathologies,
- age of the patient.
To prevent the development of complications after surgery can, if you strictly follow the recommendations of doctors. What do we have to do:
- Eat right. The dietary food excluding sweet, fat, salty, caffeine and alcohol.
- To establish timely bowel emptying. Constipation increases intra-abdominal pressure, which can lead to seam divergence, if not enough time after the operation
- Do not lift weights. In the first six months, you cannot lift a weight of more than three kilograms; in the next two years you cannot lift a weight of more than ten kg.
- To adjust the mode of sleep and rest. You can not overwork, you need to sleep at least 7-8 hours a day
- Avoid stress.
- Do not have sex. After the operation should take at least 8 weeks. Only then can you return to normal sex life.
- Avoid ultraviolet rays.
- Also, the doctor may prescribe the wearing of a bandage, if there are indications for this. In addition, the first six months, it is undesirable to visit the pool, sauna, do wraps.
It is very important to follow a diet in the first six months after the operation to avoid constipation. During this period, there should be enough protein, vegetable fat and complex carbohydrates. The diet should include low-fat varieties of meat, fish, poultry, fruits and vegetables, products of fermented milk origin. What you can not eat:
- muffin - buns, pies, kulebyaki,
- foods high in sugar,
- drinks with coffee,
- semolina and rice porridge,
- smoked sausages.
It is best to cook food in a steam oven, while avoiding frying in vegetable oil. To activate blood circulation in the pelvis, you need to move regularly, but not over-exert yourself. To do this, suitable walking tour. This way the stitches heal faster and the scar will be stronger.
Is it possible to get pregnant with large fibroids
Young women are concerned about the issue, you can get pregnant with uterine fibroids of large sizes. Pregnancy with large uterine myoma is unlikely, but possible. But fibroids affect the condition of the uterus and fallopian tubes. How does a tumor affect the possibility of conception:
- If the tumor is large and is in the uterus, then the egg does not attach to the wall.
- When the tumor is located next to the fallopian tubes, the male germ cells cannot penetrate there and approach the egg cell for fertilization.
- If the tumor is caused by a lack or excess of female hormones, this can also interfere with conception.
Olga, 42 years old
I was diagnosed with a large benign tumor in the uterus. The size was 8 cm. At first, hormone therapy was prescribed to reduce it. After that, laparoscopy was performed. After the operation a year has passed. I regularly see a gynecologist; there are no new nodes.
Inna, 45 years old
Found a tumor. The size is about twenty centimeters. Drug treatment gave a weak result, and the tumor was removed along with the uterus using a hysterectomy. Restored long and painful. Took drugs based on progesterone.
Carolina, 28 years old
When they found this disease in me, I was very afraid that the uterus would be removed. But everything worked out. I had a myomectomy - removal of myoma with preservation of the uterus, the organ was saved, and the node was completely removed. A year later, I got pregnant.
Every woman who has discovered myoma should know that it is impossible for uterine myoma. Her gynecologist is obliged to warn about this, and the patient must strictly follow the recommendations of the doctor. What is impossible with a large uterine myoma:
- lift a lot of weight
- be overloaded both physically and mentally,
- drink plenty of water, tea, juice and other liquids. This leads to uterine edema,
- be stressful, less nervous,
- take oral contraceptives without a doctor's prescription,
- take thermal and physiotherapy procedures without consulting a doctor.
In addition, in no case, you can not ignore the disease. Some women, observing clear signs of pathology, ignore them until they reach a critical point. That is, before the development of serious complications that lead to the removal of the reproductive organ.
Can it dissolve itself
Can a large fibroid dissolve itself? In medical practice, there are cases when small nodes dissolve, and medium sizes up to 6 centimeters. However, a tumor larger than these sizes cannot pass without treatment. In no case, you can not ignore such a tumor, and wait for it to resolve itself.
Large uterine fibroids can be treated both conservatively and surgically, if you do not run the disease. It is not possible to solve the problem with medicaments; medications can only reduce the tumor so that it does not have to remove the uterus along with the tumor. After removal of a large tumor, with all the recommendations of the doctor, the risk of recurrence is minimal.
Uterine fibroids - what is it?
Uterine fibroids or fibroids are benign tumors originating from uterine muscle fibers. By type of fibroids - these are nodes (myoma nodes), depending on the location, they can be transmural (interstitial), subserous and submucous.
Causes of uterine fibroids:
Predisposing factors. Characteristics of premorbid background, including the characteristics of the menstrual cycle, are of particular interest. A tendency was noted (from the point of view of pathogenesis and characteristics of risk factors for the development of the disease) between the occurrence of a tumor and various deviations in the period of formation of menstrual function - later menarche, abundant menstrual blood loss, etc. However, menstrual disorders occur at different age periods , have a heterogeneous character and are accompanied in some of them by a decrease in the level of production of estrogens, in others - by their excess. The obtained epidemiological data did not confirm the opinion of a number of authors on the presence of a direct relationship between the age of sexual debut and the occurrence of a tumor. However, there is an increase in the incidence of uterine fibroids in women who are sexually active (24–27 years old) and who do not live it regularly. In the reproductive history of patients with uterine myoma, the rather high frequency of medical abortions attracts attention, which, along with exposure to other factors, may contribute to the development of fibroids to a certain extent. In a woman who has undergone 10 abortions by the age of 30, the risk of uterine fibroid formation by the age of 40 increases by 2 times. In patients with uterine myoma, the reproductive function is usually not impaired until the tumor is detected, however, a separate contingent consists of young women with a rapidly growing tumor, in the history of which there are no indications of pregnancy. It is absolutely certain that uterine fibroids are much more common in non-giving women.
In patients with uterine myoma, the frequency of somatic diseases is relatively high, and diseases of the cardiovascular system are twice as common, and the frequency of anemia is 20 times higher than in the general population. Uterine fibroids are more commonly detected in patients with hypertension, obesity.
Most uterine fibroids is detected in women of mental labor associated with frequent emotional overstrain, sedentary lifestyle.
As it was previously known, uterine fibroids develop on the background of hyperestrogenism, progesterone deficiency states, hypergonadotropism. In 30-40% of cases, the tendency to the formation of uterine fibroids is still inherited: from mother to daughter. There are so-called "family forms" of uterine fibroids, when all women in the family — grandmothers, mothers, aunts, sisters — had fibroids.
Myoma is detected most often at a gynecologist's medical examination, because At first, the fibroid does not manifest itself at all and does not bother a woman. In this case, the doctor can only state the fact of the presence of uterine fibroids. In other situations, the first signs of fibroids can be pain in the lower abdomen or in the lumbar region, bleeding, changes in the menstrual cycle, dysfunction of neighboring organs, for example, frequent urination, constipation.
Examination of a patient with suspected uterine leiomyoma should begin with a thorough history taking. It is necessary to note the presence and number of abortions and their complications, the number of births and their complications, the presence of intrauterine interventions (therapeutic and diagnostic curettage of the walls of the uterus, the introduction and removal of intrauterine devices), the transmission of sexually transmitted infections (especially trichomoniasis, chlamydia, gonorrhea and others). It is also important to clarify the amount of blood loss during menstruation.
The first method of examination is bimanual vaginal examination, which makes it possible to suspect the presence of myomatous nodes. The size of the uterus, as a rule, increased, the surface is uneven, hilly, the consistency is heterogeneous, with areas of compaction. This palpatory pattern may not be observed, which, however, does not exclude the presence of myomatous nodes. An additional screening method is a computer analysis of the potentials of biologically active points.
To determine the number of nodes, their size, location, etc., special studies are necessary, including ultrasound.
Moreover, for a more accurate visualization of the nodes and their features, it is necessary to use two sensors: transabdominal and transvaginal. In cases where it is necessary to differentiate leiomyoma from adenomyosis or to clarify the structure of the myoma node, it is possible to use magnetic resonance imaging or computed tomography. If a submucous arrangement of myoma node is suspected, hysteroscopy and hysterosalpingography play a large diagnostic role.
Due to the fact that uterine bleeding, which is one of the most frequent symptoms of uterine leiomyoma, may also be a consequence of endometrial pathology, in cases where there is a suspicion of a hyperplastic process, it is advisable to take an endometrial biopsy for histological examination. In addition, in patients with uterine bleeding, it is necessary to determine the level of hemoglobin and hematocrit, as well as the assessment of the hemostatic system (fibrinogen, prothrombin, bleeding time).
In cases where there is a suspicion that the leiomyoma germinates into neighboring organs, an intravenous pyelography and / or x-ray examination of the colon with barium can be performed.
Additional methods of examination include laparoscopy, which allows a better assessment of myomatous nodes of subserous localization, nodes on the pedicle, as well as the condition of other pelvic organs.
It should not be neglected to assess the hormonal status according to radioimmunological studies of the secretion of FSH, LH, prolactin, estrogen, progesterone, adrenal hormones and thyroid gland, determining the characteristics of the menstrual cycle according to tests of functional diagnostics,
It is imperative that all patients need a smear for the detection of chlamydia, mycoplasma, ureaplasma, etc. due to the specific role of a genital infection in the pathogenesis of uterine fibroids.
Differential diagnosis of uterine fibroids.
The uterine myoma should be differentiated from cancer or sarcoma of the uterus, with a benign or malignant tumor coming from the ovary, with inflammatory tumor-like formations of the uterus, with pregnancy.
The diagnosis of uterine fibroids in postmenopausal women should be made carefully. We must look for the reason for the increase in the size of the uterus. The growth of uterine fibroids in postmenopausal disease is associated either with ovarian pathology or with a malignant process of the endometrium. Possible channel clogging. In these patients, sensing the cervical canal makes it easy to establish the diagnosis. Histological examination of the released masses and scraping reveals uterine sarcoma or endometrial cancer.
The tactics of choosing the method of treatment of uterine fibroids
The problem of treating patients with uterine myoma continues to be an urgent problem in modern gynecology, due to the high frequency of this pathology (20-30%), as well as due to its negative effect on the reproductive system and the general health of the woman. The pathogenetically substantiated concept of treating this disease is a combined effect - surgical and medical. Therefore, despite the emergence of new operational technologies (the use of endoscopic techniques, minilaparotomy, embolization of the uterine arteries, lasers, electrical and cryosurgery), hormone therapy has not yet lost its significance. For this, agonists of gonadotropin-releasing hormones (a-GnRH), gestagens, androgens, antiandrogens are widely used today.
Conservative treatment of uterine fibroids
Conservative, in particular, hormonal therapy of uterine fibroids cannot be considered as an alternative to surgical treatment of a tumor. If there are indications for surgical treatment of fibroids, it is necessary to make an intervention, without spending time and money on treatment, which either does not help the patient at all, or will give a temporary improvement. If a woman refuses surgical treatment, hormone therapy becomes a forced alternative. Hormone treatment may be part of a combination therapy. The main goal of hormone therapy is to alleviate or relieve the painful symptoms of uterine fibroids or attempts to influence its growth, as well as to reduce the amount of blood loss and the duration of surgical intervention during hysterectomy or conservative myomectomy.
The progressive development of myoma node can be stopped by blocking the reproduction of myogenic elements in the peripheral zone of the node, blocking the process of hypertrophy of mature myocytes, combined in smooth muscle bundles, and stimulating the processes of myocyte apoptosis in the central parts of the node. Not all drugs that are currently used in the treatment of uterine fibroids and actually exerting a therapeutic effect on the symptoms accompanying its development can affect the hyperplasia and hypertrophy of its cellular elements.
The basic drugs used as a conservative treatment of uterine fibroids are:
"gonadotropic releasing hormone agonists (GnRH),
GnRH agonists can halve the amount of uterine leiomyoma and stop symptoms such as menorrhagia and pelvic pain. They inhibit uterine blood flow and increase hemoglobin levels and hematocrit. After treatment with GnRH agonists, the number of estrogen and progesterone receptors in myoma nodes does not change, the drugs do not affect apoptosis in uterine myoma. An abundance of m-RNA of estrogen and progesterone receptors in myomatous nodes is observed in both treated and untreated ones, that is, a decrease in the size of uterine fibroids during treatment with these drugs is due to a decrease in the circulation of sex hormones, and not changes in steroid receptors.
Basic drugs are used as a conservative treatment of uterine fibroids for 6 months. Taking them for longer than 6 months is impractical due to the appearance of significant side effects. In women in the reproductive period after 3-12 months after the end of treatment, the increase in the size of uterine fibroids resumes.
Consequently, conservative therapy with basic drugs is only the first stage in the treatment of uterine fibroids, followed by a second stage, including preparations that stabilize the effect achieved and ensure the prevention of recurrent growth of uterine fibroids.
Surgical treatment of fibroids
Patients with uterine myoma produce radical and conservative surgery. Each of these methods has indications and contraindications.
Complete removal of the uterus is motivated by a high frequency of concomitant diseases of the uterus: endometrial hyperplastic processes, cervical pathological changes, endometrial malignant processes, the occurrence of sarcomatous growth in the myomatous node. These changes are more likely to occur in older women.
Surgeries can be performed by intra-abdominal or vaginal, laparoscopic or laparotomic. It depends on a number of factors: the size of the tumor, the need for revision of the abdominal cavity, pronounced obesity of the anterior abdominal wall, the need for additional intervention on the ovaries, fallopian tubes, etc.
The question of the removal of the ovaries during surgery in each case is solved individually. With conservative myomectomy in young women, if there are cystic changes in the ovaries, their wedge-shaped resection is shown, if the accompanying ovarian tumor is removal of the tumor. In the postmenopausal, if there are pathological changes in the ovaries, they should be removed.
Making conservative plastic surgery on the uterus, fallopian tubes should be maintained. If necessary, plastic surgery is performed on the fallopian tube to restore its patency simultaneously with conservative myomectomy.
With supravaginal amputation of the uterus or its extirpation, the question of leaving or removing the fallopian tubes is decided individually in each case. If uterine fibroids are accompanied by inflammation in the pelvis, then the fallopian tubes should be removed, since they can be a source of infection in the postoperative period. For the same reasons, it is necessary to remove the fallopian tubes during necrotic changes and purulent fusion of uterine fibroids. If there is uncomplicated uterine fibroids, but the fallopian tubes are stretched on the nodes of the tumor, then they should not be saved either. The fallopian tubes are removed and in the presence of inflammatory changes in them, as in the postoperative period, pyosalpinx may occur, and therefore relaparotomy will be needed in the future. In all other cases, the fallopian tubes need to be maintained, since their removal in some way disrupts the innervation and blood supply to the ovaries and leads to a more rapid extinction of their function.
Operations for uterine fibroids are performed in an emergency and planned manner. Emergency indications occur when bleeding is associated with danger to the life of the patient, torsion of the legs of myoma node, necrosis or suppuration of myoma node. In all these cases, an emergency operation is indicated. A contraindication to the operation is only the agonal condition of the patient.
When deciding on the scope of the operation, i.e. amputation of the uterus or its extirpation, should be guided by the state of the cervix. If no pathological changes are detected, then a supravaginal amputation of the uterus is performed. Unchanged cervix should not be removed.
Currently, during the operation, the latest technical equipment is used: lasers (carbon dioxide, argon), special ultrasonic scalpels, etc. After laparoscopy, only small "points" of 0.5-1 cm are noticeable, since only 5 mm are punctured for insertion in the belly of the tools. The length of stay in the hospital is reduced to 4-5 days, and immediately after discharge, the woman is able-bodied.
Recently, the uterine artery embolization technique has been actively introduced into the gynecological operative practice, which makes it possible to reduce, sometimes to a minimum, the size of fibroids and avoid the removal of the uterus.
If there is an opportunity to have an operation with vaginal access or with the help of a hysteroscope, there are no external traces of the surgical intervention left at all. Except for the woman and the gynecologist, no one will ever know what kind of surgery she underwent.
Показаниями к операции по удалению миомы матки являют ся:
" маточные кровотечения, сопровождающиеся резким снижением гемоглобина и гематокрита,
" величина опухоли, превышающая размеры беременной матки в 12 недель у молодых женщин и в 15- 16 недель у женщин после 45 лет,
"submucous fibroids, having a thin leg and prone to twisting and necrosis.
"a rapid increase in the size of the node, especially during menopause or menopause,
"suspicion of uterine fibroid degeneration into a malignant tumor,
"circulatory disorders in fibroids and inflammatory changes in them,
"dysfunction of neighboring organs (bladder, intestines),
"The combination of uterine fibroids with other pathological changes in the genital organs: recurrent endometrial hyperplasia, ovarian tumor, prolapse and prolapse of the uterus.
"Obstetric pathology: miscarriage, the threat of miscarriage, the threat of premature birth, etc. in women of reproductive age, who want to realize their reproductive function.
"infertility (when all other causes are already excluded).
So: if the operation is necessary, then really, the sooner it is done, the better.
Indications for non-hormonal treatment of uterine fibroids: the size of the uterus up to 12 weeks, the size of myoma nodes up to 2 cm, the absence of dysfunction of neighboring organs, moderate symptoms, intramural or subserous arrangement of nodes, contraindications to hormonal drugs, the lack of rapid growth of nodes.
What diagnostic methods can diagnose?
Huge uterine fibroids are diagnosed by a gynecologist by visual inspection on a gynecological chair. The doctor must study the clinical picture of the patient’s pathology and history. If the case is very complex, then additional research may be needed:
- Ultrasound of the peritoneal organs,
What to do if the diagnosis is confirmed and the tumor is very large? What treatment will give the maximum effect?
What treatment is effective for uterine myoma?
Treatment of a large tumor in the genital organ provides for surgery. Conservative methods for running the pathology do not give the desired effect - as practice shows. Today surgeons practice two main methods of surgery. Which one is suitable for a particular patient depends on the state of health of the woman, the presence of comorbidities, the size of the tumor. Operations can be carried out by such methods:
- Hysterectomy. This species provides for the complete removal of the genital organ. Most often, this method of surgery is used in the treatment of patients older than 45 years. Women of reproductive age are trying in every possible way to preserve the uterus. Not to avoid this type of operation in very difficult cases, when other methods no longer help, will not succeed.
- Myomectomy. This method of operation involves the removal of a tumor site or part of a reproductive organ with a tumor. This method of operation is referred to as conservative, as it allows to preserve the ability to bear and give birth to a baby. In addition, this type of operation is considered to be sparing, but there is a risk that new myoma nodes may appear.
And to remove only education, minimally invasive methods are most often used, such as:
The very large size of the neoplasm is a serious pathology requiring urgent treatment. If, however, no action is taken and treatment is not started in a timely manner, the consequences can be so serious that it will not be possible to change anything. Early access to a doctor and properly prescribed treatment will help to cure the disease with minimal loss for a woman.
Large fibroids. Wait or operate?
Often, the woman practically doesn’t bother with the work of her own organism, however, when viewed from a specialist, a large fibroid is found. What to do? To treat conservatively or to operate?
Immediately there are unpleasant questions that sometimes there is no one to ask.
Before making a decision, it is necessary to know that a large fibroid, in which surgical treatment is indicated, is accompanied by
- abundant uterine bleeding, not amenable to conservative therapy
- the growth of postmenopausal fibroids
- suspicion of tumor malignancy (high degree)
- pain syndrome (during intercourse or permanent)
- syndrome of organ compression in the neighborhood
- violation of urination
- the presence of anemia due to pathological bleeding
Large fibroids. Non-surgical treatment
Since neither the drugs nor the herbs can reduce the size of the fibroids, there remains observation and analysis.
Many myths have developed around the phrase "myoma will eventually resolve itself." “Resorption of fibroids” as a healing that led to such a miracle is possible, but this happens only as a result of the cessation of ovarian function, and this is a transition to the climax stage. And this process is called reverse development.
In women with regular menstrual periods, fibroids can only stop growing and not disappear. When working ovaries myoma will continue to exist.
Each individual case requires an individual solution, since it is necessary to take into account many factors that have an influence on the choice of tactics in solving the problem.
Causes of uterine fibroids
Currently, gynecology can not give a definite answer to the question about the cause of uterine fibroids. The main reason for the development of uterine fibroids is considered a violation of the hormonal function of the ovaries that produce excess estrogen. This is confirmed by the fact that taking hormonal contraceptives with high doses of estrogens contributes to the increased growth of uterine fibroids, and, on the contrary, the cessation of the production of estrogens in postmenopausal women leads to its regression and disappearance. However, there are cases of uterine fibroids in women with normal hormonal levels.
Other risk factors in the development of uterine fibroids are surgical termination of pregnancy, complicated pregnancy and childbirth, uterus adenomyosis (endometriosis), inflammatory diseases of the fallopian tubes and ovaries, ovarian cysts, lack of pregnancy and childbirth in a woman over 30 years old, obesity, a hereditary factor, immune and endocrine disorders, prolonged insolation.
Pregnancy and uterine fibroids
Uncomplicated and small size uterine fibroids are usually not an obstacle to the occurrence and normal course of pregnancy. In cases where uterine fibroids grow in its cavity (submucous fibroids), it complicates the growth of the fetus and often causes miscarriage in terms of 11 weeks of gestation. The location of myoma node in the area of the cervical canal is an obstacle to natural childbirth. In these cases, a cesarean section is used for delivery. Pregnancy and the hormones associated with it often cause rapid growth of uterine fibroids, and therefore, a pregnant woman should be under constant supervision of an obstetrician-gynecologist who performs pregnancy management.
Prognosis and prevention of uterine fibroids
With timely detection and proper treatment of uterine fibroids, the further prognosis is favorable. After organ-preserving operations in women in the reproductive period, pregnancy is likely. However, the rapid growth of uterine fibroids may require a radical operation with the exception of fertility, even in young women. Sometimes even uterine fibroids of small size can cause infertility.
For the prevention of recurrence of uterine fibroids in the postoperative period, adequate hormone therapy is necessary. In rare cases, malignancy of uterine fibroids is possible. The main method for the prevention of uterine fibroids is regular observation by a gynecologist and an ultrasound diagnosis for the timely detection of the disease. Other measures to prevent the development of uterine fibroids are the correct selection of hormonal contraception, prevention of abortions, treatment of chronic infections and endocrine disorders. Women over 40 should limit themselves to prolonged exposure to the sun.
All about large myome
Uterine fibroids are a benign tumor of the uterus muscle fibers. It is a common gynecological disease that affects 45% of women by the age of 35. The neoplasm tends to grow in size, resulting in a danger to the body, as it squeezes adjacent organs, preventing them from performing their intended functions normally.
Myoma, which has reached a large size, has some features in the treatment and clinical course. A tumor is considered large when it corresponds to 12 weeks of gestation and more. There are a number of factors contributing to the emergence of education, but the reasons have not been identified to date.
The provoking factors include:
- endocrine diseases, including the adrenal glands and the thyroid gland,
- chronic infectious diseases (tonsillitis, pyelonephritis),
- high physical exertion and stress
- ovarian disease.
Women large fibroids deliver many unpleasant moments, which are expressed in the symptoms of manifestation.
Symptoms of large fibroids depend on the location of its location in relation to the wall of the uterus. When the tumor reaches 20 cm and is located on the side or on the anterior wall on the outer side of the uterus, its signs will be distinct. It will be viewed as a round and dense volume, located in the lower abdomen. An enlarged abdomen is sometimes mistaken for a state of pregnancy.
At the location of the tumor in front, there is a squeezing of the bladder, which is manifested by urinary incontinence or opposite to urinary retention. If the fibroids occur in the posterior part of the uterus, it will be impossible to notice from the outside, but there may be difficulties in emptying the intestines - constipation.
Significant sizes of fibroids compress the inferior vena cava, resulting in difficulty in the outflow of blood from the lower part of the body to the heart. This causes dyspnea and palpitations at rest. Fibroids with multiple large nodes cause between periods menstrual bleeding on an ongoing basis.
In addition to the fact that a large tumor can be recognized by visual inspection, there are more informative ways to diagnose it. Patients usually complain about:
- asthenia, dizziness and weakness
- difficulty urinating or defecating,
- pain in lower abdomen.
The most objective way to diagnose is - ultrasound. With it, you can recognize the size, the number of nodes and their location in the uterus.
Large fibroids contribute to malnutrition of myomatous nodes, as a result of which the blood supply is impaired and necrosis occurs, which represents a danger to the patient's life. In this case, an immediate operation is required.
With constant pressure of the tumor on the walls of the bladder, fistulas can form that make the cavity of the two organs interconnecting. Uterine bleeding with a large myoma is stronger, which means anemia, therefore, heavier.
For the treatment of large fibroids, doctors, the patient mainly offers surgery. Young girls are shown to undergo an operation with organ preservation - myomectomy (separate removal of nodes with preservation of the uterine cavity). As a result of this operation, new fibroids may appear. Women who are not planning a future pregnancy, over the age of 45, are offered to perform a hysterectomy - removal of fibroids along with the uterus.
Surgeries for large tumors are carried out in 2 types:
The impressive size of the formation forced to resort to abdominal surgery, the minuses of which are a large incision in the abdomen and general anesthesia.
The recovery period lasts 10 days, during which it is necessary to carry out antibiotic therapy and ligation. The most modern method of operation is - laparoscopy, with the operation carried out through punctures or small incisions in the abdominal cavity using a laparoscope - a tool for visual observation. This method is suitable for removing only subserous nodes, thus curing the sambucous and intramural location of the tumor is impossible.
It does not make sense to treat a tumor with folk and hormonal drugs, so only you can slightly reduce its volume.
Information and materials on this site are provided for informational purposes only. You should not rely on information as a substitute for actual professional medical advice, help or treatment.
The site may contain prohibited content for persons under 18 years of age.
Herbal medicine uterine fibroids:
Milife uterine myoma
Milife is a biomass of mycelium monoculture of the fungus Fusarium sambucinum, strain BWA-917. Contains a unique complex of biologically active substances. The preparation contains all known amino acids, including essential (tryptophan, lysine, methionine). The components of Milife are unsaturated fatty acids, 50% of which is accounted for by linolenic acid. Milife is characterized by an extremely high content of ubiquinones Q6, Q9, Q10 for natural compounds. Umbiquinones are vital coenzymes, as are components of the respiratory chain of a cell. Carbohydrates are represented by glycans, organic acids, including malic, citric, and succinic. The range of vitamins includes all the B vitamins, folic and nicotinic acid. The mineral composition is represented by 22 vital micro and macro elements.
Studies have revealed a wide spectrum of therapeutic action of the drug Milife. Normalizing endocrine-metabolic processes, the drug is indicated for endocrine-dependent diseases of the female genital organs - uterine myome and endometriosis, dyshormonal diseases of the mammary glands, and some forms of endocrine infertility. The drug has a pronounced immunomodulating effect, an effect on all links of the immunity. In addition, the drug Milif enhances antioxidant and hyposensitizing activity, affects the hepatobiliary and protein-forming functions of the liver, since the ubiquinones are hepatoprotectors of the metabolic type of action. Milife has a positive effect on blood coagulation.