A few years ago, the diagnosis of uterine fibroids a woman waiting for surgery, because to fight this disease could only surgically. Today the situation has changed: to get rid of fibroids does not necessarily go under the scalpel.
Medical statistics show that hysteromyoma It occurs in over 80% of women. And most often the disease is asymptomatic. Every third Russian woman 55 years after the uterus is removed due to the diagnosis of "uterine".
What is the reason of this disease?
Hormones. Yes hormonal disturbances provoke the development of fibroids. However, this is not the main reason. Uterine fibroids often diagnosed in women who have hormone-okay.
Refusal of pregnancy . During the existence of mankind social status of women has changed repeatedly. But the main natural function of a woman's body has not changed - it's gestation and birth. Every month a woman's body adjusts to the pregnancy. The uterus is included in the process. It increases in size, ready to accept a fertilized egg. Non-occurrence of pregnancy is something of a "crash program". The more often this happens "failure", the greater the probability that an error will occur, due to which the body is not able to fully recover and return to normal "not pregnant" state. A disease, infection and medical intervention only exacerbates the situation.
Hysteromyoma - A disease of women of modern times. In the past, menopause coincides with the end of the biological life of the weaker sex. The fact that modern women are going through it - the norm for our consciousness and civilization, but it is nonsense to nature. According to the plan, the natural woman was supposed to go through in his life, only about 50 of menstruation. In modern life, it is overfulfilled with a vengeance. Meanwhile, some experts believe that repetitive menstruation injure the uterus and develops as a result of fibroids.
To treat or handle?
Medical research over the past 10 years have proved that hysteromyoma It is not typical of benign tumors. That is a malignant she almost reborn, except for very rare cases. And if earlier with uterine fought radically by surgery (most often completely removing the body), but now doctors believe that remove the uterus only necessary for the running situations. According to experts uterine fibroids can and should be treated. But the effectiveness of this treatment depends on the time factor: the earlier it starts, the better the result. Especially because there are methods of early diagnosis of the disease, allowing it to identify the initial stage.
Identify yourself, if there was uterine impossible. Therefore, every year need to visit a gynecologist for an ultrasound examination. In the later stages signs of fibroids I can be:
- Heavy and prolonged menstrual period
- Uterine bleeding occurring in addition to menstruation
- Pain in the lower abdomen, "echo the" lower back
If small knots in the uterus found during ultrasound, do not manifest themselves, the doctors are advised not to start treatment, but simply restrict the supervision at the gynecologist. However, if the nodes are growing, the treatment must begin immediately.
In order medical treatment your doctor may prescribe contraceptives. Modern hormonal contraceptives help to restrain the growth of small fibroids (no more than 2-2, 5 cm.). An alternative to oral contraceptives - intrauterine device "Mirena", comprising a container with a hormone that is released gradually into the uterus within 5-6 years.
Read on: Hormonal contraceptives - better not come up
Operations
There are surgical ways to reduce fibroids in size or remove it from the uterus. Each situation the physician should be considered individually, because it is necessary to accurately determine the ratio of benefits and risks for women in view of her health and lifestyle.
Uterine artery embolization
EMA It involves plugging the uterine arteries. Blood flowing through it, feeds the fibroids, and in case they shrink sealing. The blood supply in the uterus EMA It continues to be at the expense of two ovarian arteries and smaller blood vessels.
Myomectomy
Myomectomy Or removal of nodes, considering two methods: laparoscopic and laparotomy. In the first case the operation is performed through a small incision using a special tool controlled by the camcorder. The second surgeon operates independently, with his hands.
It should be noted that the technique myomectomy It is quite complex, and to trust this operation is necessary only to highly qualified specialists. The most a challenge for the surgeon is the need to "quality" make the uterus to its seams are not dispersed during pregnancy and childbirth.
Ultrasound
Under the influence of high-frequency ultrasound tumor tissue are heated to a high temperature, and it dies. But the method is suitable not for everyone, because it involves a lot of restrictions and contraindications.
Fibroids and Pregnancy
Today, doctors insist that the fibroids, as such, can not be a cause of infertility. Small knots usually not prevent conception and pregnancy do not interfere. It happens that pregnancy occurs in women with large assemblies. However, it takes quite safely and ends - with the proviso that the woman is constantly watching the doctor.
but removal of fibroids together with all other possible causes of infertility does increase the likelihood of conception. If a woman who is planning a pregnancy, identifies multiple nodes of various sizes, the process to remove the fibroids should be carried out in two stages. First you need to make the UAE, and after 6 months, the physician must decide the question of the operation of the remote nodes.
Pregnancy and Gynecology
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