In recent years, women are increasingly faced with diseases of the reproductive system. Pathologies can have different causes of origin, ranging from poor ecology to the absence of childbirth and frequent abortions. Myomatous nodes have become a fairly common tumor. They appear most often in reproductive age. However, during this period they may simply not be detected. However, by the time of menopause and menopause, many symptoms of this disease appear.
To treat myomatous nodes or not is a matter for each woman personally. However, it is worth showing the neoplasm to the doctor. In most cases, the pathology does not develop into a malignant tumor, but there is still such a possibility. This article will tell you about what a myomatous node can be. You will find out the features of the location of the tumor. Also find out how a fibroids can be treated.
Nature of the tumor process
Myomatous node, formed on the reproductive organ or in its cavity, is a benign formation. The size of this pathology is calculated in weeks.pregnancy. Small myomatous nodes most often do not manifest themselves. However, with increasing size, a woman begins to notice a variety of signs. Most often these include the following:
- abdominal pain;
- late period or prolonged bleeding;
- increase in body weight (with large formations);
- constipation and bowel obstruction;
- pathology of the urethra and so on.
Fibroids are usually round in shape and consist of intertwined muscle fibers. They can be single and multiple, located on a thin stalk or sit tightly on the surface of the reproductive organ.
How uterine fibroids are detected
This pathology is a common reason for visiting a gynecologist. Almost 250 out of 1000 women have fibroids at their next examination. Ways to detect a tumor can be different.
If the size of the neoplasm is less than 2 centimeters in diameter, then they can only be seen during an ultrasound examination. With the appearance of multiple foci and intensive growth, an experienced gynecologist can make a similar diagnosis by palpation. Also, uterine fibroids are often detected during computed tomography and magnetic resonance imaging.
Types of fibroids
As you already know, a tumor can be single or multiple. In addition, there is an additional classification that allows you to divide the pathology into ways of its formation. Tumor types can be as follows:
- submucosal myomatous node (submucosal neoplasms with a thin stalk);
- interstitial, or intramural formation (intermuscular pathologies located in the wall of the reproductive organ);
- subserous appearance (located on the outer wall of the uterus and often has a stalk);
- intraligamentary tumor (node located on or between ligaments).
In addition to the above, cervical and birth nodes are less common. In this case, the body of the tumor is located in the cervical canal or simply hangs down into it.
Do I need to treat the pathology
Myoma node treatment may be different. It all depends on where the tumor is located. The presence of symptoms of the disease also plays an important role. If a woman does not express any complaints, then the doctor most often recommends simply observing the tumor. At the same time, regular examinations and ultrasound examinations are prescribed. When the tumor begins to gain momentum and increase, treatment is mandatory.
Correction can be done in several ways. Removal of fibroids is often recommended. However, for this there must be certain indications (increased growth, the presence of complaints, and so on). In addition, the doctor can choose conservative therapy. However, it does not always give a positive effect. Often, after hormonal correction, an increase in tumor growth begins, and it becomes even larger than at the very beginning. Consider the main ways to treat myomatous nodes.
Drug therapy
Most often, specialists prescribehormonal agents containing gonadotropin-releasing hormone agonists. This group of drugs helps to reduce the production of estrogen. Due to this, tumor growth is reduced. However, after discontinuation of the drug, the opposite enhanced effect may occur. At the same time, the size of the tumor begins to increase rapidly and reaches its previous size. Often, a subserous myomatous node can enlarge its pedicle and become twisted.
In addition to homones, tranexamic acid can be prescribed. It promotes thrombosis of some vessels. As a result, the nutrition of the tumor is disrupted. The subserous myomatous node and other types of formations can completely die off. However, this does not guarantee that there will be no relapse.
Often, drug therapy is used before surgery. In this case, the effect of the treatment will be maximum.
Arterial emobilization
This procedure allows you to cure both the interstitial myomatous node and other types of tumors. It is performed exclusively within the walls of the hospital. It does not require the use of anesthetics and prolonged hospitalization.
A patient is injected into the femoral artery with a catheter, which, under X-ray observation, penetrates into one of the uterine vessels. After that, a drug is injected that blocks the blood flow. The consequence of this is clogging of the arteries that feed the fibroids. You should not worry about the condition of the genital organ with such treatment. Admissionblood to it will be carried through the remaining arteries and small vessels.
Ultrasonic treatment
Intramural myomatous node, like other types of similar tumors, can be cured by exposure to ultrasonic waves. The procedure does not require anesthesia and hospitalization.
During the manipulation, the woman is located on the table, and the doctor directs the flow of waves to the pelvic area. The operation is performed under the control of an ultrasound or MRI machine. Radiation waves contribute to the heating of tumor tissues. In this case, neighboring organs are not damaged. Under such influence, the node dies, and its structure is replaced by connective tissue.
This method of treatment is used in young women and nulliparous women. The manipulation is fairly new and costly. Unfortunately, not all medical institutions have the opportunity to provide such treatment.
Surgery: removal of fibroids
Subserous myomatous node doctors recommend to remove surgically. Such a formation is located on the outer wall of the reproductive organ. Most often, the tumor has a thin stalk that can twist. Also, this neoplasm can affect the work of neighboring organs: fallopian tubes, ovaries and intestines. The operation to remove such a tumor is performed under general anesthesia. In this case, a laparoscopic or laparotomy method can be used. With the help of special instruments, the doctor cuts out the base of the fibroid stem and removes damaged tissue.
An interstitial fibroid can also be removed in this way. However, this damages the tissues of the reproductive organ. There is a so-called resection of the mucous membranes. Such a correction can have rather disastrous consequences, especially if a woman is planning a pregnancy. That is why young patients are advised to choose more modern methods of treatment.
Removal of the uterus
When a large size of myomatous nodes is detected, a woman is shown the removal of the reproductive organ. However, it is worth considering the age of the patient and the presence of her children. Of course, if possible, the doctor tries to save the uterus. However, this does not always work.
Removal of the uterus is performed with extensive damage to the mucous membranes and the presence of symptoms that interfere with a normal life. The operation takes place under general anesthesia. In this case, the woman is hospitalized for several days.
What is the difference between a subserous fibroid and an interstitial node
These tumor formations differ in their location and influence on the work of the female body. So, the subserous node is located in the abdominal cavity. However, it does not cause frequent bleeding, unlike interstitial fibroids. Also, the tumor does not affect pregnancy and the process of conception. With such a disease, hormonal disruptions rarely occur. Whereas an interstitial tumor leads to anemia, large blood loss and frequent pain in the pelvis.
Consequences of fibroids
Most often, a pathology detected and treated in time does not cause any consequences and complications. If you have identified small nodes, then the correction can be postponed indefinitely. In this case, it is necessary to carefully monitor the growth of the tumor.
If you do not care about your he alth and do not pay attention to uterine fibroids, then it can quickly increase in size and lead to infertility. Also, pathology has the possibility of degeneration into a malignant form, but this happens very rarely.
Frequent bleeding and malfunctions of the body negatively affect a woman's well-being. That is why, when a disease is detected, it is necessary to contact a gynecologist as soon as possible. Women after forty years of age should regularly visit ultrasound rooms and undergo preventive examinations. This will allow timely detection of a possible neoplasm and start treatment.
Summing up
You now know a lot about uterine fibroids. Many women successfully become pregnant and give birth with such a pathology. However, during the bearing of the baby, the tumor can become larger and endanger the life of the fetus. Those women whose mothers and grandmothers suffered from uterine fibroids are more likely to develop such a pathology.
Take care of your he alth. If you have questions or symptoms of the disease, contact your gynecologist for advice. If necessary, the doctor will prescribe additional studies and recommend treatment. He alth to you!
