Multiple fibroids is a serious disease that can progress and move into more complex forms. At the initial stage of the onset of the disease, there may be no symptoms. For this reason, doctors recommend that women have regular check-ups with a gynecologist - this will help prevent the development of serious he alth problems. Due to the formation of multiple uterine fibroids, infertility or complications may occur during the period of bearing a baby. The choice of treatment method depends on the severity of the disease and the overall clinical picture of a particular patient. An important role is played by the size and location of the nodes. The task of the doctor is to preserve the reproductive function and choose a less traumatic method of therapy. Self-medication is not recommended, as this can lead to the development of serious he alth problems.
Features of the disease
Fibroids develop from mutating cells in the muscles of the uterine wall. If a large number of cells mutate, then the so-called multiplemyoma. This type of neoplasm is observed in 81% of patients. There are several types of knots, namely:
- Submucosal variety - formed in the muscle fiber located under the mucous membrane that lines the uterine cavity.
- Subserous, form under the outer membranes and grow towards the abdominal cavity.
- Interstitial nodes develop in the muscle layers.
In multiple myoma, several nodes of different sizes can be detected - from 1.5 cm to 7 cm. There are several options for the localization of multiple neoplasms. The node can be located both outside the uterus and in the cavity. Mixed localization is possible. If the nodes begin to develop in the back wall of the uterus, then the woman does not have signs of the disease until the neoplasm disrupts the work of neighboring organs. In frequent cases, such an ailment occurs in women after 35 years.
To prevent the development of the disease, experts recommend visiting a gynecologist every six months and performing a medical examination, since many diseases at the initial stage of occurrence do not cause discomfort. With a timely visit to the doctor, the treatment of multiple fibroids is carried out with the help of medications. If the disease is too advanced, then the problem is eliminated surgically. After such a method of treatment, a person recovers longer, so it is better not to risk your he alth and follow the advice of specialists.
Possible Complications
In the process of developing multiplefibroids in a woman, the menstrual cycle is disturbed. If a tumor node appears from the side of the abdominal cavity, then an adhesion is formed with a neighboring organ, which leads to constant pain in the lower abdomen and lumbar region. The functioning of the pelvic organs is impaired. Multiple myomatous nodes have thin legs. If they are twisted, blood circulation in the tumors will be disturbed and tissue necrosis will occur. Under these conditions, severe internal bleeding and peritonitis may occur.
If there is a "birth" of the myomatous node, then it is necessary to immediately carry out surgical intervention. With this diagnosis, a bone tumor from the uterine cavity through the cervix falls into the vagina. To prevent the development of severe bleeding, an urgent surgical operation is performed. With untimely therapy, multiple fibroids develop into a malignant neoplasm.
For what reasons does the disease develop?
If blood circulation is disturbed, then cell mutation occurs. The inflammatory process or mechanical damage to the wall during scraping often provokes the development of the disease. Hormonal failure is the main predisposing factor. With an abnormal change in the ratio of estrogen and progesterone, multiple fibroids can occur. If you do not carry out timely treatment of endometritis, endometrial hyperplasia and endometriosis, then serious he alth problems can arise. Under such conditions, a neoplasm may appear. There are several factors that influence thehormonal disorder and multiple subserous uterine fibroids are formed, namely:
- Endocrine diseases and metabolic disorders that lead to excessive weight gain and "sugar" disease.
- No labor.
- Irregular sex life.
- Untimely puberty.
- Abortion.
- Intrauterine device - improper insertion and use.
- Long-term treatment with hormonal contraceptives.
As the medical practice of doctors shows, most often fibroids occur in those women who work at an enterprise with harmful substances. Physical overload, systematic stress and smoking often provoke problems in the work of the endocrine system of women.
Symptoms of the disease
At the initial stage of the development of the disease, symptoms may be absent. For this reason, it is recommended to visit a gynecologist regularly. The strength of the manifestation of signs of pathology depends on the type of neoplasm, its size and location. With intraperitoneal nodes, the menstrual cycle does not fail - menstruation is regular and does not cause suspicion. If the fibroid is located in the uterine cavity, then menorrhagia appears in women - severe pain during menstruation. If uterine bleeding occurs between periods, it is important to visit a doctor, since such a symptom indicates that a disease is developing that can provoke the development of serious he alth problems, up tolethal outcome. If you do not carry out timely treatment of multiple fibroids, then you may experience:
- iron deficiency anemia;
- oxygen starvation of cells.
If a woman has dizziness, weakness, nausea and migraine, then you should immediately call an ambulance. Any medications should be taken strictly according to the prescription of a specialist. If abundant liquid discharge of a yellowish hue has begun, then this indicates that submucosal multiple uterine fibroids are developing. In the process of developing pathology, a woman experiences constant pain in the abdomen. A large subserous and interstitial node presses on the intestines, which provokes constipation. Under such conditions, urination is frequent or difficult, accompanied by a feeling of pain. In the process of increasing the nodes in a woman, her stomach can grow, as during the bearing of a baby. In order to prevent the development of complications, it is important to carry out diagnostics in a timely manner and start complex therapy.
Diagnostic measures
With the help of abdominal ultrasound, dopplerometry, ultrasound of the uterine cavity, X-ray examination of the uterine cavity, histological examination, laparoscopy and MRI, it is possible to determine the condition of the organs and determine the presence or absence of fibroids. It is mandatory to pass a general clinical blood test and a hormone test. Based on the diagnostic results obtained, the gynecologist will prescribe complex therapy. Depending on the physiological characteristics of the woman, the doctor will prescribe the appropriatemedicine.
Before prescribing medication, the specialist takes into account the location of the myomatous neoplasms, the age of the woman and her desire to have a child.
Conservative Therapy
With the help of conservative treatment of multiple uterine fibroids, you can overcome the disease if the neoplasm does not exceed 2 cm. The duration of treatment is 3.5-6.5 months. GnRH-based drugs are used that suppress the work of the ovaries. With the help of Buserelin, a woman is being treated. As medical practice shows, neoplasms may reappear after cessation of therapy. Under such conditions, sudden menopause with characteristic symptoms often develops. To restore the hormonal background, the doctor prescribes Tamoxifen, Dydrogesterone, Mifepristone. Such therapy can also be carried out before a surgical procedure in order to alleviate the patient's condition during the intervention.
Operating
Surgical treatment is indicated if multiple fibroids are larger than 2.5 cm. At the same time, they are actively growing, profuse uterine bleeding has been detected and severe pain is present. What are the indications for surgery? These include:
- infertility;
- miscarriage;
- pressure on neighboring organs;
- twisting the leg or "birth of knots".
In the process of treating a disease in young women, doctors often usemyomectomy, since this method of removing nodes allows you to save the reproductive function of a woman. During the manipulation, multiple nodes of uterine fibroids are removed through the vagina using a special device. Uterine artery embolization can save the uterus and cure the disease. Through the femoral artery, the doctor injects a medicine that stops blood from reaching the vessel of the myomatous node. Under such conditions, the cell dies and is replaced by a he althy one. In girls who do not plan pregnancy, as well as during menopause, part of the body of the uterus is removed. At the same time, the appendages and the neck are preserved. Depending on the specific clinical picture, the doctor selects an individual treatment regimen for multiple fibroids. An operation is necessary if the size of the node exceeds 5 cm and the neoplasm is located in the cervical region, while deforming the uterine cavity and preventing the formation of the placenta.
Effective drugs
To achieve the maximum positive effect, after treatment, it is necessary to take the treatment process responsibly. Medicines should be prescribed exclusively by the attending physician. During therapy, it is important to lead a he althy lifestyle and not overwork. Physical activity should be excluded. The combined contraceptive is an effective treatment for fibroids. It will help reduce the size of the neoplasm if the initial one did not exceed 2 cm. The composition of an effective drug should contain ethinyl estradiol. With the help of "Novinet" and "Avedon" therapy is carried outsick. You should be aware that hormonal drugs often provoke side effects that appear as:
- weight gain;
- menstrual cycle changes;
- general weakness.
To reduce the size of uterine fibroids, therapy is carried out using Zoladex, Decapeptyl, Buserelin. It is not recommended to drink such drugs before surgery, as they compact the neoplasms and provoke their fusion with the uterine tissue. The treatment regimen should be prescribed strictly by the attending doctor - self-medication can only aggravate the problem. If the uterine fibroids are small, then therapy is carried out with the help of "Zhanina" and "Yarina" - these are drugs of combined action that help to normalize the reproductive function of a woman. After medical therapy and surgery, multiple uterine fibroids can recur, so it is important to have regular check-ups with a gynecologist.
Note to women
Many gynecological diseases can develop without any symptoms, so experts advise visiting a gynecologist every six months and taking all the necessary tests - this will help prevent the appearance of fibroids. The result of treatment depends on many factors, namely:
- stages of disease;
- general he alth of the patient;
- size of neoplasm.
If the tumor is too large, then drug treatment is ineffective. Under such conditions, it is mandatory to carry outremoval of multiple fibroids. Doctors do not advise drinking medicines and using alternative therapies to treat the disease at home. As medical practice shows, such actions lead to the fact that diseases only turn into a more complex form of the course.
Reviews from women
If one of the signs of a gynecological disease appears, according to the girls, it is better not to delay going to the doctor. Self-medication will not lead to anything good. Increasingly, women hear the diagnosis "multiple myoma" from a gynecologist. Patient reviews indicate that it is better not to drink various herbal infusions from the disease, which are so popular on the Internet. Those women who self-medicated with folk remedies were very sorry, because during this time the neoplasm has actively grown. Those girls who constantly had heavy periods and had aching pain in the lower abdomen were in no hurry to go to the doctor, because they thought that such symptoms indicate banal hypothermia. But it didn't work out that way - many were diagnosed with fibroids. It is for this reason that many patients could not conceive a baby for a long time. Only under the supervision of a gynecologist is it better to treat multiple uterine fibroids. Patient testimonials confirm this fact.
