What is uterine fibroids and what complaints?

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Myomas are benign masses originating from the muscle layer in the uterine wall. Over time they are not thought to turn into cancer. On the other hand, it can be difficult to distinguish whether some masses from the uterus or myoma or cancer cells.
Myomas are quite common. It is seen in 20-43% of the women of reproductive age, and this frequency increases with age. On the other hand, most women continue their lives without complaints related to fibroids.
It is not known why uterine fibroids occur.
It is known that myomas are related to hormones such as estrogen and progesterone, they can show genetic or familial tendencies, they can be affected by nutrition or environmental factors. It is also among the risk factors to start menstruation at an early age, to have a family history and to have no birth.
What complaints do myomas cause?

Most of the myomas do not cause any complaints. Their complaints include:

Severe and / or long-term menstrual bleeding,
Pain and / or pressure sensation in the lower abdomen
No urination or difficulty in having children
Long or severe menstruation, anemia

It can also have a negative impact on one’s daily life. The frequency and severity of the complaints are generally related to the location, number and size of the fibroids. The uterine fibroids may be limited to the uterine wall, or they may be embossed in or out of the uterus.
Myomas do not prevent children in general. However, the removal of the fibroids extending to the intra-uterine cavity or pressing here may increase fertility. On the other hand, there is no known negative effect on the growth of uterine fibroids outside of the uterus or conception of pregnancy.
Most pregnancies can progress smoothly in the presence of myomas. In addition, growth is common in this period due to hormonal stimuli. Occasionally there may be pain due to myomas. Rarely, the size and location of myomas may be difficult depending on the location.
Take a look at our article to learn more about the treatment of uterine fibroids.

This article Prepared by Engin Türkgeldi.
For detailed information, please contact our Obstetrics and Gynecology Department.

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How is myoma treated?

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How is the diagnosis of myoma?
The diagnosis of uterine fibroids is usually performed by manual examination and ultrasound. Occasional magnetic resonance imaging (MRI) may be used. Blood tests have no place in the diagnosis of myoma.
It is not possible to eliminate or significantly reduce myomas by medical treatment methods. Medical treatment methods mostly aim to relieve the patient’s complaints. Patients with pain complaints are likely to benefit from painkillers, iron supplements from patients with anemia, various hormone preparations from patients with severe bleeding, hormone-containing spirals, or some medications that reduce bleeding.
How are myomas treated?
The definitive treatment of myomas is surgery. Laparotomy (open surgery), laparoscopic (closed surgery) or hysteroscopic (access to myomas in the intrauterine cavity through the vagina and a telescope entering the cervix) are available for surgical treatment. On the other hand, surgical treatment is not recommended for everyone. Patients who have a negative effect on their daily life and health and who do not respond to medication, are thought to be associated with the fibroids of pregnancy or having difficulty in having a child, or patients with suspicion about the possibility of cancer may be candidates for surgical treatment.

In surgery, only the fibroids are always taken, the rest of the uterus is not touched. However, it may be advisable to take the uterus in patients who do not intend to have a child, who have advanced age, or who have a difficult / impossible myomectomy.
Does the removal of myomas prevent the formation of the myomas again?
Once received, myomas do not guarantee that they will not occur once again. A new fibroid may occur again in another or nearby place.
Apart from these, with the help of an interventional radiological method called-uterine artery embolization ın, it can be ensured that the myoma can be reduced by the obstruction of the veins leading to the fibroids. This method can be applied to a group of patients with specific characteristics. It is not recommended for patients planning pregnancy.
Myomas are seen in very different place, size and shape. Similarly, each patient’s complaints, expectations, lifestyle and future plans are different. You can determine the most appropriate treatment by talking to your doctor.
This article Prepared by Engin Türkgeldi.
For detailed information, please contact our Obstetrics and Gynecology Department.

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