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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