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Myoma of The Uterus

Monday, July 23rd 2012. | Disease, Hybrid Health, Women Health

Myoma of The Uterus Definition

The fibroids are benign growths of muscle tissue from the uterus. They are in the form of nodules and occur in different parts of the uterine wall and rarely in the cervix. About a fifth of women over 35 have fibroids.

Myoma of The Uterus Causes

Myoma is formed from cells that no longer divide properly. These cells then begin to multiply excessively. Myoma growth depends on the function of the ovaries; children and postmenopausal women show no (new) myomas.

Myoma of The Uterus Other causes:

  • Hormonal disorders (increased estrogen)
  • The family suggests predominantly to genetic causes
  • External factors such as radioactive radiation may play a role

Myoma of The Uterus

Myoma of The Uterus Symptoms

  • At the beginning, the fibroids are asymptomatic
  • Menstrual disorders caused by: proliferation of the uterine lining, impaired contractility of the uterus caused by nodules on the uterine wall, disorders of hemostatic mechanisms.
  • Irregular periods, intense or prolonged
  • In early menopause, fibroid growth may accelerate due to increased production of estrogen, which also causes irregular periods, heavy and thick part.
  • Type pain and contraction deaf tiraillantes
  • Myomas that develop in the peritoneal cavity are usually asymptomatic.

When the myoma displaces adjacent organs because of its size, pain colic can occur. When the fibroid puts pressure on the pelvis, impaired bladder function and urinary urgency may occur. If the fibroid puts pressure on the rectum, it can result in constipation. Growth of the myoma in the lower back causes back pain.

Myoma of The Uterus Diagnosis

  • History taking into account the patient’s symptoms
  • Myoma can be suspected during a routine gynecological examination
  • The consistency of the tumor, its relationship to the uterus and the number of nodules are suspected of being myoma
  • Ultrasound examination to locate the myoma
  • Exploration of the uterus to rule out other tumors, polyps or abnormalities of the uterus
  • Exclusion of pregnancy or malignancy (tissue sample analysis)

Myoma of The Uterus Treatment Options

  • Drug: hormonal treatment, that is to say, a progestin therapy, sometimes allows the absorption of the myoma. Combined hormone therapy may be useful for a regression of myoma and to prepare for subsequent surgery.
  • Specific hormone by GnRH analogues.
  • Surgical removal of myomas by abdominal incision above the vagina or by laparoscopy (with concomitant abdominal exploration)
  • Removal of the entire uterus (hysterectomy) through the vagina or by laparotomy (abdominal incision)
  • Embolization (vessel sealing irrigating myoma under local anesthesia) is used to shrink the myoma

Myoma of The Uterus Possible Complications

Approximately one third of all myomas result in potentially serious complications: infertility, recurrent miscarriages. In rare cases, a myoma becomes malignant (approx. 0.1%). Myomas should however be subject to regular medical checks.

Uterine myomas present during pregnancy can cause miscarriage.

Examens (diagnostic)

  • Anamnesis, taking account of the patient’s symptoms
  • Myoma may be suspected during a routine gynecological examination
  • The consistency of the tumor, its relationship with the uterus and the number of nodules are suspected of myoma
  • Ultrasound examination to locate the myoma
  • Exploration of the uterus to exclude other tumors, polyps or abnormalities of the uterus
  • Exclusion of pregnancy or malignancy (analyzes tissue samples)
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