We can say that uterine myomas are more common than you think. But many women don't find out until their annual pelvic exam or prenatal ultrasound. Fibroids are not associated with an increased risk of uterine cancer, but they can grow quite large and cause severe pain and heavy menstrual periods.
Fortunately, many minimally invasive treatments are available to treat fibroids. When we say minimally invasive treatment, we mean closed (laparoscopic, robotic or hysteroscopic methods) performed without a large surgical incision.
About Myomas: How Do They Form?
“Fibroids Cause the Most Complaints When Women Reach Their 40s, This is When Hormone Levels Fluctuate and Can Lead to the Growth of Pre-Existing Fibroids That Didn't Cause Any Symptoms”
About Fibroids This is one of the misunderstood facts.
No one knows what causes fibroids, but we know that they develop from the uterine muscle tissue called myometrium. Here, a single cell of that tissue multiplies until it becomes a pale, hard, rubbery mass. You may have more than one fibroid at a time, from the size of a hazelnut to the size of a watermelon, some grow slowly or not at all.
About Myomas: Types of Fibroids
Submucosal myomas: Grow directly under the lining of the uterus and protrude into the internal cavity
Intramural myomas: Inside the walls of the uterus
Subserosal myomas: They bulge outwards from the uterine wall, just under the outer lining of the uterus.
Prolapsed fibroids: They cause symptoms if they hang and curl from a stalk inside or outside the uterus. (This is the rarest type of myoma.)
About Myomas: Who Is Most Seen in?
Women of reproductive age 12-25 percent have myomas.
Most women with myomas do not experience symptoms.
Considering age-related changes in estrogen and progesterone levels, myomas are most common in women over the age of 40.
You are more likely to develop fibroids in the following situations:
If your mother or sister has fibroids
In overweight women
In women who have never been pregnant
About Myomas: How Do They Show Symptoms?
Another thing you need to know about myomas is how they show symptoms.
You may consider the following symptoms.
Heavy and prolonged menstrual bleeding
Bleeding between menstrual periods
Sharp, sudden and severe pain
Feeling of bloating
About Myomas: How to Diagnose?
During your annual obstetrics and gynecology examination, your doctor will feel your uterus. If it is larger or more irregular than what is normal for you, your doctor may want to perform other tests. There are various methods that allow your doctor to get a better look at your uterus and diagnose fibroids.
Ultrasound. Ultrasound is the most common and reliable way to detect most fibroids. Sound waves create images of the uterus and fibroids, if present. After an abdominal ultrasound, a transvaginal ultrasound inserted into the vagina may also be used.
Hysterosalpingography. Myomas growing on the lining of the uterus are detected by using a dye to highlight the uterine cavity and fallopian tubes in X-ray images.
MRI (magnetic resonance imaging). If a surgical procedure is planned, this procedure may be recommended to understand your fibroids in more detail.
About Fibroids: How Is it Treated?
In the old days, hysterectomy was our only option to treat a woman's fibroids.
“Uterine Removal (Hysterectomy) Completely Eliminates Myomas, But It Also Removes Large Fibroids. It is a surgery.”
With the development of modern medicine, we now have several minimally invasive treatment options for fibroids that we can use before hysterectomy.
About Myomas: Which Treatment Method is Suitable for You?
This depends on the size and type of fibroids, your complaints, your childbearing plans and how long until menopause. You may also want to consider the pros and cons of each treatment.
Birth control pills or a progesterone-based IUD. Hormones help treat symptoms of heavy bleeding or reduce cramping during your period. might help.
Hormone injections. Some hormone derivatives shrink large fibroids. If your doctor has planned a surgery, he or she may recommend this treatment before surgery.
Myomectomy It is the only surgical procedure that preserves a woman's ability to become pregnant. Unlike hysterectomy, in which the uterus is removed, myomectomy removes only the fibroids (one or more) and leaves the uterus intact.
Depending on the size, number, and location of the fibroids, the surgeon may perform these three minimally invasive surgeries. can choose one of the following types:
Laparoscopic or robotic myomectomy: For fibroids outside the uterus or in the wall, two or more small incisions in the lower abdomen, using a telescope and surgical instruments.
Hysteroscopic myomectomy:A camera and instruments for fibroids on the inner surface of the uterus are placed directly into the uterus through the cervix. .
Abdominal myomectomy: An incision similar to a Caesarean section is made for patients with large fibroids and a large uterus.
Uterine artery embolization is an option for women who may not be able to withstand the stress of surgery. This procedure cuts off blood flow to the fibroids, causing them to eventually shrink. Through an incision in the groin, sand-sized plastic particles are sent into the uterine vein, blocking the uterine vein.
“If You Are Considering Having Your Fibroids Removed, Get a Second or Third Opinion from a Gynecologist Who Regularly Deals with the Types of Fibroids You Have.” .”
Do You Think You Have Fibroids? ?
If you answer "yes" to any of the following questions, you may want to see a doctor.
Have you noticed an increase in bleeding during your period?
Menstrual cramps Is it becoming more frequent and/or painful?
Is your belly really bloated?
Are you having difficulty conceiving or fertility?