Fibroids in the uterus
Uterine fibroids are among the most common and widespread in women. According to estimates, about 20% of women of all ages suffer from these tumors, although often at ages 30 to 40.
The causes of these tumors are unknown as they arise and grow from the uterus muscle by the effect of estrogen and vary in number, shape, size and also the position of the uterus.
Are originally located within the uterus muscle and may extend into the uterine cavity as they may be located on the outer uterine surface or are hanging on the surface of the outer uterus as the cluster.
They range in size from small to large or large up to 20-30 cm in size, and may number in the number 30-40 lymphoma to fill the cavity of the pelvis and abdomen and pressure on the other organs of the body, these tumors grow very slowly by the hormone estrogen over Years .
The symptoms vary and vary according to the size and position of the fibers for the uterus.
First : Menstrual cycle disorder so that the cycle becomes heavy and perhaps in the form of bleeding and continue for long days longer than usual, and perhaps the descent of blood outside the days of the session and depends on the size of fiber and its location and placement in the womb.
Second : Pain, abdominal pressure, back and pain during sexual intercourse.
Third : Difficulty urinating and protrude, when these tumors reach a large volume and thus cause pressure on the bladder and rectum.
Fourthly : Increased abdominal size and a feeling of bloating.
Fifth: Frequent miscarriage or delayed pregnancy, when these tumors are large and numerous, leading to deformation of the uterus or pressure on the tubes Fallop.
SF: In contrast, these tumors may not cause any of these symptoms and may be discovered accidentally during a female examination or when a sound image of the pelvis is made for any reason.
1) during the periodic examination of women and the discovery of uterine hypertrophy or the discovery of a tumor in the pelvis and abdomen.
2) When making a sound image of the basin for any reason.
3) when conducting a laparoscopy to determine the cause and the disorder of the menstrual cycle, especially when there is a fibrous tumor inside the uterine cavity.
4) by laparoscopy where fibroids located on the external uterine wall or around the uterus.
Treatment of any tumor in humans, including fibroids, is surgical removal, especially if these tumors cause some of the symptoms that negatively affect the health of the woman, the eradication may be only for the tumor or fibroids with the retention of the uterus or that the eradication may include the uterus at the same time , This depends on the size and position of the fiber for the uterus as well as on the age of women and their desire to conceive and procreation of the fetus.
Endometrial resection This procedure can be used when the main problem caused by fiber is hemorrhage and menstrual cycle disorder and when the patient is near the age of menopause or no longer has a desire to have children. This procedure results in the interruption of the menstrual cycle or weakening and the cycle becomes scarce and this procedure does not affect the fiber as it remains the same, this is done by the endoscope or thermal balloon
The answer is that if these tumors are small and do not cause any symptoms or complications, and also if the patient is approaching the age of menopause, there is no need to be removed, in this case the patient to review her doctor periodically every six months, such as to follow the growth of fiber, it is known that the fibers gradually decrease and shrink after the interruption of the hormone Estrogen when women enter menopause.
Yes, there are some drugs and drugs that we may resort to deal with these tumors and alleviate symptoms, for example, resort to use pills to reduce menstrual bleeding and associated pain or the use of hormonal contraceptive spiral
There are also drugs and needles stop the menstrual cycle and thus the hormone estrogen and become a woman in a similar age of menopause throughout the duration of the use of these drugs and lead to these drugs shrink these fibers may be used by the doctor to use before the surgical procedure when the size of large. These treatments of all kinds are a temporary solution as these tumors after stopping these treatments return to growth again
And up to the original size before treatment and therefore the surgery remains the main solution, which is necessary in most cases.
This is a different subject from fibroids, as these tissues arise inside the uterus cavity and grow from the lining of the uterus and cause symptoms such as hemorrhage of the menstrual cycle and the descent of intermittent blood outside the cycle times. This is diagnosed by the vaginal sonar. In this case, there is no alternative to surgical procedure to remove this uterus , And the laboratory examination to know the nature and deal with the symptoms arising from them after the diagnosis is complete to the essence of this is removed by the use of the uterine endoscope.
Dr.. Nazih al-Kayali