Myomas

Myomas

When your doctor tells you that you have fibroids, don’t be afraid. Myomas are encountered in a significant portion of women and are generally benign formations. Most people spend their lives unaware of fibroids. When you act in line with your doctor’s recommendations without making it a big problem in your mind, fibroids will not pose a major problem. Myoma is the most common benign tumor of the uterus. It occurs in 20-25 percent of women of childbearing age. For women aged 40 and over, this rate rises to 45 to 50 percent. They originate from the smooth muscle cells of the uterine tissue. Thanks to the estrogen hormone in women, they grow and develop. Myomas can vary in size from 2-3 mm to 25-30 cm in diameter. They can be a single tumor or multiple. Fibroids can settle in different parts of the uterus. They can be inside the uterus (the part where menstruation occurs), on the wall, outer surface, in the mouth or in the abdomen attached to the uterus with a handle. Most women can complete their life without realizing that they have fibroids. Nowadays, with the widespread use of ultrasonography, the frequency of myomas seems to have increased, as they are also noticed. Some people do not cause any complaints and can be noticed during any examination. On the other hand, sometimes excessive bleeding, pain, frequent urination or pressure feelings such as constipation, premature birth and miscarriage may cause complaints. Now let’s get to know myoma closely with common questions. Most women can complete their life without realizing that they have fibroids. Nowadays, with the widespread use of ultrasonography, the frequency of myomas seems to have increased, as they are also noticed. Some people do not cause any complaints and can be noticed during any examination. On the other hand, sometimes excessive bleeding, pain, frequent urination or pressure feelings such as constipation, premature birth and miscarriage may cause complaints. Now let’s get to know myoma closely with common questions. Most women can complete their life without realizing that they have fibroids. Nowadays, with the widespread use of ultrasonography, the frequency of myomas seems to have increased, as they are also noticed. Some people do not cause any complaints and can be noticed during any examination. On the other hand, sometimes excessive bleeding, pain, frequent urination or pressure feelings such as constipation, premature birth and miscarriage may cause complaints. Now let’s get to know myoma closely with common questions. It may cause complaints such as miscarriage. Now let’s get to know myoma closely with common questions. It may cause complaints such as miscarriage. Now let’s get to know myoma closely with common questions.

The reasons

The exact cause of fibroids is unknown. The probability of incidence may increase in those who have a history of myoma in their family, relatives, mother, aunt, and sister. This supports that a hereditary predisposition may be the cause. In addition, the estrogen hormone that increases with the work of the ovaries facilitates the growth of myomas. Therefore, while myoma can grow in women who have menstruation during pregnancy, it tends to shrink in women who have gone through menopause.

Symptoms

Usually they do not give symptoms. Even very large ones may not show symptoms sometimes. Symptoms of fibroids may vary depending on the size of the location and pregnancy status. The most common complaints;

  • Abnormal bleeding: It may increase the amount of menstruation and prolong its duration. However, anemia (iron deficiency anemia) can be seen. In addition, premenstrual spotting, intermittent bleeding and prolonged menstruation can be seen in fibroids.
  • Pain: Pain in fibroids usually occurs due to degenerations (deterioration of the structure). It may be a gradually increasing groin pain or it may present as an acute pain. Sometimes patients may complain of cramping pain. Waist and groin pain and a feeling of fullness in the groin are symptoms that are encountered with fibroids.
  • Pressure symptoms: Urinary symptoms such as frequent urination by compressing the urinary bladder, may cause complaints such as constipation and tenesm by pressing the large intestine.
  • Symptoms in the abdomen: Sometimes it may be the swelling or enlargement of the abdomen that brings the patient to the doctor. Weak patients may notice swelling in their abdomen.
  • Symptoms in the abdomen: Sometimes it may be the swelling or enlargement of the abdomen that brings the patient to the doctor. Weak patients may notice swelling in their abdomen.
  • Infertility: Fibroids can sometimes cause infertility. However, after other causes of infertility have been investigated and eliminated, fibroids can be held responsible for infertility.

Is it malignant?

The probability of fibroids being malignant, ie cancer, is very low, around one or two in ten thousand. However, this possibility should be considered in very fast growing fibroids.

Diagnosis

Diagnosis of fibroids is best made by gynecological examination. In addition, ultrasonography, laparoscopy, computed tomography (CT), magnetic resonance imaging (MR), hysterosalpingography (uterine film), hysteroscopy and curettage are auxiliary diagnostic methods. Treatment For fibroids, treatment is planned depending on the size of the fibroid, symptoms and the patient’s complaints. No treatment is required for fibroids up to 10 cm that do not cause any complaints. However, untreated patients should be monitored every 6 months and growth in myoma should be followed.

Fibroids should be surgically removed if:

  • Uncontrollable bleeding, pain
  • If large
  • If it continues to grow after menopause
  • If seen as a cause of infertility
  • If the myoma grows fast

It is not possible to treat myoma with medication. However, with some medications, the patient’s complaints can be eliminated and the growth of myoma can be prevented for a while. The main treatment for myoma is surgery. If the patient does not want to have a child anymore, the most definite treatment is hysterectomy, in other words removing the uterus. If the patient wants to have a child, only myoma is removed. However, it is not always possible to remove only myoma. Whether the myoma will be removed or not is decided during surgery.

Fibroids and pregnancy

5 percent of pregnancies have fibroids in the uterus. Most of these do not affect the course of pregnancy. However, the vast majority of them can have unwanted consequences:

  • The risk of miscarriage is doubled.
  • They can cause early pregnancy bleeding.
  • One-third of fibroids grow during pregnancy.
  • Placental implantation anomalies are common in pregnancies with myoma.
  • Fibroids can prevent birth by obstructing the birth path.
  • With myoma, the possibility of premature birth, premature discharge of water, position anomaly in the baby, premature separation of the placenta and postpartum hemorrhage increases.
  • The possibility of cesarean section is higher in pregnancies with myoma.

Result

When your doctor tells you that you have fibroids, don’t be afraid immediately. Myomas are encountered in a significant portion of women and are generally benign formations. Most people spend their lives unaware of fibroids. When you act in line with your doctor’s recommendations without making it a big problem in your mind, fibroids will not pose a major problem.