GeneralAccording to statistics, four out of ten women aged 30 to 50 have fibroids (fibroids) of the uterus single node or cluster of benign tumors of muscle and connective tissue. Some of them are immersed in the uterine wall, whereas others act as mushrooms uterus. In rare cases, they can grow to the outer surface of the uterus, ranging in size from a few grams to tens of kilograms (record-large tumor weighing 67 kg).
Fibroids are benign tumors, they do not increase the risk of cancer of the uterus and do not become malignant. However, due to their size and location can mask the growth of malignant tumors, therefore needs careful diagnosis.
ReasonsThe exact cause is not yet known.
However, a number of studies show that an increased level of estrogen stimulates the growth of these tumors. They tend to decrease and disappear at menopause, and opposite - estrogen replacement therapy may stimulate their growth.
Symptoms of uterine fibroidsMost uterine fibroids are asymptomatic, but large tumors may condition the following symptoms:
- Long and painful menstrual bleeding
- Bleeding in the intermenstrual period;
- Feeling of fullness in the abdomen or severity;
- Frequent urination (if deformed uterus presses on the bladder)
- Constipation (if the tumor presses on the intestine)
- Pain in the lower back
- Pain during intercourse:
- Increase the size of the stomach;
- Miscarriages, infertility.
What you can do?Chances are good that you do not know about the presence of fibroids you. Most often they are found during a routine pelvic examination or during prenatal examinations. While fibroids do not cause severe pain or a feeling of heaviness in the abdomen, not the cause of infertility, or no more than 10 centimeters in diameter, it does not require treatment.
Visit your doctor once or twice a year, so he could watch the growth of fibroids. These regular checks (with periodic ultrasound studies) are needed to identify complications, such as an increase in fibroids with compression of the ureter.
What can a doctor?To confirm the diagnosis and rule out other changes in the uterus (pregnancy, ovarian cysts, cancer) is prescribed ultrasound.
If a strong bleeding, the doctor may order a biopsy of the endometrium, thereby to prevent cancer or to determine the cause of the bleeding.