Fibroids: when it is necessary to remove them and how to treat

Written by: Dr. Francisco Carmona Herrera
Published:
Edited by: Top Doctors®

Fibroids (also called fibroids) are benign tumors of the muscle layer of the uterus. This layer is the outermost of the two in the matrix and is responsible for the contractions during labor. They are very common tumors and is estimated to occur in more than 50% of women. They are related to ovarian hormones, so that when a woman reaches menopause, tend to shrink or disappear.

 

Types of fibroid

Fibroids are classified according to their location, depending on how close or far away they are from the endometrium, the lining of the uterus. Thus, the innermost are called submucosal, the outermost Subserosal and those who are in the most central part called intramural. Which they are very large and affect the entire muscle layer called transmural.

 

Symptoms that warn of a possible fibroid

Symptoms of fibroids depend on two factors: its size and its location. Subserosal fibroids are often asymptomatic while submucosal often cause symptoms.

The main symptoms are abnormal bleeding, painful menstruation, heavy feeling in the lower belly or discomfort with relations. However, it is noteworthy that, in many cases, are completely asymptomatic.

 

Does it affect a fibroid in the fertility of women?

This is a very controversial issue. It is known that submucosal fibroids may increase the chances of abortion and recommended extirpate before seeking pregnancy. Subserosal myomas, however, usually do not interfere at all in the fertility of women. This relationship is not so evident in why intramural fibroids depends on the size of these affect a greater or lesser extent fertility.

 

Treatment options for uterine fibroids

Should only be treated fibroid symptoms occur. This means that the patient should not be treated by merely having a myoma. Treatments can be multiple and the choice by the specialist in Gynecology and Obstetrics depends on many factors, among which are the symptoms, age of the patient, the gestational desire or preferences of the patient.- symptoms- age- Gestational desire- patient preferences.

Treatment options include:

1. Medical treatment:

It's based on:

- Gestagens- Combined hormonal contraceptives, effective in treating bleeding disorders- releasing factor analogs gonadotropins, effective in treating bleeding disorders and downsize. However they give many side effects.- selective progesterone receptor modulators, is currently only available one on the market, the UPA. Is very effective to treat bleeding and to reduce the size also causes very few side effects

2. Non - invasive treatments:- Embolization of arteries leading to the fibroid, very effective in treating fibroids that cause bleeding intramural.- HIFU treatment can destroy the fibroid using ultrasound- Radiofrequency, which is the latest treatment and there is not much experience even use.

3. Surgical treatment conservative: Includes the removal of the fibroid through minimally invasive techniques or by laparotomy (opening the abdomen). If these techniques are used recovery is very fast and has few risks.

4. Radical surgical treatment: This involves the complete removal of the uterus, most times, can be performed using minimally invasive laparoscopy. The main indication for hysterectomy is for those women who, having completed their reproductive desire, want to solve your problem definitively, avoiding the risk of recurrence of tumors.

 

Fibroids Can be carcinogenic?

Fibroids are benign tumors that would never develop into cancer. When a woman has a sarcoma (malignant fibroid equivalent), this was evil from the beginning and never comes from the malignant transformation of a benign tumor.

 

*Translated with Google translator. We apologize for any imperfection

By Dr. Francisco Carmona Herrera
Obstetrics & Gynecology

Dr. Carmona Herrera is a renowned expert in Gynecology and Obstetrics at the international level. Throughout his career he has specialized in endometriosis and pelvic floor. Part of the team of Women's Health Institute of the prestigious center My Tres Torres. I belong as a full member to multiple scientific societies related to this pathology, being recently named Ambasseur of the World Endometriosis Society. It's Doctor "Cum Laude" in Medicine from the University of Barcelona. Currently he combines the welfare work with the position of Senior Consultant Gynaecology and Obstetrics Hospital Clínic de Barcelona.

*Translated with Google translator. We apologize for any imperfection

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