Myoma of the uterus is a benign hormone-dependent tumor, which is first detected in women after 30 years. According to their location, they are suberserous (located on the side of the abdominal cavity), submucous (submucous) and intramural (in the thickness of the muscular layer of the uterus). Myoma can cause serious problems for a woman: spread the menstrual cycle, cause uterine bleeding and infertility. In our article, we will try to consider in detail the features of the clinical picture and treatment of intramural uterine myoma in women of the reproductive and premenopausal period.
The clinical picture of uterine fibroids is an intramural form
Very often, the intramural uterine myoma is detected during a preventive examination (the doctor determines the size of the uterus in size), and is confirmed by ultrasound. Myoma is intramural-subserous, it can squeeze the intestines and bladder when reaching large sizes and break their function (cause constipation and urination disruption). Intramural-submucous myoma of the uterus more often manifests itself in the form of prolonged menstrual bleeding, and subsequently intermenstrual.
Intramural uterine myoma - treatment
In the treatment of uterine fibroids, conservative and operational methods are distinguished. The tactics of surgery depend on the age of the woman. Thus, in patients of reproductive age, organ-preserving surgeries are performed (the myomatous node is removed). In women who have reached premenopausal, a radical operation is performed - hysterectomy. With intramural-submucous myomas of small size, it is possible to perform myoma removal with hysteroresectoscopy. For conservative treatment, hormonal contraceptives are used.
Surgical treatment of intramural uterine myoma is required in the following cases:
- when there is an increase in the myomatous node;
- if the uterine myoma is accompanied by menstrual and intermenstrual bleeding , leading to the development of anemia.
If the intramural myoma does not manifest itself, then such a woman is put on dispensary records and invited to scheduled examinations once every six months.
The combination of intramural myoma and pregnancy deserves special attention, because under the influence of an increased level of sex hormones, the myomatous node can grow. Such women should undergo special preparation for childbirth and are at risk.
Thus, it is necessary to emphasize the importance of passing preventive examinations and annual ultrasound examinations that allow timely detection of pathology.