Fibroma of the uterus, fibroma of the vagina
Fibroma is a mature benign tumor that forms from connective tissue in women, mainly in the age range from 30 to 40 years. These tumors arise in the uterus or other organs with smooth muscle walls. Fibroma can manifest as a single type of compaction or in the form of an accumulation of nodules. Its growth occurs gradually without showing symptoms. Only 25% of fibroids are symptomatic and therefore can be treated. These tumors range in size from microscopic to several centimeters.
- Symptoms of uterine fibroids
- Diagnosis of uterine fibroids
- Treatment of uterine fibroids
- Vaginal fibroma
Causes of uterine fibroids
The fibroma that has arisen in the uterus has a mature, benign character. Its structure is of the connecting type, emanating from the walls of the uterus itself. The etiology of the development of such a tumor is currently uncertain. It is noticed that women of the Negroid race are more likely to develop fibroids than women of the European race. Researchers and associate fibroids with hereditary factors and increased sensitivity of hormonal levels to estrogen. Although the presence of these reasons does not always give the development of fibroids.
There are a number of additional factors that influence the onset of a tumor. These include artificial termination of pregnancy, childbirth with complications, chronic gynecological diseases, frequent curettage for the purpose of diagnosis. Indirect reasons include the late onset of the menstrual cycle, the lack of sexual activity or its irregularity, the absence of childbirth before the age of thirty. Additional reasons also include obesity, physical inactivity, diabetes mellitus, frequent stress, etc.
The reason for the growth of the tumor may lie in the use of tablets containing estrogen in order to prevent pregnancy or treat menopause. Observations of doctors show a connection between the development of fibroids with the menstrual cycle. Until it is fully established, at a young age, it does not arise. With the onset of menopause, the risk of uterine fibroids is also unlikely due to the natural decrease in estrogen levels. But during pregnancy, its level rises and the tumor, if it is present in the uterus, can begin active growth.
Symptoms of uterine fibroids
Most women with uterine fibroids do not experience any symptoms and only 25% of women have clinical symptoms, which depend on the location of the tumor relative to the pelvic organs, its size, the number and direction of growth of fibroid nodes. A symptom characteristic of fibroma is prolonged menstruation, turning into bleeding from the uterus (a possible failure of the menstrual cycle). Companions of such factors are pain and cramps in the abdominal cavity, blood clots released.
The feeling in the pelvic region of discomfort and heaviness is associated with pressure on the adjacent organs of fibrous nodules. Pain in the perineum and lower back are symptoms that indicate compression of the nerves associated with the lower extremities. Frequent urge to urinate, constipation, painful bowel movements may indicate uterine fibroids. Most likely this is pressure on the bladder and rectum of the growing fibroma. A swelling in the uterus can present with pain during intimacy.
Diagnosis of uterine fibroids
A preliminary diagnosis is made at a gynecologist's appointment by a vaginal bimanual (carried out with two hands) examination. It allows you to determine the increase in the uterus, its dense consistency, tuberosity on the surface. Ultrasound of the transvaginal type is used to clarify the location of the fibroid and its parameters. X-ray makes it possible to determine the type of fibroma. If necessary, in order to exclude uterine cancer, a biopsy is prescribed, followed by a histological study.
Treatment of uterine fibroids
Treatment of uterine fibroids relies on diagnostic results. An asymptomatic tumor requires dynamic observation without the use of medications. With the size of uterine fibroids up to 12 weeks of pregnancy, conservative therapy is used. It includes taking iron-containing drugs, vitamins, NSAIDs. The basis of such therapy is formed by hormonal agents of various groups. Surgical intervention is indicated for tumor growth and a vivid clinical picture. Depending on the diagnosis, this can be an operation to remove the fibroid node while preserving the uterus, or its complete removal.
Vaginal fibroma is a benign tumor that forms nodules from the connective tissue of the vagina and may tend to grow. Its initial stage does not manifest itself clinically, and further progression makes itself felt with pulling pains in the lower abdomen, which sometimes intensify at the time of intercourse. This fibroma forms in the thickness of the vaginal wall, without touching the mucous membrane, therefore it is visually invisible when examined by a gynecologist, although its dimensions are quite large.
It is possible to diagnose a tumor with the help of simultaneous palpation of the anterior abdominal wall and inside the vagina. The general picture of symptoms and the size of the tumor determine further treatment. The small size of the vaginal fibroma, diagnosed accidentally and does not bother the woman, is subject to further observation without treatment. A growing fibroma with a manifested clinical picture is removed promptly. After surgical treatment, removal of nodules, the patient continues her normal life.
Prevention of fibroids of the uterus and vagina
There are no special methods of preventing uterine and vaginal fibroids, but the exclusion of some factors, which are abortions, chronic diseases, uncontrolled use of contraception, etc., will significantly reduce the risk of their occurrence. A good method of prevention is regular visits to a gynecologist and adherence to his recommendations.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".