Uterine fibroids Definition: benign tumor, most common in women of childbearing age. It originates from the smooth uterine muscle. Vascularized, often multiple. Synonyms: myoma, leiomyoma.
Uterine fibroids Definition: benign tumor, most common in women of childbearing age. It originates from the smooth uterine muscle. Vascularized, often multiple. Synonyms: myoma, leiomyoma.
Definition:
benign tumor, most common in women of childbearing age. It originates from the smooth uterine muscle. Vascularized, often multiple. Synonyms: myoma, leiomyoma.
Symptoms::
It will be confirmed by:-Menstrual disorders (menorrhagia, metrorrhagia).-Urinary problems (urinary incontinence).-Sensation of pelvic heaviness.
Diagnosis:
It is often an asymptomatic disease that may be revealed by: :-The pelvic examination.-A pelvic ultrasound.-A hysteroscopy diagnostic
Possible complications :
Bleeding, anemia
Treatment::
There is only treatment when there is symptomatic signs. It is a hormonal drug treatment initially (progestin) If this fails, surgical treatment is proposed which can be: Conservative:-resection during hysteroscopy-myomectomy-radical hysterectomy
Evolution :
Several fibroid developments are possible::-Stability over time.-Increase in the volume of fibroids, spontaneous or facilitated by pregnancy or taking hormone therapy for menopause.-Transformation as fibroma calcification, aseptic necrobiosis (ischemia or infarction of the fibroid by lack of blood supply), cavitation (cystic transformation), torsion, expulsion (where birth fibroid through the cervix).-Regression or even disappearance of fibroids after menopause because of the suppression of the production of estrogen hormones.-No evolution demonstrated towards a malignant tumor (fibrosarcoma).
Fibroma and pregnancy::
Typically during pregnancy, fibroids may increase. The risks are::-Pelvic pain type of uterine contractions.-Recurrent miscarriage-Premature birth-Barrier during delivery-Abnormal presentation of the unborn child-Postpartum haemorrhage (PPH)
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Victor Hugo