Uterine fibroids – Asymptomatic fibroids
Uterine fibroids – asymptomatic uterine fibroids
The manifestations of asymptomatic uterine fibroids
Uterine fibroids – a hormone-dependent tumors. It refers to the stromal tumors and is characterized by a benign growth. For the first time this pathology is often detected during preventive examinations. This suggests that fibroids are not often asymptomatic, and it becomes a random diagnostic finding.
Often the absence of any clinical manifestations observed in the case of single or multiple myoma nodules of small size with the intermuscular or subperitoneal localization. The smaller the diameter of the tumor have the education, the greater the likelihood of asymptomatic disease.
In asymptomatic uterine myoma patients in treatment is not needed. Sometimes you may need hormonal therapy, and rarely – in the surgical intervention.
Asymptomatic uterine fibroids, which tends to increase, regardless of the number of nodes, their size and location (with the exception of subserous tumors on thin stalk) is an indication for uterine artery embolization. This method consists in the surgical termination of blood flow in the uterine artery branches directly feeding myoma node. Consequently, the fibroids is replaced by connective tissue and the result is significantly reduced in size, in some cases completely disappeared. This procedure is performed under local anesthesia and has a short recovery period.
In order to prevent tumor growth and reduce the size of myoma nodes may conduct hormonal treatment of fibroids with no clinical symptoms, the presence of intramural or subserous tumors up to 3 cm in diameter and the absence of submucous nodes.
At menopause, women with asymptomatic uterine myoma, neoplasm may undergo regression (much reduced in size and not be detected during the survey).
As the nodes start to occur in patients complaints. Such fibroids becomes symptomatic and requires treatment, the amount is determined strictly individual.
If the amount of asymptomatic fibroids larger than the uterus, enlarged to 12 weeks of pregnancy, shows surgery, myomectomy (excision of myoma nodes). In the absence of objective reasons for any treatment, we recommend that only the dynamic observation of the specialist (gynecological examination 3-4 times a year), and ultrasonic inspection every six months.
Are important secondary prevention measures: the fight against excess weight, maintaining psychological balance, adequate use of contraception, the exclusion of excessive insolation, early detection and treatment of concomitant gynecologic and extragenital pathology.
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- rule out myoma nodules