Causes, symptoms and treatment of uterine leiomyoma
In today’s world it is difficult to find someone who would not have heard about the problems of growths. The uterine leiomyoma is the most common benign tumor in the female reproductive organs. It may manifest itself at a very early age – from 20 to 40 years. Suffer disease about 25% of women.
In fact, the incidence is significantly higher in almost half of patients with this disease has common symptoms, confirmed by the presence of a tumor. The risk of leiomyomas of the uterus is greatest for women of reproductive age residing in phase. The etiology of leiomyoma, despite significant advances in the field of Oncology of the female reproductive system, is still unknown.
Uterine leiomyoma may be referred to as fibromyoma, fibroma, fibroid, myofibrosis. It geometricheskoe hormone-dependent benign tumor that develops from muscle connective tissue of fragments of uterine endometrium. In the development of the disease the fundamental role of disruptions of the hypothalamic-pituitary system, function of the adrenal cortex, ovaries, thyroid gland.
Among the most likely factors causing the growth of tumors, are the following:
- the giperpolimenoreey;
- failures in the system hypophysis-ovaries-uterus;
- infectious diseases of the reproductive system;
- a large number of abortions;
- disorders of hormone production by the adrenal cortex;
- thyroid disease;
- cardiovascular problems;
- a tendency to anemia;
- sedentary lifestyle;
- anorgasmia during intercourse;
- lack of sexual life;
- the metabolic disorders;
- disruption to adjacent organs;
- the tendency to obesity;
- injury of abdominal cavity organs;
- genetic inheritance;
- frequent hormonal drugs;
- regular use of contraceptives;
- constant stress;
- excessive exercise;
- the sleep disturbance.
The pathogenesis of the disease presents a wide spectrum of abnormalities in hormonal levels and the overall functioning of the reproductive system in women.
The symptoms of the disease
Symptoms some is quite poor, and sometimes presented whole “bunch” of discomfort and overt signs of progressive disease. The most characteristic and obvious signs of developing fibroids the following:
- uterine bleeding;
- pain in the pelvic region;
- the growth of the abdomen;
- the severity of the peritoneum at the bottom;
- nagging pains in the abdomen;
- the increase in body temperature;
- elevated erythrocyte sedimentation rate;
- chronic constipation;
- changing the frequency of urination;
At the slightest suspicion on the tumor process in organs of the female reproductive system the required immediately consult a gynecologist. Timely diagnosis will help to stop the disease at an early stage and avoid serious complications.
Methods of diagnosis
Leiomyoma of the uterus diagnosed by a gynecologist. There are several types of diagnosis of tumor processes in the abdominal cavity of a woman. They do not require complex techniques and devices:
- Ultrasound. Ultrasound for women who are prone to the growth of fibroids, you need at least two times a year. In this way the doctor can monitor the growth of tumors.
- Extensive palpation of the abdomen. In most cases the sensations in the place where is progressing leiomyoma of the uterine body, give yourself a sharp muscular contraction in response to pain.
- Inspection mirrors external genitalia. Helps to visually identify the visible deformity of the cervix, sometimes even the presence of the first nascent tumors.
- Bimanually gynecological examination. Penetration into the cervix to determine the mobility, tenderness, size and density of lesions on the uterine endometrium.
- Laboratory studies determination of the RH factor and blood group of the patient. According to the General analysis of blood are obvious signs of anemia. Performed urinalysis, determination of blood glucose levels, a detailed study of biochemical parameters of blood and urine, smear microscopy for the study of vaginal discharge.
- Hormonal tests. The first is the study of the state of the thyroid gland and pituitary gland. Broad picture issues analysis for tumor markers all of the above organs, and the organs of the urogenital system.
- CT. Usually conducted after the results of the ultrasound.
- X-ray examination. In modern medicine, rarely used.
Treatment of uterine leiomyoma
Leiomyoma of the uterus is small, not accompanied by severe symptoms, treatment.
Doctors do not hasten to resort to surgery immediately after the detection of the tumor. Many women leiomyoma of the uterine body is in “sleep” state, it can even significantly decrease from the change of some processes occurring in the internal organs. For example, the normalization of sexual activity, resumption of the menstrual cycle, a way out of stressful situations, able to influence the transformation of the tumor.
Treatment should be individually assigned, based on the signs and causes growth of fibroids. Hormone therapy can give fast results, but if you stop taking hormones the disease can recur, sometimes even with greater strength than before the medication.
Hormonal therapy can provide a weakening of the pathological symptoms, to slow the tumor growth and significantly get rid of large blood loss in surgical resolution of the problem. Not all women take a definite decision about the surgery, most usually wish to retain reproductive function, normal sex life and a phased conservative freedom from disease.
Operation actually can be avoided with a slight increase in nodes, an asymptomatic course of the disease, tumors not exceeding the size of the uterus during pregnancy to the twelfth week. However, we must remember that after the cessation of hormone therapy to a greater number of cases, uterine leiomyoma, treatment which could continue for an adequate period, has the ability to resume its growth, sometimes with even greater force.
And after a few months the tumor acquires the same dimensions as prior to the previous treatment.
To rely solely on conservative therapy in cases of high growth of the tumour impossible. Surgical intervention should be undertaken without loss of time to avoid severe complications when the treatment is unproductive.
The treatment of non-hormonal methods. Attempts to prevent profuse bleeding by using hemostatic give good results. Auxiliary antispasmodic therapy non-hormonal immunomodulatory drugs, anti-anemic and sedatives are usually used for pre-treatment of the pathological disorders that contribute to the growth of uterine leiomyoma.
There may be additionally involved in some glands of the endocrine system, aggravating the General condition. It is primarily the thyroid gland. There are cases of the formation of tumors as complications of the past wound or chronic infectious diseases of urogenital organs. Therefore, the treatment and the approach must be comprehensive. In this case, can not do without drugs, the normalizing metabolic processes and multivitamin complexes.
Treatment of folk remedies
People’s medicine is ready to share its wide range of herbal remedies, some of which are quite easy to prepare and apply at home. Of course, absolutely all the implementation activities should be coordinated with the attending physician. The selection of means to combat neoplastic processes in the uterine endometrium is purely individual.
Decoction of lungwort. 1 tbsp crushed dry raw pour a glass of boiling water, evaporate in a water bath for 5-7 minutes, remove from heat, let stand. To be consumed within the light of day for half an hour before a meal to ¼ Cup. The course of treatment – 2 weeks. You can then take a week break and repeat.
A decoction of horsetail. 2 tsp. dried minced raw pour a glass of boiling water, evaporate in a water bath for 10 minutes, remove from heat, let stand. To be consumed within the light of day for half an hour before meals 2-3 tbsp the Course of treatment – 2-3 weeks. During the year, the course can be held 4 times for 2-3 weeks in each season.
Ivan-tea can be drunk in unlimited quantities, as true teas.
The broth upland uterus. 1 tsp. dried minced raw pour a glass of boiling water, evaporate in a water bath for 5 minutes, remove from heat, let stand. Taken during daylight for half an hour before meals for 2 tablespoons For each day to prepare a new broth. The course of treatment – 2-3 weeks. You can then take a week break and repeat. The broth upland uterus is not recommended for use during menstruation.
A decoction of Rhodiola cold (four-membered). 1 tsp crushed dried rhizomes of raw materials add 0.5 liters of boiling water, evaporate in a water bath for 15 minutes. After removing from heat, let it brew, strain. To drink on an empty stomach three times a day for 1 tbsp.
The prepared broth can be stored in the refrigerator for 2-3 days, then make a fresh pot. The course of treatment – 3 weeks. Break – 1 week.
For getting rid of the tumor it is necessary to conduct followed each other. Then a break for 3 months and re-treatment. Not recommended for use during menstruation.
A decoction of knotweed. 2 tsp. dried minced raw pour a glass of boiling water, evaporate in a water bath for 3-5 minutes, remove from heat, let stand. Drink during the daylight for half an hour before meal to ¼ Cup. The course of treatment – 2 weeks. You can then take a week break and repeat. Take the decoction orally through a straw to avoid damaging effects on tooth enamel.
At risk for the emergence of neoplastic processes of the female reproductive system most often are the residents of large industrial cities experiencing negative environmental impact on your body.
Moreover, the modern woman is daily exposed to endless stressful conditions, sometimes unforeseen significant physical loads several times exceeding the permissible limits.
Great importance is sleep and nutrition. The lack of necessary trace elements, vitamins, nutrients, greatly affects the overall condition of any person. Women making the decision to have a child should plan their pregnancies in a timely manner eliminating all the negative aspects in your life.
In this case you should reconsider the diet, sleep and wakefulness, to try to eliminate the stress, get rid of bad habits, strengthen the protective functions of the organism.
In adulthood, prevention of fibroids will be the timely advice of a gynecologist. Persons with a tendency to malignancy, you need at least twice a year to undergo ultrasound examination. Is strictly prohibited for a long period of stay in places of sunbathing, and also under open sun in the city.
Also contraindicated vegetable field work and spontaneous physical activity, carrying heavy loads, carrying out exhausting diets, overeating.