The fibroids, what are the symptoms and dangers and what type of surgery recommended - Fibroids are tumors that are located in the smooth muscle of the uterus; more than 95 percent are benign and are known by other names such as: leiomyomas or also fibromyomas. For certain it is unknown the exact causes.
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The fibroids what are the symptoms and dangers and what type of surgery recommended
The fibroids, what are the symptoms and dangers and what type of surgery recommended - Fibroids are tumors that are located in the smooth muscle of the uterus; more than 95 percent are benign and are known by other names such as: leiomyomas or also fibromyomas.
For certain it is unknown the exact causes of the origin of these lesions; In addition, ignored why, in certain women as small fibroids are presented as a millimeter and other so large that reach 40 cm. Say, these can be related to own women, estrogen hormones. It is also common to find these tumors of different sizes in women aged over 45 years; in very rare change, which occur under the age of 35.
The majority of fibroids are asymptomatic and their evolution is slow. Usually women begin to have signs only 30 or 40 years.
The most common signs are:
menstrual cycles, prolonged and abundant; several times with bleeding out of the cycle, which may even lead to anemia,
severe pain, before and during menstruation,
pelvic pain since fibroids pressed nerve centers on neighbouring organs to the uterus,
discomfort in the back and legs, even by compression of nerve structures,
increase in the frequency of visits to the bathroom,
constipation and bowel disorders,
increase weight and volume in the abdominal area
infertility, according to the location of the fibroids.
Sometimes it comes to obstruct the passage of urine from the kidneys to the bladder.
To determine the presence of fibroids, simpler methods are ultrasound or transvaginal ultrasound.
The treatment to be followed will depend on the type of fibroma, size, location, and desires of future fertility of women.
If the decision is medical treatment, this will consist of the administration of anti-inflammatory drugs that inhibit the growth of fibroid. This cure is supplied for three months and then an operation must be planned.
If the fibroids are not very large, you can opt for laparoscopic surgery. The advantage of this surgery is the rapid recovery of the patient, does not require hospitalization and return to work the week of operated.
If on the contrary the fibroids are large and women want to have children will be a myomectomy (surgical removal only of fibroma).
However in the event that the patient is already satisfied with their parity, i.e., has children and do not want more, is better to perform a hysterectomy (complete removal of the uterus). This surgery, preference, is performed in women after age 40. If the woman spends 55-year-old and there is a history of family members with cancer of the uterus, it is preferable to remove the uterus, fallopian tubes and ovaries; This surgery is called complete hysterectomy.
In both cases the patients are subjected to an opening of abdomen (laparotomy) and require 2-3 days of hospitalization and a recovery time of at least 15 days, before returning to their normal activities.
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