Despite the fact that uterine fibroids, unfortunately, is a fairly common female disease, many of us have little idea what it is. It is necessary for the doctor to suspect the patient of myoma of the uterus, as it begins to fall asleep with questions. .. What is myoma of the uterus? How serious is this disease? Is it possible to conceive a child with a uterine myoma? Is it okay to bear a baby and give birth? On many of these issues, modern medicine is not able to give an unambiguous answer, but some information is still there.
So, fibroid is a benign tumor of muscle tissue .The prerequisite for the occurrence of fibroids is the active division of the cells of the uterus. Doctors still can not come to a common opinion: what exactly can provoke the rapid division of cells, but we can identify the most likely causes - this is the increased secretion of estrogens, hormonal stimulation. That is, estrogens stimulate the growth of fibroids, while the reverse process is caused by progesterone. However, t
Myoma is usually represented by several nodes at once. Nodes can be of various sizes, and can appear in different parts of the uterus. Those nodes that are located under the outer uterine cover are called subserous or subperitoneal. The nodes located in the thickness of the uterine wall are called interstitial or intermuscular. The nodes localized under the endometrium, which lining the uterine cavity, are called submucous or submucosal. Sometimes the uterine cavity can be deformed and a single large knot.
It is possible to suspect the presence of uterine fibroids by prolonged cyclic bleeding, which often accompanies uterine bleeding .An accurate diagnosis is possible only after an ultrasound.
As a rule, uterine fibroids do not cause infertility, but difficulties with conception are present in the presence of fibroids. These difficulties are provoked by the fact that myoma often compresses the tubes of the uterus, which greatly complicates the movement of spermatozoa, and can disrupt ovulation.
It is optimal if treatment or removal of fibroids will be performed before pregnancy .However, the removal of a large myoma, which has already deformed the uterine cavity, is usually accompanied by heavy bleeding, which in turn can lead to the need to remove the uterus itself - in this case, the possibility of conception will have to be forgotten, of course.
Myoma of the uterus is not the best companion of pregnancy. First, myoma is usually accompanied by fetoplacental insufficiency, and secondly, the risk of abortion increases. The most unfavorable, dangerous situation is when the myomatous node is located next to the placenta - in this case the node breaks the structure, and often the placenta, limiting the supply of nutrients and oxygen to the baby. In addition, such proximity can lead to premature detachment of the placenta followed by severe bleeding.
As for the relationship between pregnancy and the growth of fibroids, then in this matter physicians can not come to the unequivocal opinion of .Some experts say that during pregnancy, the myoma grows, others say that changes in the size of myoma are associated with an increase in the uterus, but in fact this growth is not dangerous either for the future mother or the baby. However, there is another danger - degeneration, that is, the destruction of fibroids. This process is accompanied by necrosis of nodular tissues - as a result, edema, bleeding, cysts are formed. The necrosis of the nodes can occur at any period of pregnancy - and in this unpredictability is also a great danger.
Unfortunately, in recent years, uterine fibroids are often diagnosed in pregnant women. Most likely, this is due to the fact that today more and more women give birth at the age of 30 after hormonal disorders begin.
It should be understood that , despite the fact that uterine fibroids are not a reason for abortion, but this is a weighty argument in favor of the woman should be carefully monitored by experts .Many women with uterine myoma are normally nurturing, and then give birth to a baby, without encountering any complications - but only in cases where the size of the nodes of myoma is not too large.
Complications can occur in the first trimester of pregnancy in the event that the myoma and placenta come into contact. In addition, during this period, the risk of miscarriage increases due to contractions of the uterus, as well as due to the blood circulation disturbed in it.
As for the second and third trimesters, during this period the myomatous nodes for the baby leave very little space, which leads to an increased risk of premature birth. The larger the size of the myomatous nodes, the higher, respectively, the risk of premature birth. If the myoma is too large, it can have a negative impact on the development and growth of the baby - the child can be born with a lack of weight or a deformed skull.
In addition, pregnant women who have a uterine myoma diagnosed usually have a long time giving birth to .The doctor can recommend a cesarean section. Despite the fact that the myomatous nodes in no way interfere with the passage of the child through the birth canal, they often entail anomalies of the presentation and position of the fetus.
Treatment of fibroids is the suspension of growth of myoma nodes. Since uterine fibroids during pregnancy are usually accompanied by anemia, future mums are prescribed iron preparations, a protein diet, folic and ascorbic acid, vitamins of group B. It will also be recommended to revise their diet. After delivery, a more effective treatment can be prescribed - a course of hormone therapy, including preparations containing progesterone.