Why Fibroids Develop ?
More than one in two women (up to 70%, according to some studies) have at least one fibroid some time in their lives, making them the most common arrangement of the pelvis. In the majority of cases occur in the age of 35-45 years, but may occur earlier or later until menopause because after that fall. A woman may have one or multiple fibroids which may cause symptoms or are completely asymptomatic. As the obstetrician-gynecologist surgeon Dr. explains. John Vassilopoulos, MD, MSc, «fibroids are benign tumors that grow in the myometrium, which is the muscle layer of the wall of the uterus. Their diameter is usually started by one centimeter, and reaches up to 15 cm and weight ranging from a few grams to a few pounds in some extreme cases of multiple fibroids. ” Uterine fibroids containing fibrous web similar to the normal tissue of the uterus. Usually they grow along the wall of the uterus, but sometimes protrude into the lumen or growing out of it.
Hormones (estrogen, progesterone) promote their appearance and so fibroids disappear after menopause when hormone production stops. According to recent studies, role playing in their appearance and high testosterone levels in middle age. Their exact cause is not known. “There are no specific causes for their appearance. Some may be hormonal (estrogen) or hereditary in nature, while others may be related to the environment. In most cases, the main reason seems to be heredity combined with elevated blood levels of estrogen, “says Dr. Vasilopoulos.
Risk Factors and Symptoms
It is estimated that women with a family history of fibroids are twice as likely to develop them, compared to those without such a history. Other risk factors for their appearance is the age (is more likely after 40), obesity, hypertension, low levels of vitamin D and childlessness, according to the US National Institute of Health of Child and Human Development (National Institute of Child Health & Human Development, NICHD). Conversely, factors that may reduce the risk include pregnancy (the risk decreases as the number of pregnancies increases) and the long-term use of certain contraceptives.
Although it is very common, most women do not know they have it because they do not cause symptoms. When finally these symptoms can be: -Great Bleeding or pain during menstruation. -Aimorragia And pain in the interval between two menstrual casting purposes. -Aisthima Weight lower abdomen. – Frequent urination when the fibroid presses the bladder. – Pain during sexual intercourse. – Fertility Problems such arrest weakness, multiple miscarriages, premature onset of labor etc. The woman may also have anemia and to address obstetric problems, such as degeneration of fibroid with severe pain and making caesarean section. Diagnosis and treatment Because fibroids are usually asymptomatic, often perceived in classical gynecological examination when the doctor touches the uterus (it is inflated) and ultrasonography lower abdomen, which detects the number of fibroids, size, and their place in matrix. If the patient has multiple fibroids and requires surgical therapy, before surgery, and a pelvic magnetic resonance imaging (MRI) to the more detailed mapping.
The treatment will be proposed to the woman depends on age, general state of health, the presence and severity of symptoms (eg pressure on other organs, major bleeding, anemia), location, type and the size of fibroids, and whether the woman is pregnant or wants to have children in the future. “If the fibroids are small and asymptomatic, usually not a recommended treatment, besides the periodic monitoring of the gynecologist with ultrasound in order to check their size and become timely noticed any change,” says Dr. Vasilopoulos. “If it’s large, rapidly growing or causing problems, they can propose different treatments, the most important of which is conservative (eg light painkillers for menstrual pain or hormones) and surgical.” Conservative methods do not cure fibroids but provide relief from the symptoms and / or reduce their size. But once stopped, the fibroids and the symptoms recur. Surgical treatments include either myomectomy (fibroid removal) or hysterectomy (surgical removal of the uterus), depending on the age of the woman.
The myomectomy involves removing only the fibroid and diafylaxitou healthy portion of the endometrium. Can maintain pregnancy capability. Can be hysteroscope (the vagina and uterus), laparoscopic (two small incisions in the abdomen) or laparotomy (open surgery). Studies have shown that soothes the symptoms of fibroids in 80-90% of cases, but can not prevent the creation of new fibroids. Hysterectomy is the only method of healing fibroids. During the removed portion or the entire uterus. The surgery can be done through the abdomen, the vagina, laparoscopic or robotic surgery. The past few years in selected cases a process called embolization of fibroids and involves stopping their blood supply, resulting in shrinking and being absorbed by the body. Embolization is a small “beads” made of plastic or special gel is inserted in the arteries that supply blood to the fibroids. The “beads” are occlude the vessels and stop the blood flow and hence oxygen and nutrients.