Uterine fibroids and pregnancy
Uterine fibroids - a benign tumor that affects the muscle layer of the uterus. The most frequent manifestations of it are: a change in the character of menstrual uterine bleeding, the appearance of pulling pains in the lower abdomen, frequent urination, constipation, and sometimes infertility.
The main diagnostic methods are gynecological examination and ultrasound of the pelvic organs. The choice of treatment tactics is influenced by the woman’s age, the size of the diagnosed tumor, and the woman’s desire to have children. There are two methods of treatment: hormone therapy and surgical removal.
What is uterine fibroids and how is it dangerous?
Uterine fibroids - tumor growth myometrium of its wall. The process develops slowly, often asymptomatically. The changes that occurred in the muscle cell lead to the fact that the division produces abnormal tumor cells. As they accumulate, the node grows.
Factors leading to the development of uterine fibroids
The final decision on the cause of this pathology is not accepted.Myoma is a polyethological disease. The reasons for the occurrence include:
- various lesions of the hormone-producing function of the ovaries;
- long stressful conditions, physically difficult types of work;
- aggravated, latent chronic infections (pyelonephritis, tonsillitis, etc.);
- disorders of the secretory function of the glands of internal secretion;
- metabolic disorders in the body - obesity;
- does not exclude the influence of the hereditary factor.
Signs that allow suspected myoma of the uterus
In most cases, the initial stages are asymptomatic. Manifestations are determined by the localization and growth rate of the node. The disease most often manifests in the period of hormonal changes in the female body about 30-35 years. The first signs of development are as follows:
- change in character (rhythm disturbance, lengthening, profuse, soreness) menstrual uterine bleeding;
- in the lower abdomen there are pulling, much less often intense pains, irriving in the lumbar region, legs;
- with the growth of the node in the direction of the bladder, urination becomes more frequent;
- sprawling towards the rectum can cause constipation;
- developing anemia due to bleeding may be accompanied by weakness, dizziness, headaches, etc.
Asymptomatic forms and cases of multiple uterine fibroids during pregnancy deserve special attention.
The effect of fibroids on pregnancy
Localization of the node in the cervical region can make it difficult to move sperm, sometimes making conception impossible. However, he himself is not the cause of infertility. A small knot does not affect the course of pregnancy. Surgery for a tumor larger than 12 weeks can significantly reduce the fertility of the uterus.
Pregnancy on the background of fibroids can be complicated when the site is close to the place of placentation. The small size of the nodes also do not affect the course of pregnancy, they can do nothing at all.
Large nodes can affect the maturation of the fetus, the formation of bones. It is noticed that against the background of fibroids, placental abruption develops much more often.
Treatment of uterine fibroids during pregnancy
Therapy for small single nodes is usually symptomatic. It is aimed at compensating anemia, regulating hormonal and lipid metabolism.After the resolution of pregnancy with the failure of conservative therapy, surgical removal is indicated. During delivery by caesarean section, simultaneous removal of the node is possible.
Multiple uterine fibroids and pregnancy
Separate attention deserves the resulting multiple nodes in the uterus, which have various shapes and sizes. This situation significantly complicates pregnancy planning. Treatment of multiple uterine fibroids during pregnancy is reduced to the removal of only tumors that interfere with placentation, strengthening of the fetus, actively growing, suspicious formation of complications. Elimination of the remaining nodes is performed after delivery, or during caesarean section.
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