They are pelvic tumors of benign cancer, which often affects 40% of women with an age ranging between 30 and 40 years.
This presence of tumors in the musculature of the uterus is called myoma if there is only one, but if there are more fibroids present, they are called myomatosis.
The musculature of the uterus is known as myometrium in medical terms and hence the name of the cancerous disease that affects this layer is derived.
In some women, myomatosis may not cause problems and surgery is not necessary.
It is a tumor that is influenced by natural female hormones present during the fertile age and in menopause, when menstrual bleeding stops due to a decrease in the production of female hormones, tends to disappear on its own.
Its exact causes are not yet understood, however, genetic influences play an important role.
Symptoms of uterine myomatosis
Myomatosis becomes dangerous when it reaches large dimensions. The most common symptoms are: interruptions of the menstrual cycle, uterine bleeding not associated with menstruation, pain in the lower abdomen, discomfort in the lower back.
They can present other inconveniences such as painful sexual intercourse and frequent urination, if the enlarged uterus pushes in the urinary tract.
Myomatosis can also cause infertility and if it is present during pregnancy, the growth of myomas is accelerated due to the increased amount of hormones and can complicate the course of pregnancy or be the cause of complications during childbirth.
To diagnose uterine myomatosis, a standard gynecological examination is performed in the vagina, uterus and abdomen.
As a general rule, in order to diagnose the pathology, gynecological examination, ultrasound diagnosis of the organs, a hysteroscopy or a computed tomography are sufficient.
This last method of diagnosis is very informative, but it is only used in exceptional cases because of its high cost.
Some of the main factors that can be said to be the real causes of uterine fibroids are listed below:
Genetics in certain women predispose them to abnormal metabolic cell activity.
Women who suffer from dysfunctional metabolisms are, therefore, more susceptible to developing uterine fibroids than others.
Poor dietary practices
The low intake of fruits and vegetables and the excessive intake of refined carbohydrates and toxic foods create hormonal imbalances.
Under such conditions, uterine fibroids can develop more easily.
Weakened immune system
Poor diet, lack of rest, stress, the accumulation of toxins, the excessive use of medications, means that the body can not work to balance hormones or eliminate toxic waste and is highly vulnerable to the condition.
When the cells in the body respond less to the hormone insulin, insulin resistance occurs.
This has a negative impact on the insulin-dependent mechanisms in the body.
To counteract this, the pancreas begins to produce more and more insulin.
Chronically high levels of insulin in the body cause the production of male hormones such as testosterone, stimulating the development of uterine fibroids.
It is known that uterine fibroids thrive on hormones such as estrogen and progesterone.
During pregnancy and menstruation, estrogen levels are at their highest point.
This is usually the moment when the condition of fibroids is more favorable for their growth.
Many women have discovered that when they reach menopause, fibroids contract or sometimes even disappear.
Treatment of uterine myomatosis
Currently for the treatment of uterine myomatosis, a conservative therapy is applied, in case it does not cause problems and you should only undergo regular gynecological exams.
To choose the direction of treatment, the doctor must take into account, in addition to the results of the diagnoses, the following: the age of the woman, the presence of other diseases, the state of the endocrine system, the rate of growth and the location .
Surgical intervention is usually recommended in the following cases:
• Myoma is diagnosed at 12 weeks of pregnancy
• The tumor is growing rapidly
• In case of miscarriage of the fetus
• When there are problems of infertility
• Uterine bleeding between periods and heavy menstruation.
And this can be carried out by these methods:
1.- Myomectomy: This operation is carried out in the event that the patient still wishes to have a baby. The method aims to eliminate only the fibroids and the uterus will be saved.
2. Hysterectomy : When it comes to women who are on the verge of menopause and do not plan any pregnancy, the entire uterus can be removed. This surgery is performed with general anesthesia and requires hospitalization.
The uterus can be removed through the abdomen with an open incision, laparoscopically or through the vagina. Laparoscopy is a method where several small incisions are made in the abdomen and through these holes, with the help of an optical device and other tools, the uterus is removed, observing the entire procedure by means of a monitor.
The ovaries and fallopian tubes are usually left behind, since their function is linked to the production of hormones. If the woman is already in the stage of menopause, these organs are also eliminated.
3.- Embolization : of the uterine arteries. This method also allows the uterus to be saved and consists in blocking the arteries to produce the death of the myomatous nodules.
It is important to remember that the early diagnosis of uterine myomatosis will allow a treatment with the least reproductive health injury, so the visit to the gynecologist should be done at least twice a year and in case of symptoms, go to the gynecologist. as soon as possible.