Subserous uterine fibroma
Subserous uterine fibroma is one of the most common diseases of the uterine cavity. For a long time, the course of subcutaneous uterine fibroma may be asymptomatic, but then pain in the lower abdomen, a feeling of pressure may develop. Uterine fibroma of this type is a benign tumor and is subject to both treatment and complete removal of the growth according to clinical indications. It is necessary to treat subserous uterine fibroma, otherwise it can provoke other diseases and negative consequences. For this purpose, medical treatment, surgical intervention or minimally invasive surgery is used.
The content of the article:
Causes of the manifestation of subserous uterine fibroma
Symptoms of subserous uterine fibroma
Diagnosis of subserous uterine fibroma
Treatment of subcutaneous uterine fibroma
Methods of prevention of subcutaneous uterine fibroma
Subserous uterine fibroma
Causes of the manifestation of subserous uterine fibroma
The causes of the development of subserous uterine fibroma may be:
hormone dysfunction;
somatic factors;
mechanical damage to the uterus;
genetic predisposition to the formation of subserous uterine fibroma.
Hormonal changes include subcutaneous uterine fibroma, which depends on the level of estrogen in the female body. The presence of early menstruation, the presence of ovarian dysfunction in the anamnesis, the choice in favor of an intrauterine device for contraception — all this causes the possibility of the appearance and further development of subcutaneous uterine fibroma. In addition, women expecting a baby stimulate the growth of uterine fibroids due to increased estrogen in the body. And, conversely, women whose age tends to 50 years have a delayed development of a tumor in the uterus, which causes the presence of menopause and a deficiency of the hormone estrogen.
Mechanical damage to the uterus includes surgical interventions, such as fetal curettage (unwanted pregnancy); difficult childbirth and pregnancy, incompetent installation of an intrauterine device with its subsequent removal. There are also quite common cases when the uterine cavity is deformed by gynecological devices and the delivery of smears for tests. This option is possible if the girl gets to an inexperienced young specialist.
Genetic predisposition can also cause the development of nodules in the uterus. This is due to the dysfunction of the patient’s internal vessels.
Also , the following somatic factors may be the causes of the development of uterine nodules:
excess weight;
diabetes mellitus;
varicose veins;
thyroid dysfunction;
and so on .
Symptoms of subserous uterine fibroma
The symptoms of subserous uterine fibroma very often manifest themselves only when its growth and development reaches its maximum limits, and the tumor begins to put pressure on the organs located around. Prior to this , the presence of nodules in the uterus may have the following signs:
pain syndrome in the lumbar region;
pulling, aching pains in the lower abdomen;
pressing pain in the pelvis, sacrum;
pain syndrome during intimacy.
In addition, there is a constant burning sensation during urination. This is due to the fact that the tumor presses on the bladder.
Bloating, accumulation of gases, constipation — all these are concomitant unpleasant signs of the presence of subcutaneous uterine fibroma. In addition, the constant heaviness in the pelvic area is quite painful for the back. The lumbar region is subject to the greatest pressure, and therefore patients may feel heaviness, constant fatigue, pain and a desire to lie down.
Diagnosis of subserous uterine fibroma
Diagnosis of subserous uterine fibroma is impossible without contacting a gynecologist. Diagnosis of fibroid nodes consists in ultrasound: both external and internal. This examination helps to identify more detailed parameters of the tumor in the uterus: shape, size, node growth, exact location.
If it is not possible to conduct an ultrasound, the doctor gives a referral for such a procedure as CTG, where the monitor screen will be able to clearly show the presence and nature of the development of fibroid nodes in the uterus.
Procedures such as smearing for tests, clinical blood analysis and general urine analysis are not required during the initial examination by a gynecologist. However, in the future, when prescribing treatment and / or removing uterine fibroids, a specialist may refer the patient for additional diagnosis.
Treatment of subcutaneous uterine fibroma
Treatment of subcutaneous uterine fibroma may consist of the following:
complex administration of medications;
partial/complete removal of a tumor in the uterus by surgical method;
minimally invasive therapy.
Treatment with medications is limited to taking hormonal pills that prevent the growth and development of fibrous nodes in the uterus. Such drugs include:
utrozhestan;
dufastol;
danazol;
gestrinon.
Partial or complete removal of the tumor depends on the age of the patient, the presence of children, planned pregnancy. In the latter case, the uterus must be preserved intact by removing only the fibroid node. In addition, in order to restore the elasticity of the uterus, the patient must follow not only all the doctor’s recommendations for drug rehabilitation of the body, but also special exercises.
Minimally invasive therapy in the treatment of subcutaneous uterine fibroma consists in partial removal of the tumor using ultrasound. A new way of getting rid of nodules in the uterine cavity has proven itself from the best side, it has practically no contraindications and negative consequences. But not every tumor can be removed with ultrasound. If the size of the fibroma is large enough and it is rapidly developing, it is better not to use minimally invasive therapy, but to stop at surgical removal.
Methods of prevention of subcutaneous uterine fibroma
Subserous uterine fibroma can provoke further problems, namely:
inability to bear fruit;
miscarriages;
bleeding;
long-term postpartum recovery;
menstrual disorders;
copious discharge during menstruation.
As part of the prevention of subcutaneous uterine fibroma ,:
do not use an intrauterine device as a method of contraception;
avoid unwanted pregnancy;
during an abortion, give preference to a medical solution of the problem, rather than surgical;
eat right.
