I have 5 cm miom what to do. The growth factors of benign uterine tumors and testimony for surgical intervention. Why mioma uterus occurs

Mioma is a benign neoplasm, which grows in the muscular layer of the uterus. The main age of patients subject to this disease is 20-60 years. The main reason for the occurrence of the mioma of the cervix - hormonal failure. When diagnosing myoma, its size is determined. Depending how many new formations were found, their type and sizes are prescribed treatment.

When prescribing treatment, the doctor is repelled from the size of the Mioma

To accurately determine the magnitude of the Moma, it is necessary to do an ultrasound. It is believed that when lagging in large sizes, which exceed 60 mm or 6 cm (12-16 obstetric weeks), it is necessary to make an operation. Benign neoplasms are dangerous for women's life when there are many of them. Mioma 20-60 mm or 2-6 cm (10-11 weeks) are treated with drugs, the appointment of diet and physiotherapy. That is, conservative treatment is carried out.

Classification

The dimensions of benign neoplasms are determined in centimeters, weeks or mm on ultrasound. With the growth of mioma there is an increase in the uterus. This process is similar to the growth of the fetus. Therefore, the sizes of the mioma of the cervix are compared with the weeks of pregnancy.

Myoma is divided into 3 types:

Little cervical tumor. It does not exceed 2 cm (20 mm) - 4 obstetric weeks.
The average new formation is 10-11 weeks, varies from 2-6 cm or 20-60 mm.
Large mioma cervix. The size exceeds 6 cm (60 mm), which is equal to 12-16 obstetric weeks of pregnancy.

Majoma can reach 4-month pregnancy sizes

Size and symptoms

New formations at an early stage (20 mm or 2 cm) do not worry a woman. But as soon as the tumor begins its growth and reaches 10-12 weeks (50 mm or 5 cm and more) corresponding symptoms appear.

Menstrual bleeding accompanied by pain. Anesthetic drugs do not help relieve pain.
If myoma reached 12 weeks (6 cm or 60 mm), then the cervix increases and the abdomen is blown.
During the diagnosis - mioma on the leg with the twist, there are sharp pain in the stomach. This means that blood flow is violated in the body of the neoplasm, and peritonitis leading. Need to do ultrasound.
Mioma of large sizes (10-20 weeks) transmits nearby organs, which leads to improper defecation and urination. There is pain in the lower back and the heart muscle. Legs begin to no longer when transmitting nerve endings near the rectum.
Large Moma (more than 12 weeks), grow on the outside, form spikes with nearby organs and tissue layers.

Moma symptoms differ depending on its location and sizes

Diagnosis of sizes

A woman is examined bimanually to determine the size of a benign neoplasm. Next, relevant analyzes are surrendered and an ultrasound is carried out. Ultrasound with accuracy allows you to diagnose the size of the neoplasm.

That correctly prescribes treatment, you should constantly do ultrasound ultrasound. It will help determine how much benign formations, size and growth rate.

The faster the neoplasm increases in size, the greater the likelihood of its transition to oncology. In such situations, an ultrasound is carried out to determine how many new formations are present and an oncological disease will exclude.

Regular passage of ultrasound is a need. Since myoma small size (up to 12 weeks) can, localize in dangerous parts. MRI applies to obtain expanded information about the type, structure and size of a benign neoplasm.

Ultrasound - a generally accepted way to diagnose myoma

Pregnancy

The tumor of small sizes (less than 1 cm), does not particularly affect the growth of the fetus in the mother's womb. But mandatory observation of the doctor for the state should be.

Large sizes (12 weeks and more), which in the submucosity of the uterus, prevent the normal development of the fetus, forming a variety of pathologies.

The neoplasm is more than 12 weeks and the location at the rear wall increases the likelihood of the beginning of premature births. In some situations there is an oxygen starvation of a child. Doctors are confident that with the new-forming of a small size, to preserve pregnancy and give birth to the baby will not be a problem.

Treatment

It is carried out using a variety of techniques. It all depends on the magnitude of the obstetric weeks and type:

Hormonotherapy

Prescribed if the magnitude of the tumor reached 12 weeks. Medical treatment is aimed at stopping growth and decrease in size. Such treatment is carried out by women who are going to become mothers and after surgery to exclude the emergence of new tumors.

Medicines reduce the dimensions and prevent the re-occurrence of myoma

Symptomatic treatment

spasmalgets and painkillers (tumors up to 3 weeks cause severe crops during menstruation);
the hemostatic drugs are used in low-formations of small sizes, if long-term and abundant menstruation and at the time of ovulation occur bleeding.

Surgical intervention (Mioma more than 13 weeks)

laser resection of the tumor;
momectomy;
embolization of vessels;
complete resection of the uterus.

Non-traditional treatment

hirudotherapy;
folk remedies;
physiotherapeutic procedures;
gymnastic exercises.

Treatment with leeches effectively in the world

Performance indicators

Benign neoplasm exceeds 12 weeks.
Woman plans pregnancy.
If there is a risk of formation of a malignant tumor.
Benign education gives severe pain. The use of painkillers does not work.
Myoma puts on the rectum, the blade and nervous endings.
Regular strong bleeding are observed, because of which anemia develops.
If the tumor is located on a long thin leg, then there is a flutter factor and the beginning of peritonitis.
If normal urination does not occur, that is, stagnation of urine.
If a large myomatous node presses on the rectum, then a woman has a rare chair, which leads to intoxicating the entire body. With intoxication, the abdomen occurs and there is a strong pain when pressed with his fingers.

If when referring to the doctor, a benign formation of the cervix was diagnosed, then:

When inspection, it is determined how many new formations and their dimensions.
Ultrasound must be done on a specific day, because neoplasms of the cervix change under the action of estrogen levels.
A qualified doctor will never argue that the formation of averaged size and tell about the rules of their definition.
The gynecologist determines the stage of the disease using the size of the size of pregnancy and the results of the ultrasound.
Dimensions are determined in weeks, see, mm.
Complete diagnosis and control of the doctor will help determine the development of the mioma of the cervix.

Moma uterus is one of the most common pathologies of female genital organs. Forming a small nodule, it can grow to large sizes, causing complications.

Timely relief of small moma will avoid complications and fully restore the functionality of the female sexual system.

The uterine is called a benign education consisting from endometrial cells and vascular fabricwhich is localized in the walls of the uterus. Vascular tissue provides meals with misa and active growth of its cells.

In the absence of treatment and violation of hormonal balance, tumor quickly grow upBy increasing in size, and can form new pathological foci.

Parameters

For the diagnosis of moma use two options to designate its size. When diagnosing using ultrasound, the tumor is measured in millimeters and centimeters. When clinical examination in the office in the gynecologist, the size of the Moma is determined in the degree of incrementcharacteristic of the pregnancy period.

According to these parameters, the Moma of Small Size belongs tumor not more than 2 cmin which the uterus increases in accordance with 5-12 weeks of pregnancy. The main sign of a small tumor size is little dense myomatous knotwhich constitutes the center of future major growth.

When palpation, the node detects tight stable kernel. It remains even in the absence of mioma blood supply or unfavorable hormonal background.

With the initial development of myoma and its small sizes, at the edges of the node can be observed peripheral growing volume. But, as a rule, a pronounced increase is characteristic of medium and large tumors.

A small tumor includes Mioma, which has not yet acquired an independent growth mechanism.

Myoma small size is accompanied by the appearance of some symptoms:

an increase in the volume of menstruation;
cycle reduction;
increase in the intensity of pain manifestations during menstruation;
appearance mozhuty brown secretions;
disoccupatory sensations or pain drawing at the bottom of the abdomen.

Therapy and forecast

When the first signs of small momama appear, it is necessary to refer to the gynecologist, which will conduct detailed diagnosis and prescribe treatment. For the treatment of small mioms is most often appointed conservative therapy using special medication and means hormonal and symptomatic action.

There are several techniques that allow you to obtain a positive therapeutic effect in the treatment of small misa.

Course of antigonadotropins and synthetic agonists of gonadotropic rillation hormones

To date, this method is considered to be the most effective and gentle in the treatment of small misa. This hormonal treatment has several goals:

Control of hormonal background, by reducing the hormonal activity of ovaries, to a level that allows you to stop the process of developing moma cells.
Cutting the distribution of benign foci on abnormal sections, by reducing their sensitivity to estrogen.

Method is used for tumor from 0.5 to 2 cm in diameter. This method is the use of drugs based on antigonadotropins and gonadotropic Rilizing hormone agoniststhat push in pituitary gland The growth of hormones of the gonadotropic group, by exposure through the hypothalamus.

Essentially used drugs anti-migratory actionAt which the menstruation cycle stops, and all signs of menopause appear. Due to such actions is observed full regress of Moma.

For the procedure apply the drug Decapeptilwhich is intended for intramuscular and subcutaneous administration. The most preferred option is subcutaneous administration in the form of depot-forms.

The procedure is carried out according to a specific scheme: the drug is injected from 1 to 5 day of menstrual cycle of 3.75 mg, then take a break for a duration of 28 days and repeat the course. Depending on the characteristics of the tumor, treatment it can continue from 3 to 6 months.

Usually, after 4 months of therapy, tumor volume decreases by 70%. In addition to the therapeutic effect on benign tumors, the drug contributes to the restoration of the cycle and eliminates soreness during menstruation.

But besides positive properties, this method has one significant drawback With irregular use or incorrectly selected dosage, after treatment is observed renewal Moma's growth, only already in more active form.

Embolization

Embolization is a method shown to remove misa by holding her blood supply. This technique is applied with formations up to 5 cm.

The procedure is minimally invasive surgical interventionso, which is held with small punctures in the area of \u200b\u200bpaha. All manipulations are carried out under local anesthesia, so the patient does not feel pain absolutely, and the point exposure to surgical needles, practically does not require rehabilitation.

During the procedure, a doctor with a few needles makes punctures in the field of benign education, penetrating in the uterine artery and vessels up to 0.9 mmFraming tumor. These vessels are located on the border, between healthy and pathological tissues.

Through needles, no more than 1.5 mm, in these vessels delivered special preparation, overlapping the cavity of the artery, and thus not allowing blood to do To the Moma. The drug is a mass of organic matter as microparticles of irregular shape, or small balls.

To obtain a positive effect in the treatment of a small tumor, as a rule, enough one procedure. Within 7 or 10 days after surgery, neoplasm cells dyingAnd myomas is absorbed. Throughout this period, the patient does not need to be in the hospital.

In place of the destroyed Moma, a scar is formed, which in 3-5 months completely disappears.

This method is popular and distributed in European countries. This is explained by the minimum side effect and trauma. After the treatment, there are no uterine bleeding and in 97% of cases, the normalization of the cycle and bloodstures during menstruation is noted.

In two weeks After treatment is noted reducing the tumor by 74%. 5% of patients a few months after therapy fully disbanded Central node.

The lack of this technique is that with the introduction of the drug in the vessels, not only the pathological tissue can be covered, but also healthy. As a result, it is observed empting a healthy epitheliumThat can provoke inflammation of the uterus, or the emergence of a new moma.

Progestin

When forming a tumor size no more than 1.5 cmis prescribed to the use of progestin-based drugs. Most often it is appointed as pills of contraceptive, which are taken once a day.

They are aimed at eliminating the problem by normalization of the ovarian functionwhich begin to actively produce progesterone, overwhelming the growth of moma cells. To obtain a positive result, treatment should be carried out strictly according to the scheme prescribed by the developer of the drug or a physician.

The period of treatment is average 6 monthsAfter which an additional survey will be appointed and, if necessary, treatment can be continued. As a rule, after the full course, the duration of six months, myoma decreases by 55%.

This technique is distinguished by small side effects, and high efficiency. But with long-term use, it should be borne in mind that drugs can lead to liver dysfunction.

Levonorgestrel-containing hormonal spiral Mirena

It is used to treat small tumors of the uterus that local time is localized. This remedy can cope with the Mioma existing about 5 years. This species of spiral combines therapeutic and contraceptive effect.

The spiral has an oppressive effect on the pituitary-hypothalamic regulation, as a result estrogen is blocked, and pathological cells are dying.

Spiral is a thin rama T-shaped, in which there is a hormone levonorgestrel. All over treatment, spiral produces this hormone, throwing it into the blood in minor quantities. This type of treatment is applied only in reproductive age. In addition, the tool cannot be installed in chronic inflammation Endometrial.

Antiagregants and anticoagulants

These drugs are prescribed to improve the circulation of the blood flux during the recovery period after treatment. As an anticoagulant, most often prescribed Warfarinwhich takes 1 time per day. To enhance the effect of the drug combines it With antiagregant. In this case, preference gives Heparin.

Both drugs should be applied. at the same time. During the period of treatment, it is not recommended to change the dosage, since a smaller dose does not have the necessary therapeutic action, but too high the volume of the drug used, will lead to the development of bleeding and long healing endometrial.

Symptomatic therapy

In addition to the main treatment, during the stopping period, the therapy aimed at eliminating the symptoms associated with the disease is additionally appointed. For this apply the following means:

hemostatics. Designed to reduce the severity of bleeding in hormonal treatment. This shows the reception of ethanzilate, water pepper extract and decoction based on the shepherd bag;
spasmolytics. Showing to eliminate pain caused by spasm muscles of the uterus. The most effective in this case is a spasmalgon;
package. During the treatment of myoma, painkillers are prescribed non-steroid groups that are directed to stop pain and reduce the symptoms of inflammation. These drugs include naproxen and ibuprofen;
antidepressants. Allow to improve the psycho-emotional state of the patient, which can be marked at the first time treatment with hormonal means.

Indications for the operation

In addition to conservative methods, surgical is also used to treat myoma. Despite the fact that in general, small benign tumors do not operate, in some situations there is an exception. Surgical treatment is shown in the presence of the following factors:

supply location of the tumor;
high probability rebirth to cancer education;
submucosic type of moma with interstitial and centrippetal development;
the presence of constant abundant bleeding;
excessive active growth of education;
infertility;
necrosis central node.

2012-12-12 08:11:54

Irina asks:

Hello! I really need your answer to such a question. I am 51 years old. I have uterine myoma. I do an ultrasound every year, I follow the growth of myoma, recently, in October, I did an ultrasound in October, since the monthly went 9 days earlier, and here are the results: the size of the body of the uterus: length is 56 mm, front-rear 52mm, width 70mm. Width. The form is incorrect. Myomatous nodes 1) on the left edge Conglomerate nodes of 42x38mm in an inhomogeneous structure with a variable (could not read the blood flow to accurately). 2) In the rear wall, the interstitial node is 16 mm. M-ECHO 3 mm "Three-layer". The left ovary 27x19mm follicular apparatus is differentiated, follicle 10mm. The right 15x10mm follicular apparatus is not differentiated. Ultrasound signs of moma uterus. Please comment on the results of the ultrasound. Is it necessary in my case the operation, if so, what. I heard that the doctors are trying to not delete the uterus to the last. Myoma does not bother me, but sometimes in front of the menstruation sobs a little behind the abdomen. Last year, the ultrasound did not set the conglomerate of the nodes, they talked about nodes on the front wall 36x33 mm and on the rear two nodes 17 and 14 mm in diameter. It comes out this year the knot has grown, much is the increase in the previous ultrasound. What should I do? Watch the following will be the growing mioma or require operation? With great impatience waiting for your answer.

Replies Silina Natalia Konstantinovna:

Irina, the testimony for the operational treatment of myoma is its rapid growth (in your case it is not a rapid growth) uterine bleeding, disruption of the operation of related bodies. To eliminate the endometrium hyperplastic process, it is necessary to undergo therapeutic diagnostic hysteroscopy. And if the histological conclusion is good, take phytotherapy.

2012-12-10 15:38:33

Asks Rita:

Good day! With hysteroscopy, a fibrous-iron-iron polyp PSC was found. Endometrium fragile type. The doctor appointed a Duphaston for 2 half MC of 1 tons. 2 times to 2 months. At the same time, I also myoma uterus. In many publications, the categorical prohibition of the Dufeston's preyoma in Mioma is written, because It affects the growth of myoma. Tell me, whether I was treated correctly. And what are the drugs that will simultaneously have a positive effect on both of my problems?

Replies Wild hope Ivanovna:

Dufaston is prescribed for the treatment of hyperplasia, according to different schemes, according to the reproductive plans of a woman, Dofaston is a synthetic progesterone, its reception is possible if fibromomoma is possible.

2012-12-06 15:42:45

Asks Catherine:

Hello! Help please figure out: According to an ultrasound in a paid clinic on 5 DMC M-ECHO: 1.36, heterogeneous structure, contours are clear, separated through the basal edge, the uterus cavity is not expanded. In the uterine cavity heterogeneous formation of 0.92 * 0 , 51, not protruding outside the endometrium. The back wall is located intramural miom. The supel is reduced. Echogen.2.02 * 1.74. Diagnosis: Mioma of the uterus, adenomyosis diffuse form, zhue? Polyp Endomeria?
On the same day, the ultrasound was converted into consultation, because Two cycles ago made an ultrasound in Semashko and no signs of ZhE and a polypa, and there was no Moma, adenomyosis initial signs I have long. Due to the ultrasound from the LCD: M-ECHO 0.5 cm, the uterine cavity is somewhat expanded (the doctor asked me Allocations, at that time they were no longer there, a little bitmacked and all), the myometrics of the inhomogeneous structure, the neck of the uterus without features. Translude: impossible to exclude adenomyosis. Signed in the words that there are also blood in the uterus, but the selection is so bigger and not It was ... Endometrium is thin and normal.
Next, how many opinions are completely divided by the doctors, I went even in one place on the same day and made another ultrasound: M-Echo: 0.5, the endometrium of a homogeneous structure, the uterus cavity is not extended, not deformed, the structure of myometrium is homogeneous (it She said that he would not make the diagnosis of adenomyosis, because changes in myometries are completely insignificant and on the basis of one ultrasound, this diagnosis is not made. The conclusion: M-ECHO picture corresponds to the first phase of MC.nachable signs of adenomyosis.
Both recent ultrasound correspond to the fact that I did two cycles back to Semaashko. When such a meticulous study was a planned pregnancy. The endometrium hysteria occurred about the year ago (according to the results of hysteroscopy, showed itself a small crawling in the cycle: 28-32 days), now The cycle is clear, I do an ultrasound every 6 months. It was good, I take a Duphaston from 16 to 25 DMC at the present moment. In this cycle, in two days, it was a little smeared, straight a drop, menstruation came on time. My such thing is: what should I do with the planned pregnancy , in fact, in the first case, ultrasound is clearly not the norm, could the error might occur in the formulation of such a diagnosis, because with two other opinions does not coincide? At the moment it is very important for me, because. This pregnancy is very arrogant and I pass the plasmferressee course, there are a lot of problems and unsuccessful attempts too. Please, please advice !!! Thanks in advance, Catherine.

Replies Wild hope Ivanovna:

Get ready for pregnancy, repeat ultrasound after 2 weeks, and then after menstruation. Preferably in one place at the same doctor. Then you can expect results. Ultrasound is an additional research method, there may be errors. Therefore, you need control, especially if you are planning a pregnancy.

2012-12-04 16:42:55

Lida asks:

I have a mioma of the uterus knot 22 * \u200b\u200b17mm on the front wall, I am pregnant-7 weeks. Is I going to give birth? I have a first pregnancy, I have not done only 22, the turns did not do, where did I come from? Could it be

Replies Palyg Igor Evgenievich:

Do not worry, it's not even mioma, but a node that during pregnancy can increase, after it needs to be observed on the WORD, but to carry out and give birth to a child, I think you can.

2012-12-03 21:06:00

Aerlena asks:

Hello! Tell me please, can I pregnant with a diagnosis of uterine myoma with an intramural node size 10 * 18mm?

2012-11-30 08:19:59

Lyudmila asks:

For example, 45 years old with periods regular but strong bleeding with zgoshki! I have Mioma uterus 10 weeks Polyp mendometry Rommers uteri82-83-88mm Vol314cm3 Intraminorally subsernosno Fibromatous node for the front walls of D37mm at the bottom of 62mm Rear walls 10mm Endometry 9mm in the hyperechogenne row Sprinkle vascular legs neck uterus 42-34mm PR JIACH 36_20_21vol7.7cm3 Leo Eggs32 18 17Vol5cm3 The doctor said to do the lapaterati operation

Replies Kondratyuk Vadim Anatolyevich:

Obviously, you are offered to remove the uterus. This intervention is shown at a reasonable suspicion of a malignant tumor. If there is no suspicion, it is possible to do with more gentle methods - embolization of the uterine arteries.

2012-11-28 15:45:18

Asks Galina:

Hello! My name is Galina, I am 59 years old. For the past 10 years, I observe the gynecologist about the moma of the uterus. Last ultrasound showed: Body of uterine uanteflexio, irregular shape, increased, contour smooth, clear boundaries, smooth surface. The inhomogeneous structure of the inhomogeneous structure is due to numerous, small EXHOs of positive containing and EXE negative sections up to 10 mm, at the rear wall of the uterus Intramoral-subseroic fibromatous node 35x40mm, slightly deforms the uterine cavity, on the left subserososnous fiber-matheal. node up to 25 mm, numerous intramural fibromatous nodes up to 12-13 mm. The cavity of the uterus is reddoded. Endometrium 2 mm, thin EXHO positive, contour smooth. The cervix of ordinary sizes, homogeneous. (etc.)
To my question, whether I need treatment, the doctor answered that in menopause patients with such a diagnosis were not interesting and no treatment requires any treatment. Only periodic ultrasound control.
My question: Does the doctor or still need to take some measures?

2012-11-27 14:12:45

Asks Natalia:

Hello!
Results of the ultrasound: Dimensions of the uterus for: 85mm, P \\ s: 70mm, Shir: 72mm, corresponds to: 9-10 weeks of pregnancy. Contours: uneven, v \u003d 223ml. Structure: on the rear wall of intestitz. Node D48mm.
M-Echo: 3mm, endometrium: narrow hyperehogen strip
The cavity: rejected to the front. In the bottom expanded to 5mm anechogen content.
The cervix: 33-25-27mm, on the front lip single cyst stroma D5mm.
Right ovary Dimensions: 21-18-18mm, position: on the edge of the uterus
Echostructure: V \u003d 3.6ml, the folic machine is not expressed.
Left ovarian Dimensions: 20-20-17mm, position: above the uterus.
A echostructure: v \u003d 3.7ml, when tv inspection is achieved with difficulty.
Features: in the rear edge free liquid strip up to 4mm. Wearing l / knots are not visualized.
Conclusion: Echocartine interstitial uterus with the deformation of the cavity. Signs of transferred ooforita.
Question: Please explain to me that I have an unscientific language and what is possible treatment?
Thank you!

Replies Gritzo Marta Igorevna:

You have been observed by the inflammatory process of appendages and a benign tumor (mioma), which deforms the uterine cavity. It is quite large and most likely requires surgery. It depends on your age, in a more mature age, in the preclimacteric period, for a similar tumor, you can simply observe. If you are a young woman, up to 40 years old, then the operation is required. Refer to the appointment to the gynecologist, which will prescribe treatment and can send it to the hospital if necessary.

2012-11-23 09:42:34

Asks Catherine:

Hello! Help please understand. In November 2011 I was aimed at hysteroscopy. I was done by the RDV. 2 polyps were removed in c / k. Histology results: C / K blood, mucus multilayer flat epithelium. P / m glazier-cystic polyp endometrial. After 9 months I went to the control appointment without complaints and the doctor appointed to me 3 months at 1 tablet 2 times a day to take Nigolut continuously. After 3 months, I came monthly, although before that, I did not have them for 5 years. I did the ultrasound on November 23, 2012. The uterine 80 mm, front-rear 55mm, width64mm. The contours are uneven, the structure of myometrium is non-uniform. The wall in the N / s. Interst. / Not particularly understood / node D 25mm, according to s / st / not clear / subserosnous. On a wide base of D 13mm node. M-ECHO 9.8MMMMMUMSTRUMENTS comprises an increase in echogenic-9 * 28mm. : Myoma of the uterus and polyp endometrial. Recommended "D" scraping. I am 55 years old. Momoma 6 weeks since 2002 was without increasing to this time. Whether all this was prefabricated by Norcaluta / T.E. Increase in Mioma and the growth of the polypa / what should I do in the future and how seriously that the doctor comes to delete The uterus in order to further avoid serious consequences. Thank you !!!

Replies Kondratyuk Vadim Anatolyevich:

Diagnostic scraping is needed to influence malignant tumors and precancerous states. If such is not detected, the removal of the uterus is not shown, it is a crumpleholder that can significantly worsen the quality of life at any age. The most reasonable alternative is the embolization of the uterine arteries.

How big can these formations be?

The dimensions of the Moma are one of the main parameters, due to which effective treatment is assigned. They can be calculated in millimeters (mm), centimeters (cm), as well as weeks of pregnancy.

Moma sizes are its diameter (cm, mm). But also one of the criteria is the size of the uterus, which is calculated in the weeks of pregnancy. That is, the sizes of the organ at the same time correspond to its size at different times of pregnancy.

According to these criteria, the doctor can determine the approximate size of education already in the gynecological examination. This is due to the fact that with the growth of the node increases in size and uterus. Despite the fact that there are many modern diagnostic methods, this method of doctors today is still used.

It can be said that the tumor increases the uterus, as well as an embryo growing in it. The term of pregnancy fully corresponds to the size of the organ in centimeters, that is, the height of its bottom.

What size reaches the uterus? On the 8-9 week, the uterus reaches 8-9 cm, 10-13 weeks - 10-11 cm, 14-15 - 12-13 cm, 16-17 - 14-19 cm, etc.

It is possible to determine the diameter only by ultrasound, although this method also does not give accurate numbers.

More accurate results are determined by MRI and CT.

Such modern methods can diagnose myomatous nodes, the diameter of which is only 5 mm.

Depending on the sizes, such species are divided:

small;
average;
big.

Small tumor

Small fibromyoma is a tumor, which is treated conservative. The uterus can correspond to the size of up to 6 weeks of pregnancy, but not more. Small mioma have such dimensions - from 15 mm to 25 mm.

The operation is carried out only if the submucose fibromyoma, if there is a twisting of the leg in the Miser of the subseasonous type or, if there is a high probability of this.

Also, small nodes can be removed in the case when the patient was diagnosed with infertility or due to abundant bleeding, anemia developed.

Small formations of interstitial type are not manifested.

Such mioma or fibromyoma is often significantly reduced or disappears at all when climax occurs.

But there may be situations when the operation during this period is necessary.

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Middle Mioma and Fibromyoma

The average myomatous node is diagnosed if the uterus is increased to 10-12 weeks of pregnancy. The diameter of such miom can reach from 40 mm to 60 mm.

In this case, the conservative method is shown only if there are no symptoms of the disease, as well as if there are no signs of active growth. In other cases, the operation is carried out.

In the formations of medium sizes that are localized on the outside of the wall of the uterus, the functioning of nearby organs can already be violated. Such nodes can provoke infertility, as well as often occur spontaneous abortion. Especially often it happens if there is damage to the cervix.

Large nodes

If there is a big knot, the uterus already reaches the size comparable to 12-15 weeks of pregnancy, while in the diameter of myoma or fibromyoma can be 60 mm and more. At this stage of development, the myomatous node is removed with a surgical operation. At the same time, the localization and type of tumor are unimportant.

The treatment of a large node may be to apply comprehensive drug treatment, and then an operation is prescribed. Drugs are needed in order to stop the rapid growth of the tumor.

When performing an operation to remove a node of large sizes, there is a risk of bleeding, and as a result, the doctor will be forced to remove the entire organ.

Since the removal operation is sufficiently large stress for childbearing organs, after it is necessarily assigned drugs to normalize the state and structure of the uterus, as well as in order to prevent recurrence.

To do this, you need to normalize the hormonal background.

How fast can the tumor grow?

In diagnosis and treatment it is very important, at what speed the node grows. Fast growth is noted if the uterus has increased by 5 weeks of pregnancy and more. Such a rapid increase in the tumor entails hyperplastic processes in endometrials and anemia.

Myoma uterus can grow to very large sizes. Sometimes it reaches 3-5 kg, and the diameter can be up to 40 cm. That is, it can grow to the size of a docking pregnancy.

The cause of the rapid growth of myomatous nodes is a hormonal failure in the body. But it should also be noted that Mioma and Fibromyoma grow rapidly in the event that factors occur:

If a woman does not pass proper treatment, then the dying of the node can begin, which is very dangerous, as all the symptoms of the "acute abdomen" appear, and the woman needs to be hospitalized and immediately operated.

Does it affect the baby tool?

Pregnancy with small and medium moma proceeds, as a rule, normally. But when the mioma of large sizes, from 60 mm, then the woman cannot bear the fruit. And often even the process of fertilization does not occur, since the node overlaps the uterine tube.

If a pregnant woman was diagnosed with a large node, then under childbirth such severe consequences of both bleeding, breeding activities and the danger of infectious inflammatory processes may occur.

Especially dangerous myomatous nodes of the cervix, which grow into the vagina. Such education can cause infertility of a woman, as well as in most cases, miscarriages occur. If the pregnancy occurred with the Moma of the cervix, the patient most of the time is under the supervision of doctors in the hospital to prevent miscarriage.

Pregnancy with the Moma of the cervix can be accompanied by such complications as the intrauterine fetal death and uterine bleeding.

If the formation on the cervix is \u200b\u200brapidly increasing and creates a threat to the life of a pregnant woman, the pregnancy is interrupted.

According to statistics, during pregnancy, 50% of women does not grow myomatous node, it decreases in 10-20%, and in 20-30%, the tumor begins to actively grow.

Testimony for surgical intervention

Doctors prescribe a patient to conduct an operation in such cases:

Women who have menopause also often make an operation. In the event that the patient has pain, sometimes at such age a woman is recommended to remove the entire organ.

Are you still sure that it is impossible to get rid of myoma uterus forever without surgery?

Have you ever tried to get rid of Moma uterus? Judging by what you read this article - the victory was not on your side. And of course you do not know what is:

permanent pain in the side, gravity in the stomach ...
abundant menstrual discharge, uterine bleeding ...
anemia...
decline of Forces, Depression, Appacy ...
changing body weight ...
constipation and problems with urination ...

And now answer the question: does it suit you? Is it possible to endure Misa? And how much money and time are you already "merged" for ineffective treatment? After all, sooner or later it will start up to the sizes when only the operation can help! Why bring yourself to extremes! Agree? That is why we decided to publish an exclusive technique from Elena Malysheva, in which she revealed the secret of deliverance from the uterus.

This issue is very often asked a doctor-gynecologist to a patient with a diagnosed Miser of the uterus - a tumor, which is a cluster of muscle beams and connective tissue growing inside or outside the organ. The reasons for its occurrence were not fully understood, but there is no doubt that the growth of this benign tumor pushes the hormone estrogen. Hormonal imbalance, disorders in the cellular immunity system, as well as hereditary predisposition are also important.

Since momas arises in the thickness of the muscular wall of the uterus, then at the beginning of its development, it always happens to intertensive. In the future, if the growth of myomatous node occurs in the direction of the serous membrane of the uterus, the node turns into a grinding on a wide base or on a narrow leg. When pllyerstand (subserosnous), the Moma node can sometimes be far from the uterus, in its ligaments (intraligative). In rare cases, such mioma can be separated from the uterus and be free in the abdominal cavity. If the growth of the moma assembly occurs in the direction of the uterine cavity, the node turns into a submucous (submucose). Myomatous node can be solid with dimensions from a few millimeters to 8-10 cm, rarely more.

The multiple mioma of the uterus consists of two and more myomatous nodes, the mutual location of which can give the uterus the wrong form. Numerous symptoms of uterine misa, depending on the location, sizes, the state of blood circulation in the node can be reduced to 3 groups: disruption of menstrual function, pain, impaired reproductive function.

In what cases can be observed for the Moma and not operate?

There is no universal answer. When deciding this issue, we take into account the desire of the woman itself, the presence and severity of complaints, age and reproductive plans of a woman (desire to have children in the future), a decrease in the quality of life, the size, location of myomatous nodes, etc. The decision is made jointly with a woman on the basis of comprehensive discussion and consideration of possible alternatives. You can resort to conservative treatment methods. True, today they are not effective enough. Hormonal drugs of a new generation allow you to suspend the growth of myoma, if the tumor consists mainly of muscle fibers and when there are receptors in the muscular uterine layer, allowing these hormones to "catch" and give a response. Someone such therapy will help someone - no. Treatment of non-steroidal anti-inflammatory agents slightly reduces pain and bleeding.

With the beginning of Menopause Mioma usually decreases. And if the Specialists of the Gynecology and Oncogynecology Department of the EMC refers to a woman with this disease, which approaches menopause, usually we propose not to hurry with the operation. She should be supervised and coming to check every six months to make sure that there is no fast growth of myoma.

Mioma uterus: testimony for surgery

Absolute testimony for surgical treatment of uterine misa, regardless of the age of the patient are:

the magnitude of the Mioma exceeding the size of the uterus during pregnancy is 12-14 weeks;

the rapid growth of the uterine misa (for the year by the amount corresponding to 4-5 weeks of pregnancy);

uterine bleeding with a decrease in hemoglobin due to abundant blood loss;

sharply pronounced pain syndrome;

secondary changes in the node (necrosis, infection);

the presence of submucous or subserosaceous nodes of any size on long legs, with a high probability of inclusive to twisting;

cervical, intercoupe, "born" node;

infertility, unbearable pregnancy, incl. as preparation for the ECO program;

pronounced disorders of neighboring organs (rapid urination, long constipation). Due to the pressure on the rear wall of the bladder, the reflux arises (brought urine into the ureter), increases the risk of inflammatory diseases (for example, the exacerbation of chronic pyelonephritis), the expansion of ureterals and renal pelmers up to the secondary hydronephrosis.

Operational treatment of moma uterus

The choice of volume and access of surgical intervention depends on the size and localization of the myomatous node, the age of the patient, its desire to maintain a childbearing and menstrual function. In any case, in the treatment of young women, we are guided by the principle: "Delete Mioma is to save the uterus!". However, it is impossible to forget that momectomy, being a conservative, organ-bearing, reconstructive-plastic surgery, has a certain percentage of Moma relapse, which in some cases requires a re-operation.

In the clinic of gynecology and oncohycinecology, Laparoscopic Miomectomy is performed, practically no restrictions on the size of the uterine mioma nodes, hysterorezectoscopic removal of submucosic uterine, combined laparoscopic-hysteroscopic momectomy. The question of hormonal preoperative preparation of patients is solved individually. With multiple myomatous nodes above the surface of each of them, the wall of the uterus is observed, the nodes are fixed by special tools and removed. The vessels in the bed of the node are coagulated (turn into a clock), after which a complete layer-by-layer reconstruction of the uterine wall is performed by applying seams using a modern absorbable suture. Adequate layer-by-layer restoration of the integrity of the wall of the uterus is the key to the success of laparoscopic momectomy. Patients who have undergone Miomectomy will be able to start preparing for pregnancy 6-12 months after surgery (the question is solved individually). Most of these interventions can be laparoscopically, with the exception of very large nodes that occupy the entire abdominal cavity.

In some cases, the method of choice may have embolization (blockage) of the vessel eating, as a result of which the growth of the node is stopped, and it "wrinkles". Also possible treatment of the node with a focused high-energy ultrasound. Women in pre- and postmenopause show the embolization of the uterine artery, extirpation (complete removal) of the uterus with appendages or without them. If myoma does not grow and does not cause discomfort, in this case the treatment is not recommended.