Outlined in the
uterine fibroids are the most common benign tumor of female reproductive system, occur in 35 to 50 years. According to statistics, about 20% of women over the age of 35 occurred uterine fibroids, but most patients due to fibroids small, asymptomatic. Clinical report on the incidence of fibroids lower than its true.


Etiology
Exact cause unknown, and may be related to high levels of estrogen, estrogen to stimulate long;
Occasionally menarche women, prevalent in middle-aged women, many postmenopausal fibroids stop growing and shrinking; fibroids with more endometrial hyperplasia; fibroids with more endometrial hyperplasia; increased estrogen levels during pregnancy. fibroids increased more rapidly, exogenous estrogen may accelerate the growth of fibroids.

Symptoms
Typical symptoms for excessive uterine fibroids, submucous and occur in intramural fibroids. excessive menstrual performance, extended or irregular menstrual bleeding. Bleeding endometrial area of the main reasons for the increase are : increased, the role of estrogen to endometrial hyperplasia, fibroids prevent uterine contraction and affect blood cycling endometrium congestion. With the long-term abdominal mass bloodshed, patients often have different degrees of anemia.
When the lower abdominal mass or subserosal fibroids increased beyond the pelvic wall, patients can stop their palpable mass in the hospital for treatment, can be accompanied by a sense of falling. Palace : compression symptoms in the lower cervical and fibroids, pelvic tissue and nerve compression caused crash abdominal pain and low back pain. Forward or backward growth of fibroids, urinary bladder, urethra or rectum, caused urinary frequency, dysuria, urinary retention or constipation. When both sides to the growth of fibroids, forming broad ligament fibroids, oppression ureter, it may cause ureteral or hydronephrosis; If oppression and pelvic lymphatic vessels that can cause edema.
Apart from the pain of pelvic pain nerve compression, pedicle submucosal uterine fibroids in the uterus and cause pain, blocking cervical fibroids, menstrual prevent outflow can lead to dysmenorrhea.

Inspection
B-mode ultrasonography can be more clearly shows the size and location of fibroids; One of the main means of diagnosis of uterine leiomyoma;
Diagnostic processes or have significant endometrial curettage can feel aggrieved by the above inspections generally have no difficulty in diagnosis. The rapid growth of fibroids or postmenopausal women continue to increase their tough soften, should consider the possible malignant.





Treatment
Be based on the patient's age, symptoms and testosterone, reproductive and general health status of a full consideration before making a decision. Most fibroids less than eight weeks of pregnancy, or near-menopausal women without symptoms of uterine size of less than 12 weeks of pregnancy. normal menstruation, the symptoms can be temporarily without oppression observation. Adhere to a review every three months, usually in postmenopausal women may gradually shrink fibroids. During the follow-up, found that fibroids or increased symptoms, should consider surgery.
And the amount of menstrual uterus size of about eight weeks of pregnancy in a patient with endometrial cancer diagnostic curettage excluded, use androgen therapy. Androgen confrontation estrogen, endometrial atrophy, vascular smooth muscle contraction and myometrium. reduce the amount of bleeding effect.
On the long-term failure of conservative treatment or symptoms, the more fibroids, anemia and a fast-growing, Surgical treatment should be considered.
Myomas operation, and suitable for younger patients who want to have. Whether serous, intramural or submucosal fibroids may abdominal evisceration, uterus; off to the vaginal mucosa myoma pedicle can be removed through the vagina. Hysterectomy, the older, symptoms, no request to continue the growth of uterine fibroids should be hysterectomy patients. Around the side of the age of 50 can be retained to maintain its normal ovarian endocrine function.

This article was posted on 2007-02-27