- Gynecological examination
- Urodynamic study
- Assisted Reproduction
The myoma uterini (fibroma the leiomyomas) are the most common benign gynecological. They usually affect women from the 30 years old. The growth of fibroids is dependent on estrogen, so they can grow as women have rules, instead upon entry menopause fibroids size is reduced. They can affect different areas of the uterus, be single or multiple and of different sizes.
What are the symptoms?
The fibroids puedes be asymptomatic symptoms as the result:
- Most abundant Rules or longer.
- Painful rules.
- Feeling of abdominal swelling, gas or constipation.
- Increased urinary frequency (urinate often).
- Dolor abdominal.
- Pain during sex.
How are they diagnosed?
The gynecological examination by vaginal examination allows the diagnosis sometimes detect an enlarged uterus and irregular, although it is more difficult in case of obese patients. Diagnostic confirmation usually give gynecological ultrasound.
How are they treated?
In many cases only clinical and ultrasound scans were carried out periodically, to control the growth of the fibroid. Treatment will depend on several factors such as age, symptoms and severity of those, desire pregnancy, type of fibroid. Medical treatment ranges from using contraceptives, control of menstrual disorders, Iron supplementation to treat anemia if heavy losses and nonsteroidal antiinflammatory drugs for treating pain.
Those myoma uterini they produce symptoms that can not be controlled with medical treatment will be suitable for surgery. They can be removed by hysteroscopy, laparoscopic or laparotomy (conventional open surgery). The number of fibroids should not represent an absolute contraindication to breast-conserving surgery in women who wish to preserve the uterus. Using a technique that, with a tourniquet, transiently prevents blood from reaching the uterus; in properly selected cases, conservative surgery may be performed.