Treatment of uterine fibroids
Uterine fibroids are changes that occur in the muscle tissue of the uterus. These changes have a genetic origin, which means that if the disease is going to be caused by fibroids, these fibroids will form in the uterine tissue of the fetus from the embryonic period and gradually grow. The uterus, hormonal changes, puberty, and aging fibroids slowly grow. Uterine fibroids can be detected by ultrasound.
Symptoms of uterine fibroids
Sometimes uterine fibroids are associated with symptoms that are not the same in all people. For example, a person may have obvious symptoms of uterine fibroids, but sometimes another person does not have any specific symptoms of uterine fibroids and is unaware of them and can be diagnosed by ultrasound.
These types of lumps can appear in different sizes and different places in the uterus, which will have different symptoms depending on the patient’s condition.
Types of uterine fibroids
Rarely, these lumps may turn into cancer. Uterine fibroids have different types, depending on the type of area they are different from, which are:
Intramural fibroids
Intramural fibroids are fibroids that are found inside the body of the uterus. These types of fibroids are usually asymptomatic, and if these types of fibroids are very large, with symptoms such as; The effects of pressure on the uterus include abdominal pain and uterine bleeding.
Submucosal fibroids
These types of fibroids form inside the uterine cavity and usually have symptoms of bleeding and fertility disorders.
Sub cervical fibroids
Sub cervical fibroids are lumps that protrude from the inside of the uterus into a prominent mass outside the uterus.
Treatment of uterine fibroids
The treatment of uterine fibroids depends on several factors, depending on the type of fibroids and the person’s symptoms.
Some fibroids do not need treatment and only need to be monitored to control the disease. At this time, an ultrasound is needed every six months, and the treatment of some other fibroids primarily, is surgery.
It should be noted that the treatment of uterine fibroids is not medical, while many people tend to be treated with herbal remedies but treatment is not possible in this way.
There are some hormonal ampoules that are used to remove uterine fibroids. These types of ampoules can somewhat reduce the size of fibroid lumps, but when the fibroids shrink after a while which This can take months to years to start growing again. Therefore, medical treatment will not be effective.
When uterine fibroids are large enough to cause symptoms, surgery is the best course of action.
Finally, to choose the type of treatment, all aspects must be considered, including the patient’s age, symptoms, pain, bleeding, how the fibroids grow, whether or not they want to have a future childbirth.
Treatment of uterine fibroids in young girls
In young girls with uterine fibroids, surgery is the last resort, as surgery and sutures during surgery can affect the uterine tissue during pregnancy.
But when uterine fibroids are too large in young girls, it can put pressure on the uterine tissue and cause bleeding, which can be the best surgical treatment. Hormonal injections will not be effective and are the only way to treat surgery.
Surgery of uterine fibroids
Uterine fibroid surgery requires a great deal of finesse, because fibroids approach the uterine cavity as it grows, so this surgery requires great care so that the endometrial uterine cavity does not open. If the uterine cavity opens for any reason during surgery, it must be sutured very delicately to return the uterine tissue to normal.
If the fibroid lumps are large, multi-layer sutures (4-5) are needed to return to the original position so that the person does not have a problem during pregnancy and does not rupture the uterus.
Another problem that may occur during uterine fibroid surgery is severe damage to the endometrium, and the person may experience complications after a few months, such as decreased menstrual blood, intrauterine adhesions (Asherman).
How uterine fibroids are operated on is very important. Fibroma surgery is a technical and skillful surgery that can be performed either open or laparoscopic, and in both cases the surgical technique must be fully followed.