Myoma (uterine fibroids) is a common type of noncancerous tumor that can grow in and on your uterus. Not all fibroids cause symptoms, but symptoms may include heavy menstrual bleeding, back pain, frequent urination, and pain during sex. Small fibroids usually don’t need treatment, but larger fibroids can be treated with medication or surgery.
Fibroids or uterine fibroids are growths or benign tumors that form inside the lining of the uterus. Seventy to 80 percent of women over the age of 50 will have fibroids. Only 20 to 30 percent will have myoma symptoms. Myomas rarely grows in girls before puberty and women after menopause. Pre-existing fibroids stop growing and may even shrink in women after menopause.
Fibroids usually don’t cause any problems, but they are sometimes associated with infertility, miscarriage and premature birth. Other problems can include heavy, long and painful periods. Treatment depends on the size, number, and location of fibroids, but may include medication, procedures performed under local anesthesia, ultrasound procedures, and surgery. Myomas are rarely cancerous. If you wish, you can take a look at Myomlu Babes Club.
- What is Myoma (Uterine Fibroids)?
- Who is at Risk of Fibroid?
- Where Do Fibroids Grow?
- What Are The Types Of Myomas?
- Submucosal Myomas
- Intramural Myomas
- Subserious Myomas
- Pedicled Myomas
- Are fibroids cancer?
- What Are the Symptoms of Fibroids?
- How is uterine fibroid pain felt?
- Can Fibroids Change Over Time?
- Can I Get Pregnant If I Have Fibroids?
- Can Fibroids Cause Anemia?
- How Are Uterine Fibroids Diagnosed?
- How Is Myoma Treated?
- Drug Names Used in Myoma Treatment
- Birth control pill myoma treatment
- How Is Myoma Surgery Performed?
- How large do fibroids need to be before they can be surgically removed?
- What are the Types of Myomectomy?
- Are there any risks associated with myoma treatment?
- Can myoma be prevented?
- Will myomas go away on their own?
- Drug Names Used in Myoma Treatment
What is Myoma (Uterine Fibroids)?
Uterine fibroids (also called leiomyomas) are growths of muscle and connective tissue from the uterine wall. These growths are usually not cancerous (benign). It is an inverted pear-shaped organ in the personal uterine pelvis. The normal size is the lemon-like size of your uterus. It is also called the womb and is where a baby grows and develops during pregnancy.
Myomas can grow as a single nodule (single growth) or as a cluster. The sizes of myoma clusters can range from 1 mm to more than 20 cm (8 inches) or larger. They can be as big as a watermelon for comparison. These growths can develop on the uterine wall, the main cavity of the organ, and even on the outer surface.
Fibroids can vary in size, number, and location in and on your uterus. Uterine fibroids
With you may experience a variety of symptoms, and these may not be the same as another woman with fibroids will experience. Because of how unique fibroids can be, your treatment plan will depend on your individual situation.
Who is at Risk of Fibroid?
There are several risk factors that may play a role in your chances of developing fibroids. These can include:
- Obesity and higher body weight (person is considered obese if more than 20% of healthy body weight).
- Family history of fibroids.
- Not having children.
- Early onset of menstruation (a young age of your period).
- Late age for menopause.
Where Do Fibroids Grow?
There are several places both inside and outside of your uterus where fibroids can grow. The location and size of your fibroids are important for your treatment. It will determine where your fibroids are growing, how large they are and how many you have, what type of treatment will work best for you, or even if treatment is necessary.
What Are The Types Of Myomas?
There are different names given to the places where your fibroids are located in and on the uterus. These names not only describe where the fibroid is located, but also how it is connected.
Specific places where you may have uterine fibroids include:
In this case, fibroids grow within the uterine cavity (cavity) where the baby grows during pregnancy. Consider the growths that extend into the empty space in the middle of the uterus.
These fibroids are embedded in the uterine wall. Imagine the sides of the womb like the walls of a house. Myomas grow inside this muscle wall.
This time, these fibroids located outside of the uterus are closely connected to the outer wall of the uterus.
These fibroids, the least common type, are also found outside of the uterus. However, peduncle fibroids are attached to the uterus with a thin stalk. They are often described as mushroom-like because they have a stem and then a much wider crest.
Are fibroids cancer?
It is extremely rare for a fibroid to undergo changes that turn it into a cancerous or malignant tumor. In fact, one in 350 women with fibroids will develop a malignant tumor (malignant).
No 100% predictable test to detect rare fibroid-associated cancers. However, people with rapid growth of uterine fibroids or fibroids growing during menopause should be evaluated immediately.
What Are the Symptoms of Myomas?
Most fibroids do not cause any symptoms and do not require treatment other than regular monitoring by your healthcare provider. These are typically small fibroids. When you don’t experience symptoms, it’s called an asymptomatic fibroid.
Larger fibroids can cause you to experience a variety of symptoms, including:
- Excessive or painful bleeding during your menstrual period (Menorrhagia).
- Bleeding between your periods.
- Swelling in your lower abdomen.
- Frequent urination (can happen when fibroids put pressure on your bladder).
- Pain during sex.
- Low back pain.
- Chronic vaginal discharge.
- Inability to urinate or completely empty your bladder.
- It increases abdominal bloating (enlargement), making your belly look pregnant.
After menopause, myoma symptoms usually stabilize or disappear as hormone levels in your body drop.
How is uterine fibroid pain felt?
There are a variety of emotions you may experience if you have fibroids. If your fibroids are small, you may not feel anything and you may not even notice they are there. However, for larger fibroids, you may experience discomfort or even pain associated with the condition. Fibroids can cause back pain, severe menstrual cramps, sharp stabbing pains in your abdomen, and even pain during sex.
Can Myomas Change Over Time?
Fibroids can actually shrink or enlarge over time. They may change size suddenly or continuously over a long period of time. This can happen for a variety of reasons, but in most cases this change in fibroid size is linked to the amount of hormones in your body. Fibroids can grow when you have high levels of hormones in your body. This can happen at a few specific times in your life, such as during pregnancy.
Your body secretes high levels of hormones during pregnancy to support your baby’s growth. This hormone surge also causes myoma to grow. If you know you had fibroids before pregnancy, talk to your healthcare provider. You may need to be monitored to see how the fibroids grow throughout pregnancy.
Fibroids may shrink when your hormone levels decrease. This is common after menopause. When a woman goes through menopause, the amount of hormones in her body is much lower. This can cause the fibroids to shrink. Often, your symptoms can improve after menopause.
Can I Get Pregnant If I Have Fibroids?
Yes, if you have uterine fibroids, you can get pregnant. If you already know you have fibroids when you are pregnant, your healthcare provider will work with you to develop a monitoring plan for fibroids. During pregnancy, your body releases high levels of hormones. These hormones support your baby’s growth. However, they can also cause your fibroids to grow.
Large fibroids can prevent your baby from moving to the correct fetal position, increasing your risk of breech delivery or fetal head misplacement. In very rare cases, you may be at higher risk of preterm delivery or cesarean delivery. In some cases, fibroids can contribute to infertility. The exact cause of infertility can be difficult to determine, but some women can become pregnant after being treated for fibroids. Is myoma a cause of infertility? You can take a look at the topic.
Can Fibroids Cause Anemia?
Anemia is a condition that occurs when your body doesn’t have enough healthy red blood cells to carry oxygen to your organs. It can make you feel tired and weak. Some women may develop intense cravings for ice, starch, or dirt. This is called pica and is associated with anemia. Women who have frequent or very heavy periods may have anemia.
Fibroids can cause your periods to be very heavy or even bleed between periods. Certain treatments, such as oral iron pills, or if you are significantly anemic, iron infusion (through an IV) can improve your anemia. If you are experiencing symptoms of anemia while you have fibroids, talk to your healthcare provider. (The symptom of this disease is the desire to “eat coffee grounds”!)
How Are Uterine Fibroids Diagnosed?
In most cases, fibroids are first discovered during a regular examination in women’s health institutions. They can be felt during a pelvic exam and can be found during a gynecological exam or prenatal care. Often times, your description of heavy bleeding and other related symptoms can alert your healthcare provider to view fibroids as part of their diagnosis.
There are several tests that can be done to confirm fibroids and determine their size and location. These tests may include:
- Ultrasonography: This non-invasive imaging test creates a picture of your internal organs with sound waves. Depending on the size of the uterus, ultrasound can be performed transvaginally or transabdominally.
- Magnetic resonance imaging (MRI): This test creates detailed images of your internal organs using magnets and radio waves.
- Computed tomography (CT): A CT scan uses X-ray images to create a detailed image of your internal organs from various angles.
- Hysteroscopy: During hysteroscopy, your provider will use a device called a scope (a thin, flexible tube with a camera at the end) to look for fibroids in the uterus. The scope is passed through your vagina and cervix and then carried into your uterus.
- Hysterosalpingography (HSG): It is a detailed X-ray film where contrast material is injected first and then uterine x-rays are taken. This is mostly used for women who have also had an infertility assessment. Sharing area for those who experience uterine film (HSG) …
- Sonohysterography: In this imaging test, a small catheter is inserted transvaginally and saline is injected into the uterine cavity through the catheter. This extra fluid helps create a clearer view of your uterus than you would see on a standard ultrasound.
- Laparoscopy: During this test, your doctor will make a small incision (incision) in the lower part of your abdomen. A thin and flexible tube with a camera at the end will be placed to take a closer look at your internal organs.
How Is Myoma Treated?
The treatment of fibroids can vary depending on the size, number and location of fibroids and what symptoms they cause. If you do not experience any symptoms of your fibroids, you may not need treatment. Small fibroids can usually be left alone.
Some women never experience any symptoms or any problems with fibroids. Your fibroids will be monitored closely over time, but you don’t need to act right away. Depending on the size or symptoms of your fibroids, periodic pelvic exams and ultrasound may be recommended by your healthcare provider.
If you are experiencing symptoms from your fibroids, treatment is often needed to help, including anemia from excessive bleeding, moderate to severe pain, infertility problems, or urinary tract and bowel problems. Your treatment plan will depend on a number of factors, including:
- How many fibroids do you have?
- The size of your fibroids.
- Where your fibroids are located.
- Symptoms you experience with fibroids.
- Do you have a desire for pregnancy?
The best treatment option for you will also depend on your future fertility goals. Some treatment options may not be an option for you if you want to have a baby in the future. As you discuss treatment options, talk to your healthcare provider about your thoughts on fertility and your future goals.
Drug Names Used in Myoma Treatment
- Over-the-counter (OTC) pain medication: These drugs can be used to manage the discomfort and pain caused by fibroids. OTC medications include acetaminophen and ibuprofen.
- Iron supplements: If you have anemia caused by excessive bleeding, your provider may also recommend taking an iron supplement.
- Gonadotropin-releasing hormone (GnRH) agonists: These drugs can be taken through a nasal spray or injection and work by shrinking your fibroids. They are sometimes used to shrink a fibroid before surgery, making it easier to remove the fibroid. However, these medications are temporary, and fibroids may grow back if you stop taking them.
- Oral treatments: Elagolix is a new oral therapy indicated for the treatment of heavy uterine bleeding in premenopausal women with symptomatic uterine fibroids. It can be used up to 24 months. Talk to your doctor about the pros and cons of this treatment. Tranexamic acid, another oral therapy, is an antifibrinolytic oral drug indicated for the treatment of cyclic heavy menstrual bleeding in women with uterine fibroids. Your doctor will watch you during this therapy.
Important: It is important to talk to your healthcare provider about any medication you are taking.
Birth control pill myoma treatment
The birth control pill can also be used to help with uterine fibroids symptoms, especially heavy bleeding and menstrual cramps during and between periods. Birth control can be used to help control heavy menstrual bleeding.
There are several birth control options you can use, including oral contraceptive pills, intravaginal contraception, injections, and intrauterine devices (IUDs).
How Is Myoma Surgery Performed?
There are several factors to consider when talking about the different types of surgery for fibroid removal. Not only does the size, location, and number of fibroids affect the type of surgery, but your aspirations for future pregnancies can also be an important factor when developing a treatment plan.
Some surgical options preserve the uterus and allow you to become pregnant in the future, while other options may damage or remove the uterus. Myomectomy is a procedure that allows the uterus to be removed without damaging the fibroids.
How large do fibroids need to be before they can be surgically removed?
Normal uterus size is the size of a lemon or 8 cm. There is no exact fibroid size that would require automatic removal. Your healthcare provider will identify the symptoms that are causing the problem. For example, myomas the size of a marble can be associated with deep bleeding if they are located in the uterine cavity. Grapefruit-sized or larger fibroids can cause you to experience pelvic pressure, as well as make you look pregnant and see increased abdominal enlargement that can cause abdominal expansion.
It is important to discuss symptoms with your healthcare facility and for the patient that may require surgery.
What are the Types of Myomectomy?
There are several types of myomectomy. The type of procedure that may work best for you will depend on where your fibroids are located, how large they are, and the number of fibroids.
Types of myomectomy performed to remove fibroids may include:
Hysteroscopy Myoma Surgery
This procedure is done by inserting a scope (a thin, flexible, tube-like instrument) through the vagina and cervix into the uterus. No incision is made during this procedure. During the procedure, the surgeon will use the scope to cut the fibroids. The doctor will then remove the fibroids.
What is Laparoscopic Myomectomy?
In this procedure, the surgeon will use a scope to remove the fibroids. Unlike hysteroscopy, this procedure involves placing several small incisions in your abdomen. This is how the scope will enter and exist in your body. This procedure can also be performed with the help of a robot.
Laparotomy Myomectomy Surgery
This method is open myoma surgery. During this procedure, an incision is made in your abdomen and myomas are removed with this large incision.
If you are not planning a pregnancy in the future, there are additional surgical options that your healthcare provider may recommend. These options are not recommended if pregnancy is desired and there are surgical approaches to remove the uterus. These surgeries can be very effective, but they typically prevent future pregnancies. Surgery to remove fibroids may include:
During this surgery, your uterus is removed. The only way to heal fibroids is a hysterectomy. When you completely remove your uterus, fibroids cannot come back and your symptoms will go away. If your uterus is removed alone and the ovaries remain in place, you will not enter menopause after a hysterectomy.
This procedure may be recommended if you are bleeding heavily from your fibroids or if you have large fibroids. When recommended, the most minimally invasive procedure is recommended to perform hysteroscopy. Minimally invasive procedures include vaginal, laparoscopic, or robotic approaches.
Uterine fibroid embolization
This procedure is performed by an interventional radiologist working with your gynecologist. A small catheter is inserted into the uterine artery or radial artery and the small particles are used to block blood flow from the uterine artery to the fibroids. Blood flow loss shrinks fibroids and improves fibroid symptoms.
Radiofrequency ablation (RFA)
It is a safe and effective treatment for women with symptomatic uterine fibroids and can be given by laparoscopic, transvaginal or transcervical approaches.
There is also a newer procedure called magnetic resonance imaging (MRI) guided focused ultrasound that can be used to treat fibroids. This technique is actually done while you’re inside an MRI machine. You are placed inside the machine, which allows your provider to see the fibroids clearly, and then an ultrasound is used to send targeted sound waves to the fibroids.
This damages fibroids.
Are there any risks associated with myoma treatment?
Any treatment can have risks. Medications can have side effects and some may not be suitable for you. Talk to your healthcare provider about all the medications you may be taking for other medical conditions and your complete medical history before starting any new medication. If you experience side effects after starting a new medication, call your doctor to discuss your options.
There are always risks in the surgical treatment of fibroids. Any surgery puts you at risk for infection, bleeding, and any inherent risks associated with surgery and anesthesia. An additional risk of fibroid removal surgery may include future pregnancies. Some surgical options can prevent future pregnancies.
Myomectomy is simply a procedure that removes fibroids and allows future pregnancies. However, women who have had myomectomy may need to give birth to their future babies via cesarean section (cesarean section).
Can myoma be prevented?
You usually can’t prevent fibroids. You can reduce your risk by maintaining a healthy body weight and having regular pelvic exams. If you have small fibroids, develop a plan with your healthcare provider to monitor them.
Will myomas go away on their own?
In some women, myoma may shrink after menopause. This happens due to a decrease in hormones. When the fibroids shrink, your symptoms may go away. Small fibroids may not need treatment if they do not cause any symptoms.