With the development of ultrasound technology, color Doppler ultrasound of uterine appendages is now almost a routine physical examination method. But it is also because of examination that many women find something called [uterine leiomyoma] appearing on the uterus at an unknown time.
Hearing the [tumor], many people were inexplicably scared and worried that this guy would cause problems when he was in what. So, is hysteromyoma cut or left?
One out of five women is likely to win
Hysteromyoma is one of the most common benign tumors in the female reproductive system. Girls under 20 years old are not very common. They are generally found in women aged 30-50 years old, especially in childbearing age, with an incidence rate of about 20%-25%.
What a high incidence!
Then the question arises… … …
Why are women of childbearing age especially vulnerable?
First of all, the uterus is a [fertile soil], which can provide rich blood for uterine leiomyoma.
Moreover, women of childbearing age have higher estrogen secretion, which is a good thing for hysteromyoma. Although estrogen can bring smooth skin and lithe and graceful figure to girls, if the estrogen level is too high, it will also become an [accomplice] for the healthy growth of uterine leiomyoma.
Therefore, I would like to remind everyone not to eat what health care products indiscriminately for the sake of beauty beauty. In case estrogen is added, it will be self-defeating.
Myomatous nature is good, but it can still make trouble.
Most uterine leiomyomas do not have what’s obvious symptoms and will naturally not attract attention. However, if you think [leiomyoma is small, what can I do?], you are too naive.
1. It’s not good to let you go to the toilet.
About 20% of uterine leiomyomas are [subserosal leiomyomas], which grow on the outermost serosa of the uterus.
This kind of tumor is like [illegal construction], which often brings trouble to neighbors:
- For example, pressing the bladder brother in front causes frequent urination and urgent urination. Oppressing the ureter students on the side, resulting in inability to urinate and holding back in the kidney to form accumulated water; Lean to the rear intestinal tract to rest, and you should complain about constipation. In case it gets excited one day and turns 360 degrees to form a twist, you will feel a sudden pain in your stomach. You’d better go to the hospital to demolish the illegal house as soon as possible.
2. Let you [bleed]
About 60% ~ 70% of uterine leiomyoma is [intermural leiomyoma], which is wrapped by myometrium.
About 10% ~ 15% of uterine leiomyomas are [submucosal leiomyomas], which grow in the mucosal layer of the uterus and are located closer to the uterine cavity.
If these two kinds of tumors can grow vigorously, they often bring about the problem of [blood collapse]:
- After the tumor volume becomes larger, the uterine cavity area will also increase, affecting uterine contraction, resulting in difficult hemostasis and irregular vaginal bleeding. The enlarged tumor body will also compress the veins around it, causing the vasodilation and congestion of the uterus, causing increased menstruation, prolonged menstruation and frequent menstruation.
Do you think ah, if menstruation is a frequent guest, or always has irregular vaginal bleeding, it is easy to cause hemorrhagic anemia due to excessive blood loss. The whole person’s complexion is sallow, tired and weak, dizzy and palpitations… For a long time, it may also lead to anemic heart disease.
STEP 3 Make your leucorrhea increase
As mentioned earlier, uterine leiomyoma can make the use area of uterus larger by [illegally building houses].
However, in this way, leucorrhea (increased secretion of endometrial glands) may also occur due to excessive use area (enlarged uterine cavity) and excessive congestion around (pelvic congestion). If accompanied by infection, leucorrhea may also be mixed with blood streaks and pus.
If the tumor continues to be fully fired, it will eventually cause the lower abdomen to be hard and painful from time to time. Touch it with your hand and a mass will be there quietly.
Uterine leiomyoma, do you want to stay?
Hysteromyoma is specific to whether to stay or not, which needs further consideration.
1. Consider observation and conservative treatment
Small size: Generally speaking, if you don’t feel much at ordinary times, it is only through physical examination that you accidentally find uterine leiomyoma, and the volume is not large (< 5 cm), you can continue to observe, especially for patients close to menopause, you can consider not treating it, because after menopause, hormone secretion will naturally decrease, and of course there will be no waves without wind.
Pregnancy or postpartum: Hysteromyoma has a lesion called [red change], Often occurs in pregnancy or puerperium, can cause severe abdominal pain, nausea, vomiting, fever, etc., leiomyoma will also increase rapidly. Because of the special time, it is generally to take conservative treatment first. However, this also reminds the female compatriots preparing for pregnancy, if hysteromyoma is found, and the size is not small, the number is not small, or move to the hospital for consultation as soon as possible, and actively deal with it before pregnancy.
2. Consider the situation of active surgery
The following are all situations that may require surgery. If the doctor also recommends surgery, don’t be conservative and delayed because of fear or the like, and the final treatment may be difficult.
Possibility of malignant transformation: Although hysteromyoma nature is good, but also can change, after all, there is still a [tumor] word. Hysteromyoma has a sarcoma-like change, although the incidence rate is only 0.4% ~ 0.8%, but at this time the myoma has completely lost its nature, such as rotten fish, need to be taken seriously. In addition, extra vigilance should be given to the rapid increase of hysteromyoma in a short period of time, especially after menopause.
Affect normal life:
- Causing frequent urination, urgent urination, urinary retention, constipation, lower abdominal pain and other discomfort; Excessive menstruation, ineffective drug treatment, anemia has not improved; Uterine leiomyoma with special location, such as submucosal leiomyoma of uterus, should be actively treated regardless of its size. Torsion of subserosal leiomyoma of uterus leads to acute abdominal pain, and cervical leiomyoma cannot be taken lightly. The uterine body has been propped up to be larger than 10 weeks of pregnancy, or a single leiomyoma > 5 cm; Excluding other possibilities, it is determined that hysteromyoma is the cause of infertility.
If you don’t stay, will it be over with one knife?
Unfortunately, it is not.
The most common treatment methods for hysteromyoma include drugs and surgery, which are specifically divided into:
- Hysteromyomectomy: Just demolish the illegally built house and hysterectomy: the whole building and the illegally built house are all in one pot.
Nowadays, people have a better understanding of the role of the uterus, and the times are also progressing. In most cases, as long as there are not so many illegal buildings on the uterus, they can be repaired, and generally the whole uterus will not be cut off.
However, the leiomyoma has been cut off, and there may also be some leiomyoma the size of rice grains that have not been completely removed. Under the influence of hormones, there may still be waves in the future, so regular reexamination is still required after surgery.
Stay, how to continue to get along well?
As mentioned earlier, hysteromyoma is a hormone control, so you need to avoid some special drugs as much as possible, or protect health products containing estrogen. For example, contraceptives need to be used carefully.
In addition, an answer that sounds a little chicken soup is: eat a balanced diet at ordinary times, keep your mind at ease, learn to identify with the existence of this disease, do not strongly reject it, but do not worry too much. You can have a color Doppler ultrasound examination or gynecologic specialist examination every 3-6 months, find the problem, and then jointly decide the appropriate treatment plan with the doctor.