Fibroids
Fibroids (also known as myomas) are mostly benign -not cancerous- tumors that grow from the muscle layer of the uterus (myometrium). There are three types, according to their location. Those that grow into the uterine cavity, those that are confined within the wall of the uterus, and those that grow outside the uterus.
Fibroids are pretty common and often progress without symptoms, however, they can sometimes lead to medical problems. Therefore, routine annual check-ups are very important for the diagnosis. They can be easily detected during ultrasound examinations.
Symptoms of Fibroids
Bleeding Disorder
Myomas that grow into the uterine cavity, can cause heavy bleeding during menstruation and out-of-period bleeding.
Pelvic Pain
Especially those above a certain size, cause pelvic pain. This pain is also felt during menstrual periods.
Problem in Pregnancy
Since it can cause deformity of the uterus, it carries risks such as infertility, miscarriage, or premature birth.
Pain During Sex
Some fibroids can also cause pain during sexual intercourse, depending on their position.
Bladder Symptoms
Fibroids that grow from the anterior wall of the uterus towards the bladder can cause frequent urination or difficulty urinating.
Bowel Symptoms
Fibroids growing towards the intestines can cause constipation because they put pressure on the intestines.
Contact Op. Dr. Duygu Mutlu.
If you have one or more of the symptoms and have not had your routine gynecological check-up for more than a year, visit our office for a detailed examination.
Is Treatment of Fibroids Possible?
Symptom-free myomas are monitored by ultrasound and followed up at six-month intervals. In doubtful cases, MRI aims to provide the most effective imaging.
In symptomatic ones, medical treatment can be used to alleviate the symptoms. However, we cannot say that medical treatment is sufficient for the definitive treatment of fibroids.
Fibroids should be removed surgically, if they have reached a certain size or cause serious medical discomfort.
Usually, they can easily be removed with uterine-sparing surgery without organ loss. In very rare cases, when myomas completely surround the uterus, removal of the uterus may be considered as a last resort.
Do Fibroids Come Back?
Genetic factors and lifestyle are influential in the development of myomas. There is therefore a risk of recurrence after surgery. They can be prevented with a healthy lifestyle, nutrition, regular exercise, and check-ups with a gynecologist to provide a chance for early diagnosis.
