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Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

Myoma Treatment

Myoma Treatment

Myoma Treatment, also known as Myoma and is pronounced as it is read in our language, is a treatment method that is common in women over the age of 35. Myoma can be defined as a benign tumor that develops from the muscular layer of the uterus. However, myoma treatment is possible in various ways.

Although the reasons for the formation of myomas are not fully known, it is known that female hormones (estrogen) can cause fibroids to grow. Although fibroids can be seen in women of all age groups, they are generally more common in women over the age of 35. It is much less common in menopausal women. Fibroids can be in different parts of the uterus, in different sizes and in very different numbers. Therefore, each woman should be evaluated separately. Fibroids can give symptoms, sometimes they do not give any symptoms and the person may not be aware that they have fibroids.

What Are The Symptoms Of Myoma In The Womb?

Fibroids do not always cause complaints. Sometimes it can be detected incidentally by ultrasound in a patient with another complaint. Symptoms such as excessive bleeding, groin and waist pain, constipation or frequent urination can be seen in large fibroids.

Complaints vary according to the location of myoma. While excessive bleeding or frequent bleeding is more common in fibroids in the uterus (submucous myoma), complaints of pressure on the intestine or bladder are more prominent in fibroids growing out of the uterine wall (intramural myoma). Subserous myomas mostly do not cause bleeding problems, while large ones may cause complaints due to pressure on surrounding tissues. Depending on the location, some fibroids may prevent or delay conception.

Submucous Myoma; This type of myoma is seen on the lining of the uterus. This type of myoma also causes severe bleeding, especially during menstrual periods, and also prolongs the period of menstruation. In addition, these fibroids also cause anemia, as they cause intense bleeding.

Intramural Myoma; This myoma seen in the middle of the uterus is the most common type of myoma. Intramural fibroids may rarely cause excessive bleeding and prolongation during menstrual periods. However, they cause infertility and recurrent miscarriage. If the person has fibroids larger than 4 cm and more than 3, it causes recurrent miscarriages, IVF failure, and surgical intervention may be required.

Subserous Myoma; Subserous myomas, unlike other fibroids, are seen in the outer part of the uterus. This type of myoma does not cause heavy bleeding and prolonged menstrual period, but it can cause problems such as frequent urination, constipation, indigestion by putting pressure on other organs in the abdominal area.

How Is Myoma Treated?

Surgical Myoma Treatment is the definitive solution to this problem. Surgical treatment methods are applied by laparotomy (open surgery from the abdomen), laparoscopic (closed surgery) or hysteroscopic (reaching the myomas in the uterine cavity with a telescope system entered through the vagina and cervix).

Myomas by Location:
Depending on the origin of a fibroid in the uterus and in what direction it grows, doctors differentiate between different types of fibroids.

Subserous Myoma:

It lies outside the uterus and grows out of the muscular layer of the uterine wall. Menstrual period disorders have nothing to do with this. Sometimes insidious fibroids are followed, which can cause pain and complications.

Intramural Myoma:
Here, myoma only grows within the muscular layer of the uterus. This type of fibroids is the most popular.

Transmural Myoma:
Here, myoma develops from all layers of the uterus.

Submucous Myoma:
This extremely rare and usually small type of uterine fibroids extends from the muscular layer of the uterus to the endometrium. This often causes bleeding problems.

Intraligamentary myoma:
This type of fibroid grows near the uterus.

Cervical Fibroid:
This is a relatively rare type of uterine fibroids. It develops in the muscular layer of the cervix.

Myoma and Pregnancy

In general, a uterine fibroid is not an obstacle to pregnancy. Infertility occurs only in rare cases if the fibroid is located in front of the fallopian tube. A uterine fibroids during pregnancy can cause a variety of problems. As estrogen-dependent tumors, fibroids grow faster in pregnancy because the body produces more sex hormones. However, sometimes a cesarean is required or premature birth may occur. Fibroids reduce the risk of miscarriage. Since there is no harm in pregnancy, myoma treatment can be preferred with peace of mind.

Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

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