What are uterine fibroids and how do they affect menstruation. How can women manage fibroid pain during their periods. What treatment options are available for uterine fibroids.

Understanding Uterine Fibroids: Causes, Symptoms, and Impact on Menstruation

Uterine fibroids are abnormal growths of muscle tissue that develop in the uterus. Despite being classified as tumors, these growths are almost always benign and non-cancerous. Many women are unaware they have fibroids, as they can often be asymptomatic. However, for some women, fibroids can cause significant discomfort, especially during menstruation.

Fibroids can vary greatly in size, ranging from as small as a popcorn kernel to as large as a grapefruit. In rare cases, they can grow so large that they visibly distend the abdomen. The size and location of fibroids within the uterus can influence the severity of symptoms experienced.

Common Symptoms of Uterine Fibroids

• Painful and heavy menstrual periods
• Severe cramping during menstruation
• Abnormal bleeding between periods
• Anemia due to excessive blood loss
• Pelvic pain or feelings of fullness
• Chronic lower back pain
• Discomfort during sexual intercourse
• Urinary frequency or difficulty emptying the bladder
• Constipation
• Persistent vaginal discharge

Why do fibroids cause increased pain during menstruation? During a woman’s monthly cycle, the uterus sheds its inner lining. This process is facilitated by the release of chemicals called prostaglandins, which trigger uterine contractions. These contractions, combined with inflammation, can lead to pain and cramping. Fibroids exacerbate this discomfort by increasing the surface area of the uterine lining that needs to be shed, potentially resulting in heavier blood flow, more intense cramps, and increased pelvic pressure.

Self-Care Strategies for Managing Fibroid-Related Period Pain

While medical intervention may be necessary for severe cases, there are several self-care techniques that women can employ to alleviate fibroid-related period pain:

1. Over-the-Counter Pain Relief

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce inflammation and ease pain. Acetaminophen is another option for pain relief. It’s advisable to start taking these medications a day or two before the expected onset of menstruation for optimal effect. Always follow the dosage instructions on the packaging.

2. Regular Exercise

Physical activity, particularly walking, can be beneficial in managing fibroid pain. Exercise improves blood circulation and triggers the release of endorphins, the body’s natural painkillers. Maintaining a consistent exercise routine throughout the month may help reduce the severity of symptoms during menstruation.

3. Heat Therapy

Applying heat to the lower abdomen can help relax muscles and improve blood flow, potentially easing discomfort. This can be done using a heating pad, hot water bottle, or by taking a warm bath or shower.

4. Rest and Relaxation

Adequate rest can help alleviate persistent period pain. Experimenting with different resting positions, such as lying on your back with a pillow under your knees or on your side with knees pulled towards your chest, may help relieve pressure and discomfort.

5. Breathing Exercises

Focused breathing techniques can promote relaxation and help manage pain. Find a comfortable position, place one hand on your chest and the other on your abdomen, and practice slow, deep breaths. Visualize the pain leaving your body with each exhale.

Medical Interventions for Uterine Fibroids

When self-care measures prove insufficient in managing fibroid-related symptoms, medical intervention may be necessary. Treatment options can vary based on the severity of symptoms, the size and location of fibroids, and the patient’s individual circumstances.

Medication Options

Various medications can be prescribed to help control heavy bleeding or shrink fibroids:

• Hormonal birth control (pills, patches, or intrauterine devices)
• Gonadotropin-releasing hormone (GnRH) agonists
• Tranexamic acid
• Iron supplements (for anemia caused by heavy bleeding)

Surgical Interventions

In some cases, surgical removal of problematic fibroids may be the most effective solution. The choice of surgical approach depends on factors such as the size and location of fibroids, the patient’s desire for future fertility, and overall health status. Some common surgical procedures include:

1. Myomectomy: Removal of fibroids while preserving the uterus
2. Hysterectomy: Complete removal of the uterus (for women who have completed childbearing)
3. Uterine artery embolization: A minimally invasive procedure to cut off blood supply to fibroids
4. Endometrial ablation: Destruction of the uterine lining to reduce heavy bleeding

The Importance of Professional Gynecological Care for Fibroid Management

Why is it crucial to seek professional medical advice for fibroid-related issues? Board-certified obstetricians and gynecologists possess the expertise to accurately diagnose fibroids, assess their impact on a woman’s health, and recommend appropriate treatment options. These specialists can provide personalized care plans that take into account factors such as the patient’s age, overall health, symptom severity, and future family planning goals.

Regular gynecological check-ups are essential for early detection and management of fibroids. During these visits, healthcare providers can monitor fibroid growth, assess the effectiveness of current treatments, and make necessary adjustments to the care plan. Moreover, they can address any concerns or questions patients may have about their condition and treatment options.

Lifestyle Modifications to Support Fibroid Management

In addition to medical treatments and self-care strategies, certain lifestyle modifications may help manage fibroid symptoms and potentially slow their growth:

1. Dietary Changes

Some studies suggest that a diet rich in fruits, vegetables, and whole grains may help reduce the risk of fibroid development or growth. Limiting red meat consumption and increasing intake of foods high in vitamin D and calcium may also be beneficial.

2. Stress Management

Chronic stress can potentially exacerbate fibroid symptoms. Incorporating stress-reduction techniques such as meditation, yoga, or regular exercise into daily routines may help alleviate symptoms.

3. Maintaining a Healthy Weight

Obesity has been linked to an increased risk of developing fibroids. Maintaining a healthy body weight through balanced nutrition and regular physical activity may help reduce this risk.

4. Limiting Alcohol and Caffeine Intake

Some women find that reducing alcohol and caffeine consumption helps alleviate fibroid symptoms, particularly heavy menstrual bleeding.

The Role of Alternative Therapies in Fibroid Management

While scientific evidence is limited, some women report benefits from alternative therapies in managing fibroid symptoms. These may include:

• Acupuncture
• Herbal supplements (e.g., green tea extract, vitex)
• Massage therapy
• Aromatherapy

It’s important to note that the efficacy of these treatments varies among individuals, and they should not replace conventional medical care. Always consult with a healthcare provider before starting any alternative therapies, as some may interact with medications or have unintended side effects.

Emerging Research and Future Directions in Fibroid Treatment

The field of fibroid research is continually evolving, with new treatment options and management strategies emerging. Some areas of ongoing research include:

1. Targeted Drug Therapies

Researchers are exploring new medications that can specifically target fibroid cells without affecting healthy uterine tissue. These drugs aim to shrink fibroids and alleviate symptoms with fewer side effects than current hormonal treatments.

2. Improved Imaging Techniques

Advancements in imaging technology may lead to earlier and more accurate diagnosis of fibroids, potentially allowing for earlier intervention and better treatment outcomes.

3. Minimally Invasive Surgical Techniques

Ongoing development of minimally invasive surgical procedures may provide more options for fibroid removal with shorter recovery times and reduced risk of complications.

4. Genetic Research

Studies into the genetic factors contributing to fibroid development may lead to new preventive strategies and targeted treatments in the future.

As research progresses, women with fibroids can look forward to potentially more effective and personalized treatment options. However, it’s crucial to stay informed and maintain regular communication with healthcare providers to benefit from the latest advancements in fibroid management.

Empowering Women Through Education and Support

Living with fibroids can be challenging, but knowledge and support can make a significant difference in managing the condition effectively. Here are some ways women can empower themselves:

1. Stay Informed

Keep up-to-date with the latest information on fibroids from reputable medical sources. Understanding your condition can help you make informed decisions about your health and treatment options.

2. Join Support Groups

Connecting with other women who have fibroids can provide emotional support, practical advice, and a sense of community. Many online and in-person support groups are available for women with uterine fibroids.

3. Advocate for Your Health

Don’t hesitate to ask questions or seek second opinions when it comes to your fibroid treatment. Being an active participant in your healthcare decisions can lead to better outcomes and increased satisfaction with your care.

4. Track Your Symptoms

Keeping a detailed record of your symptoms, including changes in menstrual flow, pain levels, and any other fibroid-related issues, can help your healthcare provider better understand your condition and adjust your treatment plan as needed.

5. Explore Fertility Preservation Options

For women concerned about how fibroids or their treatment might affect future fertility, discussing fertility preservation options with a reproductive specialist can provide peace of mind and expand future family planning choices.

By taking an active role in their health management and leveraging available resources, women with fibroids can improve their quality of life and potentially achieve better long-term health outcomes.

Obstetrics & Gynecology, Board Certified OBGYNs

How to Manage Fibroid Pain Around Your Period: The Center for Women’s Health : Obstetrics & Gynecology, Board Certified OBGYNs

A uterine fibroid is an abnormal growth of muscle tissue in your uterus. They are far more common than most women realize. Although a fibroid is technically a tumor, they are almost always benign or noncancerous. 

The highly skilled professionals at The Center for Women’s Health in Hampton and Newport News, Virginia, are experienced in treating uterine fibroids. Our team provides gynecology services to women who had no idea they had fibroids and others suffering from severe symptoms.

Symptoms related to fibroids 

A uterine fibroid, also known as a leiomyoma or “myoma”, can appear as a single muscular tumor nodule or as part of a multinodular cluster. Fibroids vary in how they affect you and in size. Some are very small, about the size of a popcorn kernel, while others are large, as big as a grapefruit. In rare cases, a fibroid can be so large it pushes out your abdomen.     

Large fibroids or clusters of fibroids are more likely to cause symptoms. Some of the symptoms you may experience include: 

• Painful periods and severe cramping
• Abnormal bleeding between periods
• Abnormally heavy menstrual bleeding
• Anemia (low iron) from heavy periods
• Pelvic pain or feelings of pelvic fullness
• Unexplained chronic lower back pain
• Discomfort during sexual intercourse

Fibroids can also bring about symptoms related to your urinary tract. For example, you may need to urinate often, have trouble emptying your bladder, be constipated, or have ongoing vaginal discharge.  

Uterine fibroids and period pain 

Each month, your uterus sheds its inner lining during your menstrual period. As that happens, your body releases chemicals called prostaglandins which trigger contractions that help shed the uterine lining. These chemicals can cause pain, inflammation, and intense cramping made worse by fibroids. 

The pain and cramping you feel during your period can be worse if you have fibroids because they increase the surface area of the uterine lining that must be shed. You may feel increased pelvic pressure, have a heavier blood flow with clots, or have severe cramps. 

Self-care for monthly fibroid pain

You can do several different things that may help your fibroid-related period pain. 

OTC medication

Over-the-counter medications can help reduce inflammation and ease your pain. Ibuprofen, naproxen, or acetaminophen may all be good choices when you first start feeling symptoms. Be sure to follow the instructions on the bottle, and start taking the medicine one or two days before you expect your period to start. 

Go for a walk

Regular exercise is excellent for your overall health. It improves blood flow and triggers the release of endorphins, which are your body’s naturally produced painkillers. Even if you feel uncomfortable and don’t want to walk, it may help. Exercising regularly throughout the month can improve symptoms during your period. 

Relax your muscles

Using a heating pad or a hot water bottle to soothe your abdomen may help. The warmth relaxes your muscles, stimulates blood flow, and may ease discomfort. A warm bath or shower may be equally relaxing and soothing. 

Rest 

Rest can help you take the edge off persistent period pain. Lying on your back with a pillow under your knees may ease the pressure, or you may find it comfortable to lay on your side with your knees pulled toward your chest. 

Breathing exercises

Focusing on your breath can help you relax. Find a comfortable place, place one hand over your chest, the other over your navel, and inhale slowly, filling your lungs. Feel your chest and belly rise in the process, and hold each breath briefly before you let it out; imagine your pain drifting out of your body with each exhale.  

Treating fibroids 

Sometimes at-home care isn’t enough. If painful periods disrupt your life, medical intervention could be the right approach. Depending on your situation, we may suggest medication to control heavy bleeding or to shrink your fibroids. You may also need iron supplements if you’re anemic due to heavy bleeding. 

In some cases, surgery to remove problematic fibroids is the best solution. Various surgeries can treat fibroids, and choosing the best approach depends on individual circumstances. Before making a recommendation, your provider discusses important factors to consider, such as your medical history and family planning goals. 

Schedule a visit with The Center for Women’s Health to learn more about fibroids, how they are treated, and your treatment options.

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Fibroid Cramps | USA Fibroid Centers

Fibroids and Cramps

Many women may mistake normal menstrual cramps with pelvic pain from uterine fibroids; however without treatment, cramping due to fibroids can intensify over time. Luckily, there’s a treatment that’s both convenient and effective, allowing you to get back to your everyday life without painful cramps.

Cramps Between Periods

Are you experiencing painful menstrual cramps, but no period? If so, it is probably a good idea to contact your doctor. While having cramps for one to three days before and during your period is considered normal, severe cramps that last throughout your entire period or that occur outside of your monthly cycle are not.

At USA Fibroid Centers, we believe that it is important to determine the underlying cause behind abnormal cramps, pelvic pain, heavy periods, and other related symptoms. Unfortunately, there are a range of health conditions that may be to blame. Some of these conditions are considered serious and can be life-threatening. 

One potential cause of abnormal cramps is uterine fibroids, a common type of benign growth that can develop in or on the uterus. By the age of 50, 70 to 80% of women are affected. Unlike normal period cramps, the cramps caused by fibroids can be severe, worsen over time, and occur even when you don’t have your period.

If you ever observe that “I have cramps but no period,” we recommend asking your doctor if you might have fibroids. While you may (understandably!) feel concerned about your symptoms, only a medical professional is able to make an accurate diagnosis. 

If fibroids are suspected, your doctor will likely order an ultrasound or MRI to confirm their presence. Once diagnosed, a fibroid specialist can provide information about effective, non-surgical fibroid treatment. 

Our experts want you to know that there’s no need to suffer any longer. Here’s what you should know about having cramps but no period and how to alleviate painful, uncomfortable, and inconvenient fibroid symptoms.

Intense and Irregular Cramping: It Might Be a Sign of Fibroids!

So, how do you know if your cramps are considered normal or abnormal? Let’s start by describing the differences between normal period cramps and uterine fibroids cramps. 

Normal menstrual cramps are caused by contractions of the uterine muscle that shed the uterine lining and release a hormone-like substance called prostaglandins. It’s this substance that causes pain and inflammation and can increase the intensity of the contractions, leading to painful menstrual cramps. 

These cramps usually start shortly before your period and end after a day or two, although some women will experience mild cramping throughout their entire period. We refer to severe menstrual cramps as primary dysmenorrhea. 

On the other hand, uterine fibroid cramping tends to be more intense. When you have particularly bad menstrual cramps that are caused by a disease or a physical problem, it’s known as secondary dysmenorrhea. Period pain from uterine fibroids is classified as secondary dysmenorrhea, and it often feels worse than normal menstrual cramps.

Another distinguishing factor of fibroid cramps is when they occur. For instance, do you have cramps a week before your periods? Do your painful cramps last throughout your entire period and beyond? Or, do you sometimes experience period cramps but no period? These are all potential signs of uterine fibroids that should be brought to your doctor’s attention.

What Are Fibroids and Why Do They Cause Cramping?

Uterine fibroids are common, noncancerous growths that develop on or inside of the uterus. They can vary in type, size, and number. Although many women with fibroids don’t experience symptoms at all, others are severely impacted.  

Fibroids can range in size from as small as an apple seed to as large as a watermelon. Although fibroids are not usually dangerous, that doesn’t mean they don’t come with a host of problematic symptoms. Women with fibroids can deal with everything from heavy and painful periods to intense cramps and back pain. 

Common fibroid symptoms include:

• Heavy and prolonged menstruation between or during your periods
• Anemia, which can lead to fatigue
• Pain during intercourse
• Increased menstrual cramping
• Stomach swelling
• Frequent urination
• Constipation and/or bloating
• Pain in your pelvis or lower back

TAKE THE SYMPTOM QUIZ!

Fibroid symptoms such as heavy periods, severe cramps, period cramps but no period, frequent urination, and low energy levels can cause individuals to regularly miss work, cancel social engagements, avoid intimacy, and have low self-esteem. When your quality of life is impacted in these ways, we usually recommend treatment.

If you have severe cramps, you may have questions about why they occur in the first place. Pelvic pain or cramping due to uterine fibroids is caused by two things:

• When blood clots travel from the uterus through the cervix into the vagina, this can elicit pain. Blood clots are most likely to develop and leave the body during heavy, prolonged periods like those that occur with fibroids.
• If the fibroids are large enough to press on adjacent pelvic nerves, this can cause cramping or pressure. This pain can radiate through the lower back, abdomen, buttocks, and legs.

You may also notice an increase in bleeding during your period when you have fibroids. This is because fibroids increase the surface area of your uterine lining, which can cause both your cramps and your bleeding to become more intense. Fibroids also decrease the uterus’ normal ability to stop bleeding, like it does during your regular menstrual cycle.  

A type of fibroid called Intramural fibroids grow closer to the uterine cavity; therefore, an increase of blood flow can affect the normal systems that control bleeding within the uterus. Intramural fibroids can also increase the size of the uterine cavity, thus causing a woman to bleed more than usual and experience intense pelvic pain.

If you are suffering from any of these issues, we want you to know that there’s no need to suffer any longer. Our fibroid specialists are readily available to help determine the best course of action for you.

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“I’m Getting Cramps But No Period”

If this comment describes you, we recommend contacting your doctor or a fibroid specialist as soon as possible. Although fibroids are not cancer, they can still cause damage to surrounding organs, impact fertility, and result in a range of undesirable symptoms.

Treatment for Fibroid Menstrual Cramps

Cramps can make performing daily activities like attending work and school, close to impossible. Many women continue to put up with painful cramping and pressure because they are unaware that there are non-surgical procedures available.

Many women believe that a hysterectomy, the complete removal of the uterus, is their only available treatment option. Fortunately, this isn’t true. There exists a range of effective fibroid treatments, including both surgical and non-surgical methods.

At USA Fibroid Centers, our experts specialize in a minimally-invasive, office-based fibroid treatment called Uterine Fibroid Embolization (UFE). UFE can shrink your fibroids, alleviate severe cramps, reduce heavy periods, and quickly return you to normal life.

UFE does not require a hospital stay or involve prolonged time off work. It is performed as an outpatient procedure that allows you to go home the same day to begin your recovery. Best of all, most women are back to their normal activities within one to two weeks.

Perhaps more than anything else, we want you to understand that you have options when it comes to fibroid treatment. If you wish to avoid surgery and leave your uterus fully intact, Uterine Fibroid Embolization may be right for you.

If You’re Experiencing Irregular or Abnormal Cramps, Contact USA Fibroid Centers Today!

The unfortunate reality for many women with fibroids is that performing daily activities can be challenging and sometimes impossible. Many women continue to suffer from painful cramping and pelvic pressure because they are unaware of available non-surgical treatments.

Whether you have severe cramps with heavy menstrual bleeding or cramps with no period, our fibroid specialists are available to help. Our experts provide education and guidance as you begin to explore your treatment options. We can also help determine which method of treatment is best for you. 

At USA Fibroid Centers, you can choose from dozens of convenient clinic locations nationwide, along with telemedicine options. To learn more about minimally-invasive uterine fibroid treatment, please contact us today.

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causes of delayed and scanty menstruation, what to do and where to treat fibroids in Moscow

Updated: 02 September 2020

Boris Yurievich Bobrov — endovascular surgeon | Endovascular surgeon, candidate of medical sciences, the largest personal experience of EMA in Russia

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Contents of the article

• Delayed menstruation with uterine myoma
• Treatment of fibroids with delayed menstruation
• Abundant menstruation with uterine myoma
• UAE in the treatment of uterine fibroids

Uterine fibroids is a disease that occurs mainly in women of reproductive age. One of the manifestations of pathology is a violation of the menstrual cycle. Monthly with uterine myoma are long, plentiful. Delayed menstruation with fibroids can be a sign of pregnancy. Blood loss depletes a woman’s body. In this case, doctors suggest removing the uterus. This news causes anxiety, can cause a depressive state. If you are faced with the problem of uterine fibroids, please contact us.

You will be booked in for an appointment and treatment will be organized in the leading clinics for the treatment of fibroids in Moscow. The doctors who work in them will find out why there is no menstruation in fibroids and perform embolization of the uterine arteries. After the procedure, the menstrual cycle is normalized. The procedure allows you to heal a woman and save the uterus. We will accompany you at all stages of treatment. You can send the research results to your e-mail address and, after analyzing them, get expert advice by e-mail.

Delayed menstruation due to uterine myoma

Can there be a delay in menstruation with uterine fibroids? Violation of hormonal balance entails a violation of the cyclical nature of menstruation. Sometimes menstruation occurs 2 times a month, and other patients have scanty periods with uterine myoma. Much less often, patients note a delay in menstruation with myoma. The reasons are as follows:

• ovarian dysfunction at the initial stage of uterine fibroids formation;
• altered structure of the muscular wall of the uterus, covered from the inside by the endometrium;
• violation of the vascular system of the endometrium.

The absence of menstruation with fibroids is observed in case of pregnancy. Hard physical work, nervous strain, acute and chronic stress, climate change, taking certain medications, including contraceptives, are often the causes of delayed menstruation.

Treatment of fibroids with delayed menstruation

Women often ask: “If there is a delay in menstruation with uterine fibroids, what should I do?”. Call us immediately. The gynecologists of the clinics we cooperate with find out the cause of menstrual irregularities using modern research methods. Treatment for delayed menstruation is aimed at normalizing the hormonal background. The drugs nafarelin, zoladex, decapeptyl inhibit the production of hormones. When taking these medicines, menstruation stops for a while. Reduce the production of estrogen duphaston and norkolut.

Quite often, doctors prescribe to patients suffering from uterine fibroids, with a delay in menstruation, herbal preparations, which consist of the following ingredients:

• nettles;
• hops;
• chamomile flowers;
• wheatgrass rhizomes;
• valerian root;
• shepherd’s bag;
• upland uterus (red brush).

With scant discharge during menstruation, traditional healers recommend taking seeds and parsley root. Doctors of gynecological clinics with whom we cooperate perform uterine artery embolization in case of uterine myoma. Due to the cessation of the supply of nutrients to the fibroid tissue, the nodes decrease in size, the normal structure of the uterus is restored, and the menstrual cycle is normalized.

Abundant menstruation with uterine myoma

Pathologically heavy periods with fibroids occur for the following reasons:

• thickening of the endometrium (inner layer of the uterus) due to an increased level of the hormone estrogen in the blood, which leads to uneven detachment of the endometrium or its incomplete detachment during menstruation;
• increase in the size of myomatous nodes, which is accompanied by a violation of the integrity of the vessels of the uterus;
• violations of uterine contractility, as a result of which the spiral arteries lose the ability to be clamped.

With uterine myoma, the volume of blood released during menstruation increases to 150 ml. Allocations are scarlet, with an admixture of blood clots. With menorrhagia, a woman is forced to change hygiene products (sanitary pads or tampons) every hour or more often. The duration of menstruation increases to 10 days. Chronic blood loss leads to the development of iron deficiency anemia. The disease is manifested by the following symptoms:

• weakness;
• dizziness;
• fatigue;
• pallor of skin and mucous membranes;
• brittle nails;
• hair loss.

If you have these symptoms, you should immediately consult a doctor. Gynecologists conduct therapy aimed at normalizing hormonal levels and stopping bleeding. Iron supplements are used to prevent and treat anemia. With heavy menstruation, doctors carry out hemostatic therapy with tranexam, dicinone, vikasol, etamsylate. In order to increase the contractility of the uterus, patients are prescribed oxytocin. Askorutin strengthens the vascular wall.

With the ineffectiveness of conservative therapy, the development of severe anemia, surgical treatment is performed. In most cases, it consists in removing the uterus. After the operation, the woman loses her reproductive organ, loses the opportunity to give birth to a child. After removal of the uterus, many patients develop posthysterectomy syndrome, mental health is disturbed.

The doctors of the clinics with whom we cooperate, based on their own extensive experience and statistical data, believe that the indications for removal of the uterus in case of myoma are unreasonably expanded. We perform uterine artery embolization (UAE), a procedure originally used to stop postpartum uterine bleeding. Endovascular surgeons inject inert microparticles into the uterine arteries, which block the lumen of the vessels supplying blood to the myoma. Bleeding stops, the menstrual cycle normalizes over time. The woman manages to save the uterus.

In some cases, menstruation becomes so abundant and long in time that it develops into acyclic bleeding. This happens when the myomatous nodes are located in the submucosal layer or intermuscular space of the uterus. Bleeding with uterine fibroids can open in the middle of the cycle due to the release of endometrial residues, which, due to the uneven mucous layer, not all stood out during menstruation, and the loss of the uterus’s ability to contract. The arteries are not compressed, which causes bleeding.

The following factors provoke the opening of bleeding:

• thickening of the mucous membrane of the uterus;
• enlarged uterus;
• changes in uterine arterial vessels and venous plexuses.

If the amount of bloody discharge from the vagina exceeds 80 ml per day, we are talking about uterine bleeding. The woman urgently needs hospitalization, where our gynecologists will prescribe appropriate treatment for her. If indicated, doctors perform curettage. Our doctors perform uterine artery embolization for patients suffering from uterine fibroids during heavy periods.

UAE in the treatment of uterine fibroids

Uterine fibroids is a disease that develops when the female body is exposed to damaging factors, the main of which is menstruation. Often, uterine fibroids have many foci in the uterus or cervix. The size of the nodes can vary from a few millimeters to several centimeters. The main source of blood supply to myomatous nodes are the uterine arteries. An extensively developed network of blood supply collaterals allows maintaining the blood supply to the uterus at a sufficiently high level even when the uterine arteries are turned off from the bloodstream. This allows embolization of the uterine arteries without the risk of disturbing the blood supply to areas of the uterus that are not affected by the pathological process.

The uterine arteries are the main source of blood supply to the uterus. They are almost always the only source of blood supply to myomatous nodes. Myomatous formations, due to their structural features, are not able to build a network of arterial collaterals, therefore, in the absence of blood supply to the myomatous node, they become completely cut off from the bloodstream. This is due to the fact that the arterial vessels that feed the myomatous nodes are the terminal branches of the uterine arteries.

An endovascular surgeon, when performing embolization of the uterine arteries through a thin catheter, introduces small emboli into the lumen of the uterine artery. The embolizing particles are made of a special polymer. Each embolus has a strictly specific size. When entering the uterine arteries, these particles selectively penetrate into their terminal branches, through which blood enters the myomatous nodes.

A small number of emboli enter the small arteries that take part in the blood supply to the uterus. In this case, the blood supply to the uterus is not disturbed, because the number of emboli is minimal, they are quickly excreted through the well-developed vascular network with the blood stream. Due to the absence of collaterals, the blood flow in the myoma nodes is not restored. Emboli that have entered the terminal branches of the uterine arteries remain in them. They are enclosed between fibrin fibers and thrombotic masses that form in a clogged vessel.

After that, the tissue of the myomatous node is replaced by connective tissue. During the procedure, the doctor slowly injects a suspension of emboli into the lumen of the uterine arteries until the “end point” of embolization is reached. This is a combination of angiographic signs, which with a high degree of probability allow us to judge that the arterial vessels of the myomatous node are clogged. These signs are determined using a radiopaque substance that doctors use during the embolization process.

The use of a contrast agent simplifies the intervention, as it allows embolization of only the uterine arteries and excludes the entry of emboli into other arteries.

After the cessation of blood supply to the myomatous node, fibrosis begins in it – the process of replacing smooth muscle cells with connective tissue. It lasts a year. During this time, the node decreases in size and is an accumulation of connective tissue that does not grow and does not create problems for the woman.

Part of the myomatous nodes that grow into the lumen of the uterus, after embolization, may behave differently. Fibrous changes that occur in them lead to the fact that the node loses contact with the wall of the uterus, is pushed into its cavity and after a while exits through the vagina. The uterus itself gets rid of myoma formation.

After embolization of the uterine arteries, the structure of the muscular layer of the uterus and endometrium is restored. The menstrual cycle is normalized, menstruation comes on time and lasts the allotted time. A woman’s libido is restored, if desired, she can become pregnant and give birth to a healthy child. Then a delay in menstruation can be a sign of pregnancy.

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References:

1. Savitsky G. A., Ivanova R. D., Svechnikova F. A. The role of local hyperhormonemia in the pathogenesis of the growth rate of tumor nodes in uterine myoma // Obstetrics and Gynecology. – 1983. – T. 4. – S. 13-16.
2. Sidorova I.S. Uterine fibroids (modern aspects of etiology, pathogenesis, classification and prevention). In: Uterine fibroids. Ed. I.S. Sidorova. M: MIA 2003; 5-66.
3. Meriacri A.V. Epidemiology and pathogenesis of uterine fibroids. Sib honey journal 1998; 2:8-13.
4. Bobrov B.Yu. Uterine artery embolization in the treatment of uterine fibroids. The current state of the issue // Journal of obstetrics and women’s diseases. 2010. №2. pp. 100-125
5. B. Yu. Bobrov, SA Kapranov, VG Breusenko et al. Uterine artery embolization: a modern view of the problem. “Diagnostic and Interventional Radiology” Volume 1 No. 2 / 2007

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surgery and hysteroresectoscopy for removal of fibroids

Contents

• 1 Treatment of uterine fibroids: how is the operation and removal of fibroids by hysteroresectoscopy
  • 1. 1 Treatment of uterine fibroids
    • 1 .1.1 Surgery to remove fibroids
    • 1.1.2 Hysteroresectoscopy to remove fibroids
  • 1.2 What is uterine fibroids?
  • 1.3 Symptoms of uterine fibroids:
    • 1.3.1 Painful menstruation:
    • 1.3.2 Menstrual disorders:
    • 1.3.3 Pain in the lower abdomen:
    • 1.3.4 Increased blood iron level:
    • 1.3.5 Childlessness :
  • 1.4 Diagnosis uterine fibroids
    • 1.4.1 General features of the diagnosis of uterine fibroids
    • 1.4.2 Ultrasound examination
    • 1.4.3 Magnetic resonance imaging
  • 1.5 Removal of uterine fibroids: surgery
    • 1.5.1 What is uterine fibroid surgery?
    • 1.5.2 How is the operation performed?
    • 1.5.3 What are the risks associated with the operation?
    • 1.5.4 Who may need surgery?
  • 1.6 Indications and contraindications for hysteromyoma removal
    • 1. 6.1 Indications
    • 1.6.2 Contraindications oma of the uterus?
      • 1.7.1 Preparing for the operation
      • 1.7.2 The operation itself
      • 1.7.3 Recovery after surgery
      • 1.7.4 Benefits of surgery for uterine fibroids
    • 1.8 Complications after surgery to remove uterine fibroids
      • 1.8.1 Complications associated with surgery

      9 0011 1.8.2 Postoperative complications

    • 1.9 Hysteroresectoscopy for removal of uterine fibroids
    • 1.10 Advantages of hysteroresectoscopy before surgery
      • 1.10.1 Fewer complications and shorter recovery period
      • 1.10.2 Fast and efficient tumor removal
      • 1.10.3 Low invasiveness of the procedure
    • 1.11 Related videos:
    • 1.12 Q&A:
      • 90 010
      • 1.12.0.1 What is uterine fibroids?
      • 1.12.0.2 What symptoms can uterine fibroids cause?
      • 1.12.0.3 How is uterine fibroids diagnosed?
      • 1.12.0. 4 What is the operation to remove uterine fibroids?
      • 1.12.0.5 How is hysteroresectoscopy performed to remove fibroids?
      • 1.12.0.6 What are the possible complications of uterine fibroids surgery?

Find out about the treatment of uterine fibroids with surgery and hysteroresectoscopy. Removal of fibroids can be an effective method of combating this disease. Check out the detailed information on our website.

Uterine fibroids is a common disease among women of reproductive age, which can lead to unpleasant consequences such as pain, bleeding, and infertility. Surgical removal of fibroids is one of the main methods of treating pathology. The operation allows you to restore the functions of the reproductive system and improve the quality of life of patients.

Today, there are several types of surgical treatment for uterine fibroids, which are selected depending on the size and number of tumors, as well as other individual factors of the patient. One of the most effective and minimally invasive methods for removing fibroids is hysteroscopy. Hysteroresectoscopy is the latest technology that allows you to remove uterine fibroids without cutting the skin.

Let’s take a closer look at how this method works. A hysteroresectoscope is an instrument that is inserted into the uterus through the vagina, with the distinct advantage that it does not damage the surrounding tissue. Then the myoma “dies” by acting on it with an electric current. This saves time and reduces the risk of infectious complications, allowing the patient to leave the hospital on the same day, making hysteroresectoscopic surgery quite popular among women.

Treatment of uterine fibroids

Surgery to remove fibroids

Surgery to remove uterine fibroids is one of the most common treatments for fibroids. It can be carried out both in the presence of individual nodes in the uterus, and with multiple nodes. The operation is performed under general anesthesia and takes 1 to 2 hours.

During the operation, the surgeon makes an incision in the abdominal wall and then removes the fibroids using special instruments or a laser. After the operation, the patient is prescribed a rest regimen and taking painkillers. Recovery from surgery may take several weeks.

Hysteroresectoscopy for fibroid removal

Hysteroresectoscopy for fibroid removal is a more modern and less invasive treatment for fibroids. It is used to remove individual nodes in the uterus, does not require a long recovery period and allows you to save the uterus.

The procedure is performed under local anesthesia and takes a few minutes. The surgeon passes a thin hysteroscope through the vagina into the uterus, and then removes the fibroids using an electrical loop. Recovery after the procedure takes several days.

What is uterine fibroids?

Uterine fibroids is a benign tumor that usually grows in the muscle tissue of the uterine wall. It can be single or multiple and have different sizes. Fibroids may be smooth or rough, and may be located in different parts of the uterus. It can be very small or very large, and can sometimes reach the size of an apple.

Uterine fibroids usually do not cause any symptoms, but can cause menstrual irregularities, lower abdominal pain, urination, constipation, and other problems. Surgical removal of fibroids is one of the ways to treat them, but hysteroscopy of uterine fibroids removal is also widely used nowadays, which is a less invasive treatment and allows faster recovery after surgery.

• Hysteroscopy is a technique that uses a hysteroscope – a flexible tube with a camera – to remove fibroids on the surface of the uterus.
• Surgery is a method in which the surgeon removes fibroids through a small incision in the abdomen.

Treatment for uterine fibroids depends on their size, location, and the symptoms they cause. Some fibroids can be treated without medical intervention, but in cases where the fibroids cause serious problems, surgical removal may be required. It is important to discuss all possible treatment options with your doctor and make a decision based on individual factors and risks.

Symptoms of uterine fibroids:

Painful periods:

Painful periods are one of the most common symptoms of uterine fibroids. This is because fibroids interfere with the natural flow of blood, resulting in pain and discomfort.

Menstrual irregularities:

Uterine fibroids can also lead to menstrual irregularities, such as irregular or too heavy periods.

Pain in the lower abdomen:

Pain in the lower abdomen is another symptom of uterine fibroids. They can be both acute and acquire a permanent, dull character, especially before and after menstruation.

Increased blood iron levels:

Uterine fibroids can lead to an increase in blood iron levels. Excessive blood loss during menstruation can trigger this symptom.

Childlessness:

Uterine fibroids can cause childlessness in women. This is because fibroids can block the Fallopian tubes, preventing fertilization.

Diagnosis of uterine fibroids

General features of the diagnosis of uterine fibroids

Uterine fibroids is one of the most common diseases of the female reproductive system. Often, fibroids can be identified during regular gynecological examinations or ultrasound examinations. However, diagnosing uterine fibroids can be difficult, as the symptoms and signs of this disease are quite varied and may indicate other diseases.

An additional diagnostic procedure may be required to clarify the diagnosis and characterization of uterine fibroids. The most effective methods for diagnosing uterine fibroids are ultrasound and magnetic resonance imaging.

Ultrasound

Ultrasound is the best way to diagnose uterine fibroids. It allows you to determine the types of fibroids, size, number and location. In the process of ultrasound examination, fibroids appear as a dense formation inside the uterus, which is displayed on the screen of the ultrasound machine.

Magnetic resonance imaging

Magnetic resonance imaging (MRI) is a non-invasive method for diagnosing uterine fibroids. It is based on the use of a magnetic field and radio waves. An advantage of MRI over ultrasound is that this method provides more accurate information about the fibroids, as well as additional information about the structure of the uterus. Magnetic resonance imaging is convenient for diagnosing large fibroids and indefinite outlines.

Removal of uterine fibroids: surgery

What is surgery to remove uterine fibroids?

Surgery to remove uterine fibroids is one of the most common treatments for this disease. This method is chosen if the fibroid has reached a large size and causes serious problems for the patient. The operation can be performed both with the use of laparoscopic equipment, and with the help of a linear incision through the lower pubic incision.

How is the operation performed?

Surgery to remove uterine fibroids is performed under general anesthesia. The surgeon makes an incision in the animal cavity and uses laparoscopic or conventional surgical equipment to remove the fibroids. This allows you to get rid of fibroids and save the uterus.

What are the risks associated with the operation?

One of the main risks is blood loss during surgery. After surgery, there may be short-term pain and discomfort in the abdomen. There is also a chance of developing infection and other complications. The patient must follow the doctor’s instructions after the operation to avoid possible complications.

Who may need surgery?

Surgery to remove uterine fibroids may be recommended for patients whose fibroids grow causing pain and bleeding. This may be necessary if the patient suffers from iron deficiency anemia, uterine enlargement, adenomyosis, urinary system diseases and other diseases as a result of myomatous nodes.

Indications and contraindications for removal of uterine fibroids

Indications

Surgical treatment of uterine fibroids is performed in cases when its size exceeds 12 weeks of pregnancy or its presence causes severe pain in the lower abdomen, bleeding, menstrual irregularities, and also when it is impossible to control tumor growth.

Other indications for surgery are bladder and bowel dysfunction, anemia and infertility.

Contraindications

Surgery to remove uterine fibroids may be contraindicated in the presence of certain diseases and conditions, such as:

1. Acute myocardial infarction or stroke
2. Cancer of the cervix or uterine body
3. Severe impairment of kidney and liver function 9001 2
4. Pregnancy
5. Serious lung or heart disease
6. Immunodeficiency states

The correct definition of indications and contraindications for surgery is very important, since an incorrectly chosen method of treatment can lead to negative consequences for the patient’s health.

How is the operation for the treatment of uterine fibroids?

Preparing for surgery

Before surgery, a woman undergoes an examination that allows you to determine the general condition of the body and determine the presence of other diseases that may affect the results of the operation. A vaginal examination and pelvic ultrasound are also performed, thanks to which it is possible to determine the size and number of fibroids.

The operation itself

The operation is carried out in an operating room. Anesthesia is given before the start of the operation. During the operation, the surgeon removes the fibroid through small incisions that are made in the abdominal cavity. The operation can take from several minutes to several hours.

Recovery after surgery

After surgery, a woman must stay in the hospital for several days, where her health is monitored and monitored. In the first few days after surgery, you may experience discomfort, nausea, and vomiting. Temperature may also appear. Recovery after surgery takes about 2-3 weeks.

Advantages of surgery in the treatment of uterine fibroids

Surgery removes fibroids, which improves the woman’s quality of life. With proper preparation and conduct of the operation, the possibility of complications is minimized. Another advantage of the operation is the lower number of relapses of the disease compared to other methods of fibroid removal.

Complications after surgery to remove uterine fibroids

Surgery to remove uterine fibroids is a serious intervention in a woman’s body and may be accompanied by various complications. Some of them are associated with the operation itself, while others may arise after the operation has been performed.

Complications associated with the operation

• Risk of bleeding – formed as a result of rupture of blood vessels during removal of fibroids. This can lead to blood loss and require additional surgery.
• Infections – after the operation, the integrity of the tissues of the uterus is disturbed and an infection can get into it. This manifests itself in the form of a rise in temperature, pain in the lower abdomen and general weakness.
• Injury to neighboring organs – during the operation, the bladder or intestines may be accidentally damaged, which can lead to infection and possible consequences.

Postoperative Complications

• Cardiovascular Complications – Uterine surgery can lead to high blood pressure and heart rhythm disturbances in predisposed women.
• Fibroids recurrence – although removal of fibroids is an effective treatment, in some cases fibroids may reappear.
• Hormonal imbalance – removal of uterine fibroids can lead to subsequent hormonal imbalance in a woman, which can cause new tumors to appear.

Hysteroresectoscopy to remove uterine fibroids

Hysteroresectoscopy is a surgical procedure used to remove uterine fibroids. This type of surgery is performed using a hysteroscope, a small tube that is inserted through the vagina and cervix.

The hysteroresectoscopy procedure can be used to remove small fibroids that are inside the uterine cavity. It may also be a good option for women who want to preserve their uterus for future pregnancies.

However, not all women may be candidates for this procedure. Some conditions, such as the large size of the fibroids, their location in the uterine bend, or a large number of fibroids, may contraindicate the use of hysteroresectoscopy.

If you have uterine fibroids and are considering having them removed, be sure to discuss hysteroresectoscopy with your doctor. He will be able to tell you about your individual risks and benefits of this procedure and help you make the best decision for you and your health.

Benefits of hysteroresectoscopy before surgery

Fewer complications and shorter rehabilitation period

The hysteroresectoscopy procedure avoids large surgical incisions on the pelvic organs and, accordingly, the risks associated with this. This reduces the trauma of the procedure and the time required for recovery after it.

Fast and effective tumor removal

Hysteroresectoscopy allows precise localization of pathological tissue and removal using electric current or laser. This allows you to achieve a high efficiency of the procedure and avoid repeated operations. In addition, hysteroresectoscopy can be used to remove formations of any size, which makes this procedure universal for the treatment of various forms of uterine fibroids.

Low invasiveness of the procedure

Hysteroresectoscopy allows treatment of uterine fibroids without compromising the integrity of the pelvic organs and without making wide incisions. This reduces the risk of complications such as bleeding and infection and reduces the length of hospital stay.

• In general, hysteroresectoscopy is a safer and less traumatic alternative to surgery in the treatment of uterine fibroids.
• In addition, this procedure allows you to preserve the reproductive function of women, which is an important factor in the choice of treatment.

Related videos:

Q&A:

What is uterine fibroids?

Uterine fibroids are benign tumors that develop from the muscle tissue of the uterus.

What symptoms can uterine fibroids cause?

Uterine fibroids can manifest as pain in the lower abdomen, menstrual irregularities (irregular or heavy bleeding), pain during intercourse, an increase in the size of the abdomen, and decreased urination.

How is uterine fibroids diagnosed?

Uterine fibroids are usually detected during an ultrasound examination or during a gynecological examination.

What is the operation to remove uterine fibroids?

The operation to remove uterine fibroids can be performed in various ways: open or laparoscopic access, vaginally or through a hysteroresectoscope (using endoscopic equipment). The operation is to remove fibroids from the uterus.

How is hysteroresectoscopy performed to remove fibroids?

Hysteroresectoscopy for removal of fibroids is performed using special equipment, including a tube with a camera and tools for removing the tumor.