Uterine fibroids: types, symptoms, diagnosis and treatments

Uterine myomatosis is the appearance of uterine fibroids, which are benign tumors that develop in the uterus from its smooth muscle: the myometrium. They are also called fibroids, fibromyomas or leiomyomas. Your treatment will depend mainly on the woman's symptoms, age and reproductive desire.

Below you have an index with all the points that we will discuss in this article.

Index

Uterine myomas: types, symptoms, diagnosis and treatments

What is a fibroid and what are its causes?

Fibroids are the benign tumors that appear most frequently in women. Normally, they are presented in multiple ways, but we can also find them alone.

They can be asymptomatic, so the actual incidence is not known with precision. However, it is estimated that 1 out of every 4 women of childbearing age presents them. They are usually diagnosed between 30 and 40 years of age.

The exact causes are unknown, but it is known that their appearance and growth are influenced by the hormones of the menstrual cycle, mainly by estrogen. A hormonal imbalance and an increase in the level of estrogen in the body can lead to the appearance of this type of tumor, which is nothing more than the growth of an abnormal mass of muscle tissue.

After menopause, because the levels of estrogen in the blood decrease, new myomas do not form and those present tend to decrease in size, although they do not disappear.

If there is growth of fibroids after menopause, it may be indicative of a malignant tumor transformation.

In some studies it has also been found that fibroids may have genetic causes, so there is a certain genetic predisposition to develop them.



Types

All fibroids originate from the myometrium. However, three types of myomas are distinguished depending on where they are located and the direction in which they grow:

Subserososcrecen towards the abdominal cavity. They can compress adjacent organs if they develop a lot, but are usually asymptomatic. They are the most common (55%) .Intramuralesse remain in the thickness of the myometrium. They proliferate in the central portion of the myometrium and increase the size of the uterus. They are also frequent (40%). Submucosal ones grow towards the uterine cavity. They are the least frequent (5%), but those that cause more symptoms, since they increase menstrual bleeding (hypermenorrhea) and can cause iron deficiency anemia. They are more likely to become malignant.

In addition, subserosal and submucosal fibroids may become pedunculated, which means that they are only attached to the uterus by a thin stem called a pedicle. If the torsion occurs, they can cause acute pain.

Location of the different types of fibroids
hysteroscopic surgery in Madrid(Spain)

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