Fibroids are benign tumors of the uterus that do not have cancer. Estrogen, known as the female hormone, leads to the growth of fibroids. For this reason, fibroids usually grow about 2-3 times during the reproductive age and pregnancy, and in menopause, if the patient does not use hormone medication, they usually shrink.
Uterine fibroids are usually noticed without symptoms during general controls. The most common complaint in people with uterine fibroids; menstrual bleeding is increased and prolonged. Due to intense and prolonged menstrual bleeding, patients usually have anemia. Fibroids can also cause inguinal pain, pain during intercourse, pain during menstruation, and lower back and abdominal pain. Sometimes, it may also be manifested by symptoms such as frequent urination.
Although the etiology of uterine fibroids is unknown, it has a genetic aspect, that is, a woman with uterine fibroids is likely to have uterine fibroids in her mother, sibling, or grandmother. Diagnosis of uterine fibroids is quite easy. Gynecological evaluation (examination and ultrasonography) is sufficient for diagnosis.
Is uterine fibroids malignant?
The probability of malignant fibroids is cancer is about one to two thousandth of a thousand. However, this possibility should be taken into consideration in the case of fibroids with very rapid growth.
Can fibroids affect pregnancy?
Fibroids, often present before pregnancy, can have direct or indirect effects on the course of pregnancy. The problems that can be caused by fibroids during pregnancy depend on the location, size and number of fibroids. The risk of miscarriage is increased in fibroids located close to the cavity. However, if it is not located in a multi-featured area, it usually does not cause any problems other than abdominal pain during pregnancy.
How is fibroids treated?
The treatment varies according to the age of the person, the desire of the child and the formation of the complaint (depending on the size and location). In general, medical treatments aimed at reducing menstrual bleeding have priority. Among these, birth control pills are the first-choice drugs if there is no age-appropriate disease that prevents the use of hormones. Hormone spiral use is also common. However, surgical treatment can be started in cases with unresponsive bleeding and uterine fibroids. If the person has the desire of a child, surgery is only appropriate in the form of removal of the fibroid. The uterus operation with uterine fibroids is a more appropriate surgical method in the near term of menopause.