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Uterine fibroids 7 weeks refers to neoplasms of the female reproductive system, namely the uterus, and are classified as a benign tumor of medium size (the size of the uterus with myoma 7 weeks correspond to 2-3 centimeters). Depending on the histological structure of these tumors, they can be fibroids, fibroids, or fibromyomas. Muscle fibers predominate in myoma, connective tissue - in fibroids. And in fibroids and muscle and connective tissue fibers.
The picture of this pathological condition can be erased, have minor clinical manifestations, or be completely asymptomatic. Such tumors located subserous may not give any clinical symptoms, since their size is not large enough to exert strong pressure on adjacent organs. Intramurally located myoma nodes can cause algomenorrhea - painful menstruation.
The only localization of benign tumors of the uterus, which, with such dimensions, can produce clear symptoms, is submucous myomatous nodes. They can cause pain of varying intensity: from a slight feeling of discomfort in the lower abdomen to fairly tangible, stitching pains. Also, these tumors can cause heavy menstruation, the amount of blood secreted can reach the boundary level of bleeding. Another fairly pronounced symptom of these fibroids is the presence of infertility in a married couple when it is impossible to become pregnant within one year without the use of contraceptives. These seemingly insignificant submucosal nodes, that is, growing into the uterus, deform it, interfering with the normal implantation process of the blastocyst, thereby causing symptoms of lack of pregnancy. The nodes located in the cervix or isthmus of the uterus block the cervical canal and do not allow sperm to enter the uterus, and then fertilize the egg.
If the pregnancy has nevertheless occurred, then such neoplasms can cause spontaneous miscarriages, threatened miscarriage, threats of premature birth, fetoplacental dysfunction. The danger of myoma formations during pregnancy also remains quite real. In this interesting position, the nodes are located subserously on a thin stem, have a tendency to twist and further necrosis, nutrition of these tumors can also be disturbed, dynamic monitoring of uterine fibroids during pregnancy should be carried out using an ultrasound device with a Doppler sensor to measure blood flow in the data education.
Diagnosis of tumors of this size is not difficult. However, such nodes are, rather, an accidental find, rather than a targeted search for a pathological process.
During a gynecological examination, if the node is located subserously and grows into the abdominal cavity in the area of the uterus bottom, then an obstetrician-gynecologist during a bimanual examination can palpate a node on the surface of the uterus. Ultrasound examination without any difficulties will diagnose uterine fibroids, can also be used hysteroscopic diagnosis, which can go into a medical procedure.
Uterine fibroids 7-8 weeks: treatment
Treatment of uterine fibroids. In the treatment of such myomatous formations, the leading tactics are conservative therapy, which includes the use of combined oral contraceptives, which include both estrogenic and progestin drugs. The mechanism of their action is to balance the hormonal levels and reduce the effect of estrogen on this neoplasm. Gonadotropin-releasing hormone agonists have been widely used. If progesterone-dependent myoma nodes are detected, this treatment may be ineffective. Anti-progesterone drugs of the esmia type are used, the mechanism of action of which is based on the inhibition of the effect of progesterone on this neoplasm.
Uterine fibroids 8 weeks: treatment
Uterine fibroids 8-9 weeks in need of competent hormonal therapy, which should act according to the pathogenetic mechanisms of its formation. If these conditions are met, then these tumors can be treated in a conservative manner.
Uterine fibroids 9 weeks need surgery?
The approximate size of 9 weeks is uterine fibroids 4 cm, what to do with it? Such tumors also have a chance for a cure with the help of conservative therapies.
Uterine fibroids 7 cm, what to do?
Uterine myoma sizes in weeks and centimeters, equal to 7, are already large fibroids and implies mandatory surgical treatment, while in case of a diagnosis of uterine fibroids 5 cm (treatment or surgery), non-surgical treatment is preferable.
As you can see, a slight delay in the diagnosis and treatment of such pathological conditions of the uterus can dramatically change the treatment tactics. Just a few centimeters separate myoma, which can still be treated conservatively, from the tumor that needs to be operated on.
What is uterine fibroids
For a long time, uterine myoma was positioned as a benign tumor, capable of being reborn into a malignant neoplasm under the influence of a number of factors. In this regard, when making this diagnosis, all patients were sent "under the knife." Myoma was removed, and with it the uterus. The only alternative method of treatment for non-giving women was the removal of myoma nodes with preservation of the reproductive organ. Such a “sparing” type of surgery for young women served as the only chance to become a mother.
In the 90s, studies have shown that uterine fibroids are not a benign tumor, it can be identified with an atherosclerotic plaque in the vessels or with a wen on the skin. Therefore, if you have been diagnosed with uterine fibroids, you do not need to treat it as the end of the world. Pathology is curable, modern medicine has in its arsenal several effective methods of combating myoma.
If we talk about the likelihood of developing a malignant tumor in uterine myoma, it is identical with the likelihood of developing cancer in the absence of myomatous nodes.
Causes of uterine fibroids
Previously it was believed that uterine fibroids develop in 30% of women over the age of 35 years. In fact, numerous studies have shown that fibroids develop in 80% of the fair sex. Just in most cases, the pathology is asymptomatic.
Let's figure out where this disease comes from.
The development of fibroids can be considered as a specific reaction of the uterus to damage. In this case, the damage act menstruation.
Nature has laid in the female body a procreation program, in which the ideal scenario is the following algorithm: the achievement of a girl of reproductive age, the onset of pregnancy, childbirth, and breastfeeding. This is followed by 3-5 menstrual cycles and again pregnancy. With a similar course of events, menstruation in women would occur on average 40 times in a lifetime, and the uterus would cope with its tasks. Such a life scenario is possible for women from remote tribes of our planet, deprived of the many benefits of civilization.
In practice, a modern woman becomes a mother 1-2 times in her life, as a rule, under the age of 30 years. In this case, the period of breastfeeding does not exceed 1 year. The number of menstruation in this mode is more than 400.
Numerous menstruation is not the most favorable impact on the health of women. In essence, they are a consequence of the unrealized maternal potential. At the same time every month the body of the representatives of the weaker sex is under stress. Menstruation is accompanied by pain, nausea, migraines, mood changes, decreased appetite, poor performance and, of course, abundant blood loss.
Every month, the female body launches a “preparation for pregnancy” program. If conception does not occur, the body returns all settings to the “source data”. And so every menstrual cycle lasts. As in any program, in this case the probability of failures is high, the system wears out, errors are formed. Under the influence of external and internal factors (for example, during surgical intervention or the development of infections) all these processes can lead to diseases, in particular to myoma.
Initially, fibroids are formed from very small rudiments in the muscular layer of the uterus. Under the influence of regular fluctuations of hormonal background during repeatedly repeated menstrual cycles, the beginnings of uterine fibroids begin to grow. Some of them develop quickly, some slowly, some of them may regress altogether.
The rapid growth of myoma nodes can be observed in the presence of damaging factors. Among them:
- Inflammatory processes
- Gynecological curettage, abortion, surgery.
So-called juvenile uterine fibroids are found in girls under the age of 25. Damage to the uterus muscle cells in the prenatal period leads to their development. The onset of reproductive age, accompanied by the onset of menstruation and the fluctuation of hormone levels in a girl, serves as a stimulus for the subsequent growth of myoma nodes.
The main signs of uterine fibroids
In most cases, the development of myoma nodes is asymptomatic. The main sign indicating the development of fibroids, is a violation of the menstrual cycle.
With uterine myoma, menstruation can proceed in different ways: the discharge can be both scanty and very abundant. It all depends on the size of the tumor and the stage of development of the pathology. It is also important to consider what kind of menstrual cycle the girl had before fibroids were detected.
Menstrual cycle with uterine myoma
In most cases with the development of fibroids in girls during menstruation, there are heavy bleeding. This is due to the fact that myoma nodes increase in size, put pressure on the tissue, and thin blood vessels burst. In many cases, there may be a delayed menstruation.
Each representative of the weaker sex is individual. Menstruation may be scarce or absent altogether, in the early stages of the development of pathology, menstruation often occurs twice a month.
For any violations of the menstrual cycle, you should consult a doctor.
Many girls diagnosed with uterine fibroids write off the delay in menstruation for the development of pathology. In this case, quite often the delay is caused by pregnancy. Oddly enough, but the tumor does not interfere with the successful conception. In this matter, it must be remembered that fibroids can cause abnormal fetal development, and the risk of miscarriage increases.
Before planning a pregnancy, a woman should undergo a treatment for uterine fibroids. It is good that today, modern medicine offers sparing methods of treatment instead of the previously used surgery with the removal of the genital organ.
Treatment of uterine fibroids
If you had irregularities in the menstrual cycle and as a result you were diagnosed with uterine myoma, you do not need to panic and agree to undergo an operation to remove the neoplasm. Why do doctors often prescribe surgery for patients? There are several reasons:
- They simply carry out the set plan of "surgical activity", the low indicators of which cause a flurry of criticism from the hospital management. The more operations a doctor performs, the more money he gets for it. Therefore, you will always be inclined to the surgical method of treatment. Do not panic and contact a good specialist who can solve your problem without a knife. Consultation by e-mail can be obtained by following the above link.
- Health workers are not interested in modern technology and innovative therapies. And really, why bother? There is a diagnosis - cut myoma. This is a kind of conveyor. At the same time, doctors for some reason turn a blind eye to the fact that in most cases after the removal of myoma nodes, they begin to grow again.
The newest and most effective method of treatment of fibroids is uterine artery embolization. Its appearance is compared with the beginning of a new era in the treatment of pathology.
Embolization is a blockage of the blood vessels that feed the uterus. Myoma also feeds from the uterine arteries. Given the fact that the pathology develops later than the organ itself, then the circulatory system in it is far from perfect and not thought out about violations. During embolization of the uterine arteries, the myoma dies, like a flower without watering. The uterus, in turn, continues to function safely, receiving blood flow from the arteries of the ovaries and other small blood vessels.
After this procedure, after three months, the fibroid is reduced in size by 40-45%. A year later - by 65-70%. Recurs tumor after this kind of treatment in isolated cases.
Two months after the procedure, the menstrual cycle normalizes in 90% of patients. Menstruation is no longer accompanied by copious discharge, large blood clots and severe pain.
This type of therapy does not need any additional medication. The problem of fibroids is solved once and for all.
With the diagnosis of uterine fibroids, accompanied by violations of the menstrual cycle, the correct choice of treatment is obvious. The main thing is to choose a good clinic and a qualified specialist. The doctor should not carry out the plan for the number of surgical operations performed, but first of all think about the patient's health. To select a specialized medical institution, follow the link Fibroid treatment clinics.
The consequences of uterine bleeding with myoma
Monthly with uterine myoma are abundant, often the usual menstruation turns into uterine bleeding, which is extremely difficult to stop. If the menstrual cycle has changed, the woman has felt deviations or discomfort, you must immediately visit the gynecologist. Very rarely scarce periods with fibroids.
Do not rejoice if the discharge has become much less, this indicates a serious hormonal failure.
Often, fibroids provoke bleeding during menstruation or the gap between them. Systematic blood loss will lead to irreparable consequences, so you need to promptly seek medical help. Monthly with myoma become painful, and the cycle is shortened, sometimes in a woman, they can begin twice in one month. All this adversely affects the body. The following symptoms are observed:
- general weakness
- dizziness and migraines,
- increased fatigue
- lowering blood pressure
- pallor of the skin, cold sweat.
Often, myoma is accompanied not only by menstrual bleeding, but also by pain. Persistent pain in combination with the rest of the consequences of large blood loss can lead to serious complications, and even the death of a woman.
That is why you can never neglect the signals of your body.
Hemostatic agents for myoma - traditional and traditional medicine
When the discharge in myoma has turned into bleeding, a woman can be hospitalized, because the treatment in this situation will be purely individual, and it should be selected in the hospital. If the situation is not critical, the doctor will prescribe a hemostatic preparation based on the clinical picture of the disease and the results of the examination. The most effective today for menstrual bleeding are:
Medicines can be given orally or intramuscularly.
To settle the monthly with myoma and stop uterine bleeding, you can use folk tips and recipes. However, before you make a tincture or decoction, you must consult with your gynecologist.
With the consent of the doctor to stop uterine bleeding, you can use a decoction of herbs boron uterus. Also effectively affect myoma nettle, water pepper, yarrow.
Myoma node output
Quite often, women are interested in leading doctors, can a myoma node come out with menstruation, and what to do in this case?
There is such a thing as a born myoma node. This is a tumor on the leg that grows in the uterine cavity towards the fallopian pharynx. Gradually, the myometrium is reduced around the leg, which leads to its thinning, the node becomes movable. When it falls into the vagina, the node is considered to be released, which requires urgent surgical intervention.
Why does the “birth of a node” occur in myoma, can only be established by an experienced doctor. The causes of this phenomenon include stress, increased physical exertion, and chronic inflammatory processes of the organs of the urogenital system. Symptoms of a node being out are:
- cramping sharp lower abdominal pain,
- обильные кровянистые выделения,
- падение давления,
- бледность и холодный пот,
- ощущение распирания во влагалище.
Консервативное лечение при «рождении» миомы используется крайне редко.
It may be aimed at stopping bleeding and reducing pain before surgery. Surgical treatment is that the node is captured by special forceps, is twisted and pulled down, after which it is cut off, and the damaged vessels coagulate. The final stage of the procedure is curettage of the uterus.
Monthly after removal of fibroids
If myoma was trying to get out, or the doctors noticed warning signs that the knot would soon go into the vagina, a juicy operation was performed. Today, there are several successful surgical techniques - myomectomy, hysteroresectoscopy, laparotomy and laparoscopy. After the operation, it is important to stabilize the hormonal background of the patient and establish menstruation.
When fibroids are removed, the delay in menstruation is considered a normal indicator. To establish a cycle, a woman can be prescribed hormone preparations and vitamin complexes.
Monthly periods are restored within 30-60 days. If the body has been weakened by bleeding, the first discharge will be scanty. The next time the volume will return to normal, the pain will pass.
The operation to remove fibroids affects the entire body as a whole. A woman becomes more cheerful, more active, improves mood, passes PMS. Planning a pregnancy after excision of myoma nodes is necessary not earlier than in 1.5-2 years. This is due to the fact that the body must normalize the work of the endocrine system, and the uterine scar will be strengthened.
Attempts to conceive a child earlier than the prescribed period may be accompanied by miscarriages and failures of pregnancy.
Before planning a child, a woman who has undergone removal of fibroids should consult with a doctor, undergo an additional ultrasound examination, and pass tests, including hormones.
According to the results of the general blood test, a conclusion is drawn about the degree of blood loss - low hemoglobin level speaks in favor of heavy menstruation. The coagulogram allows you to judge the state of the blood coagulation system.
Using ultrasound using vaginal and linear sensors determine the degree of anatomical changes of the uterus - size, structure, location of myomatous nodes, relationships with surrounding organs, the state of the appendages.
Doppler ultrasound allows to evaluate the blood supply to fibromatous nodes. Hydro sonography - determine the location and type of submucous fibroids. The most informative consider 3D-three-dimensional ultrasonography. Using hysteroscopy, small submucous masses are diagnosed — they determine the nature, location, size, structure, degree of growth into the myometrium.
In the presence of subserous uterine fibroids and doubts about the diagnosis, diagnostic laparoscopy is performed. Menometrorrhagia is a direct indication for performing separate diagnostic curettage of the uterus, knowing the histological picture of the pathology, the doctor prescribes appropriate therapy.
The presence of uterine fibroids suggests a clinical examination by a gynecologist in the antenatal clinic, a certain lifestyle, conservative or surgical treatment. Patients are warned about the exclusion of physiotherapy, insolation, massage, exposure to high temperatures, visiting saunas.
With minor changes in the uterus and menstruation, it is recommended to regulate the cycle with vitamins, taking them in the following mode - from the first to the fourteenth day, folic acid and B vitamins, from the fifteenth to the twenty-fourth ascorbic acid and vitamin E.
In more serious cases, the following groups of medicines are prescribed:
The amount of blood lost during menstruation is reduced with the help of drugs acting on the blood coagulation system:
- Tincture of water pepper.
- Aminocaproic acid.
- Liquid extracts of nettle leaves and yarrow.
All of these drugs are not used with a tendency to thrombosis, increased blood clotting. In order to regulate menstrual function, hormonal contraceptives are used. For patients with uterine fibroids, estrogen-progestin drugs and low-dose progestogens are preferred.
For patients with uterine fibroids, not exceeding 8 weeks of pregnancy, progestogens are recommended to reduce the size of education and the intensity of menstruation:
It is considered that the duration of taking drugs in reproductive age should be from six months to two years. Low-dose progestogens include:
They are prescribed from the 5th to the 25th day of the menstrual cycle in cyclic mode.
Women before menopause, these drugs are recommended in a continuous mode, seeking the onset of menopause, also for this group of patients it is advisable to use:
To create artificial menopause, Gestrinone or Mifepristone 2.5 mg twice a week for three to six months is used. When taking progestogens, control of platelet levels and blood coagulation is necessary!
Taking oral contraceptives for young women can be replaced with the Mirena intrauterine hormonal system, which contains Levonorgestrel progestogen.
Due to the regular intrauterine entry of the hormone into the uterine cavity, menstruation becomes scarce, up to amenorrhea (absence of menstruation), the recommended duration of exposure to Mirena is five years.
There are categories of patients for whom this type of treatment cannot be prescribed. Contraindications for hormone therapy are:
- The size of uterine fibroids in excess of 8 weeks of pregnancy.
- Submucous site localization.
- Concomitant diseases of the cervix with the threat of malignancy.
- Prone to blood clots and increased blood clotting.
- Availability of indications for surgical treatment.
- Severe disorders of the liver and kidneys.
- Malignant diseases.
- Inflammation of the genital organs (for Merena).
Women at risk of developing thromboembolism and nicotine abusers are recommended to use the oral contraceptive Charozetta on a continuous basis.
In the following cases, removal of the uterus by surgery or removal of the node with organ preservation is shown, if it is technically feasible:
- When the size of the uterus in excess of 14-16 weeks of pregnancy.
- In the case of node growth over 4 weeks in twelve months.
- With ineffective drug treatment with developed anemia.
- With the location of fibroids in the cervix.
- In case of violation of the work of neighboring organs, necrosis of the node.
Normalization of menstruation can be achieved using uterine artery embolization (EMA). After this procedure, the volume of blood lost during menstruation decreases by 3-4 times, the size of the uterus two to three times during the year by reducing the blood supply to fibroids, the percentage of effectiveness of this type of treatment reaches 95%.
The essence of the procedure is to stop the blood supply to fibromatous nodes by introducing special substances into the uterine artery. This operation is carried out in the departments of vascular surgery in a special operating room with an x-ray machine.
With the help of an angiograph after preliminary examination and exclusion of all contraindications, a catheter is inserted into the femoral artery, installed in the uterine artery, gelatin embospheres or other artificial emboli are injected.
A nutrient-free node undergoes a gradual regression. This method of treatment has a very low percentage of complications, is effective in young women. The method can be an alternative for patients with contraindications for hormonal therapy (thrombophlebitis, obesity, diabetes mellitus), as well as for patients with adhesive disease. EMA does not apply during menopause, in the presence of an acute inflammatory process in the female genital area, suspected of malignant neoplasms.
Summing up, it is necessary to note the variety of methods of treatment of heavy menstrual periods with myoma. The choice of one of them is made by gynecologists, based on the clinical picture of the disease, the severity of complications, data on the state of health in general, and the woman’s realization of her reproductive function.
In some cases, there are abundant periods with myoma. This situation develops because in the uterus there is an increased cell division, due to which myoma grows. But this division also affects the endometrium. As a result, it is unevenly thickened over its entire area. Also, he can not and evenly reject.
Why with myoma abundant discharge? If endometrial thickening is significant, then the rejection is more active. Outwardly, it manifests itself as more abundant periods with fibroids.
When myoma occurs thickening of the endometrium
This condition is quite dangerous. As a result, the body loses blood. There comes oxygen starvation (hypoxia) of the pelvic organs. In some cases, with such prolonged menstruation, persistent anemia is formed. In other cases, hemorrhagic shock may even occur.
Scanty periods with uterine myoma are much less common. It is also a sign of a hormonal imbalance, which suggests that the endometrium is retracted insufficiently intensively. Such a deviation can lead to faster growth of fibroids.
Another reason for the poor monthly in this case is a very large fibroid. It can prevent the flow of menstrual blood from the uterus. As a result, a cavity is formed in the organ, which is filled with blood. It can only be removed surgically.
Can there be bleeding outside the menstrual cycle with myoma? This is a characteristic phenomenon associated with the update of the endometrium. The active production of the hormone estrogen (which provokes the growth of a cyst) leads to the fact that the endometrium is unevenly thickened. In places of excessive thickening, it can be rejected and not in connection with menstruation. In addition, in this condition, not the entire endometrium is updated during menstruation. And some cells are rejected after menstruation.
There are other reasons for such phenomena. They are associated with the contractility of the body. The presence of tumors has a significant load on the muscle layer of the uterus. As a result, it negatively affects the arteries. For this reason, they do not contract in a timely manner, and bleeding occurs.
Uterine bleeding with myoma, usually have a smearing character. They are not too abundant (in the unrolled case). However, with their constant presence can cause the development of anemia. As a result, weakness, drowsiness, pallor of the skin.
Increased menstrual pain is a characteristic feature of fibroids. Pain in the lower abdomen may be present and without regard to the monthly. But in the period of menstruation, they always increase. There are several reasons for this:
- Myoma is combined with adenomyosis or endometriosis,
- Localization of fibroids in the intercoupling or submucosal space,
- Large fibroids squeeze the organs located nearby - the intestine, bladder.
Strictly speaking, pain occurs because the uterus tries to push the tumor out of its cavity, contracting intensively. According to the mechanism, it remotely resembles labor contractions during labor.
The most characteristic is the occurrence of symptoms for small nodules. If they are located in the interconnection space, then the pain can be intense. At the same time they reach maximum intensity in the first days of the cycle. Then their intensity decreases, but they do not disappear at all. May appear periodically and not during menstruation.
Since the menstrual cycle is regulated by hormones, it can change with myoma. After all, the occurrence of fibroids also occurs exclusively with hormonal imbalance. There is a significant shift in the time frame of the cycle. Usually, more frequent menstruation occurs. Although the cycle becomes much shorter, it often does not go beyond the normal.
This change is accompanied by increased menstrual pain and more heavy bleeding. At the same time, they can last much longer than usual - up to 7-10 days.
In rare cases, it is possible and delayed menstruation. This happens in the early stages of the disease. Delay of menstruation in uterine myoma occurs when the tumor has arisen as a result of ovarian dysfunction. There may also be a delay in myoma for the following reasons:
- Violations in the structure of the myometrium and endometrium,
- Impaired blood circulation
- Violation of blood outflow.
Do not forget that although the probability of pregnancy with myoma is low, it is still there. For this reason, it is important to bear in mind that the delay in menstruation with uterine myoma could occur due to the occurrence of pregnancy. Therefore, with a long delay, in any case, it is recommended to make a test.
Consistency of discharge
For tumors in the body, there may be other types of disorders during menstruation. The consistency of the discharge often changes. This is due to the fact that with characteristic changes in the myometrium, the amount of direct blood in the secretions increases. Because of this, they become more dense, clots can form.
Changing the color of selections. They become bright scarlet or dark. This happens, also, due to the large amount of blood in them. In the discharge may be fairly large fragments of the endometrium, as a result, it leaves the body in the form of fairly large clots.
However, sometimes the density of discharge is significantly reduced. They are liquid, almost like water. This is a sign of uterine bleeding. If it is intense, it is recommended to consult a specialist. It is usually impossible to cope with such a phenomenon on its own.
Can myoma come out?
As mentioned above, pain during menstruation may be associated with intense spasms of the smooth muscles of the uterus (myometrium). There is a process similar to the generic activity (contractions). In its course, the uterus tries to push the tumor, i.e. myoma.
In some cases, she succeeds. For example, when myoma is small or, on the contrary, very large. Or it has a narrow base. This is a rather unfavorable course of the disease. The process is accompanied by very strong pain. After it develops very intense bleeding. In such a case, only the doctor can stop the bleeding.
What to do?
Any changes in the menstrual cycle are an indication of serious hormonal changes in the body (as is myoma itself). Hormonal background, in any case, must be normalized. However, the problem can be completely solved only by changing the node. Sometimes there is no need to remove it surgically (with small formations). In this case, the specialist prescribes hormone therapy, which normalizes the menstrual cycle and stops the growth of the tumor.
In this case, you can not self-medicate. Acceptance of hormonal drugs can also worsen the condition if they were not properly selected. There are several popular recipes for reducing the intensity of discharge. But their use also needs to be coordinated with the doctor.
It is believed that stopping the bleeding can help some methods of herbal medicine. They are not as effective as drugs. Therefore, in severe conditions you should not rely on them completely. Especially popular are the following recipes:
- It is necessary to mix herbs of pepper mountaineer, nettle and shepherd's bag in equal volumes. Measure out 2 tablespoons of the mixture and pour them with one glass of boiling water. Let the mixture stand for 10 minutes and drink it three times a day for half a glass. You need to start the reception 3 days before the start of the month and take it until the last day
- Crimson and mint leaves are taken in equal proportions, and brewed as tea. Drink you need to insist under the lid for 5-10 minutes, and then add vibrated vinegar with sugar. To consume such tea you need as much as you want,
- One tablespoon of stigmas of corn brewed in one glass of boiling water. Infused half an hour broth. You need to drink it 6 times a day, every three hours, and 1 tablespoon. It normalizes the cycle even in the case of a delay.
The peculiarity of such funds is that they do not need to be taken constantly. It is enough to periodically conduct a short course of 7-10 days.
Drug normalization of the menstrual cycle is carried out with the help of drugs of two groups. Hormonal agents normalize hormonal balance, that is, they eliminate the immediate cause of the phenomenon. Hemostatic drugs with heavy menstrual periods with myoma relieve severe symptoms and prevent significant blood loss.
The most commonly prescribed doctors are hormone drugs:
- Zoladex, Nofarelin and Decapetil stop the production of certain hormones in the body. For the period of treatment monthly stop altogether
- Norkolut and Duphaston reduce the production of estrogen in the body. As a result, the cycle is normalized. And sometimes the myoma resolves.
В качестве кровоостанавливающих средств применяются Викасол, Этамзилат, Диферелин, Транексам, Аскорутин и др. Они ускоряют свертываемость крови и не позволяют эндометрию так активно обновляться. Особенно показаны при маточных кровотечениях.
Все препараты имеют ряд противопоказаний и должны назначаться исключительно врачом.
Месячные после операции
Changes in the menstrual cycle sometimes occur after surgery to remove the tumor. Normalize the cycle in this case, you need hormonal drugs. This is done under strict medical supervision. Read more about this in the article "Monthly after removal of uterine fibroids."
What is fibroids and how does it affect menstruation
Myoma is a benign tumor. Neoplasm consists of connective tissues and muscle cells. It can be of different types; the place of localization also depends on the species. If a woman regularly visits a gynecologist, then it will be quite easy to identify myoma. To establish an accurate diagnosis using hardware methods. Myoma does not pose a threat to life, but it is impossible to ignore the disease, otherwise there will be serious complications.
Most often, the disease occurs due to hormonal displacement of estrogen. For this reason, there is a decrease in the concentration of progesterone in the female body. It is these two hormones listed that form the female cycle. If the concentration of at least one of these hormones deviates from the norm, it instantly affects the menstrual cycle. In women who have an abortion, the chance of a tumor is the highest.
More about myoma read here.
Temporary cycle violations
Due to the hormonal failure, the saturation of the secretions may increase, and the time frame of the cycle may shift. During illness, multiple periods are not uncommon. Menstruation becomes much more painful, and the cycle is shorter. The reason that a woman sometimes suffers from the “red calendar days” several times a month is a violation of the production of sex hormones. Their excess leads to the development of the endometrium, as a result of which it is rejected faster and no longer falls within the normal range.
Delay of menstruation in fibroids is not so frequent, but when asked if this can happen, you should answer that yes, it’s not worth excluding this possibility and there is a delay during the illness. This is usually seen at the initial stage if ovarian dysfunction has affected the appearance of the neoplasm. Long waiting for the menstrual cycle is changed by rapid bleeding. If there are no periods for a long time, it becomes a weighty reason for a woman to consult a gynecologist, since this is a violation of the norm. If the menstrual cycle is delayed, there are several reasons:
- the structure of the myometrium is changing,
- microcirculation in blood vessels of the endometrium is disturbed,
- gestation period.
Many people mistakenly believe that the last item with such a disease is simply impossible. But in fact, the situation is this - myoma does not necessarily have to interfere with pregnancy. However, it can affect its development, leading to miscarriage. For this reason, the absence of menstruation obliges a woman to make a test. In order not to get pregnant during the illness, you should carefully monitor the menstrual cycle - if the number of days and intensity exceeds the rate, if so, how much. Few discharges can last no longer than three days, but they are abundant, sometimes lasting more than seven days.
The abundance of secretions
Doctors identify the size of the uterus of pregnant women with the size of the tumor. Statistics says that the greater the size of fibroids - the more abundant the monthly flow. But this is not entirely true, even if the tumor is at the initial stage, strong discharge may already be felt.
Abundant periods with myoma may occur due to such reasons:
- operations that were done before (abortion, scraping),
- an increase in neoplasm and its enhanced pressure effect on tissue,
- if myoma is located in the submucosa.
The last point explains that the vessels of the tumor nodes burst, thus they contribute to the volume of menstruation. The disease affects both the volume of discharge and the duration of menstruation.
Blood clots like liver
Uterine fibroids violates the process of rejection of the endometrium and deforms the organ cavity. Most often this happens due to the larger size of the tumor, as well as due to submucous formations that are located inside. For this reason, patients experience heavy bleeding, as well as blood clots with menstrual livers. One piece can be quite impressive in size, at least 5 centimeters. Clots appear both during the daytime and at night.
Uterine bleeding (not menstruation)
When a woman first encounters fibroids, she immediately has an association with bleeding. This factor becomes decisive during the whole disease. An excess of estrogen provokes bleeding between cycles. This affects the thickness of the uterus, it becomes non-uniform. As a result, in the case of menstruation, an incomplete tissue rejection occurs - some areas reject extra cells, while others do not. After a short time, the process of cleansing these areas. This contributes to bleeding between cycles.
Monthly pains with myoma
The tumor can increase pain during menstruation in almost every woman. Most often, the painful symptoms are observed in those patients whose fibroids are located in the intermuscular region. Such a tumor can grow in the direction of the organ cavity. The menstrual cycle with this fibroid is long and quite intense. True pain becomes less noticeable, however, does not disappear forever, even at the end of menstruation. The listed symptoms are pronounced in the event that the tumor is supplemented with adenomyosis. This is the process when the endometrium penetrates into the adjacent layers of the organ.
Similar manifestations are also possible in the case of submucosal tumors. Only the nature of the pain is somewhat different, it resembles contractions. This is due to the fact that the uterus is trying to get rid of the tumor, as if pushing it out of its cavity. Sometimes it really reaches its goal and myomatous nodes go along with the monthly.
Myoma during menstruation can increase pain, because it has a pressing effect on neighboring organs. Most of this affects the bladder and intestines.
How much are monthly with myoma
The duration of menstruation depends on many factors, primarily, on the degree of profusion. If the discharge is quite scarce, then the menstrual cycle will not last long, a maximum of 3-4 days. In the event that a woman is faced with copious secretions, then menstruation can last more than a week. The reasons for the degree of profusion are described above.
How to stop bleeding
A tumor during the menstrual cycle tries on the role of a catalyst. It is characterized by abundant discharge, which causes women to lie still in bed. If myomatous nodes are small and, at the same time, do not grow, doctors will not perform the operation. However, transferring permanent abundant discharge, which weaken and deprive of strength, is also not an option. This guarantees a woman a minimum of anemia, in the worst case death is possible due to blood loss. Therefore, patience here will definitely be superfluous. The question “What to do in such a situation?” Arises: you need to look for a suitable option that will help to stop the bleeding in case of myoma. There are special preparations, as well as folk recipes. Before you make a choice in favor of a particular remedy, you should definitely consult with your doctor.
Sometimes patients prefer folk recipes, rather than treatment with medication. In this way it is impossible to achieve a complete cure of the tumor, but there is a chance to stop blood loss and start the process of regression.
The most effective recipes are:
- Nettle and yarrow should be chopped into small pieces (20 grams), and then pour boiling water. Then the solution should infuse for about an hour and a half. Tincture is necessary to drink three times a day for 11 days (100 ml),
- dry cucumber lashes are filled with boiling water, then infused for 50 minutes. It is necessary to use broth three times a day (on 120 ml). As a result, the bleeding will stop in the first 24 hours. To get the desired effect, be sure to adhere to bed rest,
- combine mint leaves with rowan berries in equal proportion. Brew tea three times a day. It is necessary to drink it until the state of health improves,
- you need to take at least seven oranges and pour them with 1 liter of boiling water. When the liquid takes up about a third of the capacity, you should add sugar. A decoction is used at least four times a day (12 tablespoons).
The listed recipes are the most popular and effective. But do not forget that traditional medicine is obliged to play only a supporting role. Without consultation with doctors can not do. Therefore, you first need to go through a series of surveys and pass the necessary tests.
Gynecologists decided to measure the tumor volume in weeks of pregnancy. For treatment, doctors use drug therapy and surgical resolution. When uterine fibroids are detected, not only the size, but also the type of tumor are decisive. If it is not aggressive, has a tendency to grow rapidly and the size is determined to 12 weeks, do not resort to radical treatment.
A small node from 2-4 weeks of pregnancy is observed in dynamics, a woman needs to correct hormonal levels and normalize metabolism. After undergoing a course of treatment, fibroids slow down their growth or disappear completely. To help the main treatment prescribed immunity stimulants, homeopathic remedies. Periodically it is necessary to undergo a course of physiotherapy treatment.
How to diagnose myoma?
After a visit to the doctor with characteristic complaints, a visual examination will be carried out and the history of the disease will be examined. To find out the cause of the changes in the menstrual cycle, the patient will be assigned additional examinations for the pain syndrome:
- ultrasound examination
- blood test for leukocytes and hormones,
- X-ray examination of uterus vessels and blood circulation parameters,
- Magnetic resonance imaging.
With large blood loss, there is not enough symptomatic treatment, the patient is hospitalized. Sometimes the occurrence of uterine bleeding speaks of the process magnetisation, that is, the transformation of fibroids into a malignant tumor.
Types of fibroids
Myoma can be single or multiple. In the first case, it has clear boundaries, in the second - it is impossible to distinguish nodes.
- Subserous - formed in the muscle layer of the uterus. As a rule, does not lead to disruption of the menstrual cycle.
- Submucous - located in the submucosa of the uterus. For him, heavy bleeding with the development of subsequent anemia is characteristic. It complicates the process of conceiving a child.
- Intramural - located in the middle of the muscle layer, with its active growth and the uterus increases. Therefore, the growth of the node and is in weeks. Under pressure, myoma squeezes the surrounding organs. This leads to a change in the menstrual cycle.
Depending on the location and nature of the node, individual treatment is selected, the age of the woman and the ability to conceive are also important.
Features of the flow of menstruation
Myomatous node may be at rest for a long time. The following factors affect its growth:
- Wrong hormones,
- chronic inflammatory processes in the organ cavity,
- traumatizing the mucous field of abortions and operations on the uterus,
- genetic predisposition
- late childbirth,
- use of oral contraception for a long time.
Indirectly, the development of the fibromus is affected by excess weight, alcohol and nicotine abuse, nervous tension for a long time, and poor ecology.
Radical treatment methods are resorted to only in emergency situations, the preservation of reproductive function is the prerogative of doctors.
Depending on the amount of progesterone and estrogen, menstrual periods become scarce or abundant, pieces of tissue can move away. The cycle becomes irregular, the number of days of menstruation increases.
Duration and cycle violation
As a rule, changes in the cycle occur when the size of fibroids from 12 weeks of pregnancy. Sometimes the period becomes abundant in the earlier period of development. Violations of the menstrual cycle occur due to hypertrophy of the body, the proliferation of connective tissue. With organ pathologies, it will be irregular, of varying intensity, often accompanied by pain.
Monthly can be twice a month, the cycle becomes shorter, and the pain syndrome is more pronounced. The reason for this pathology in the overgrowth of the endometrium due to hormonal failure.
Less common is delayed menstruation, a phenomenon that occurs in the early stages of the development of fibroids and is associated with a lack of production of sex hormones by the ovaries. At the same time, the long-term monthly bleeding is replaced by abundant and painful. For whatever reason, there are still no menstrual bleeding:
- changes in the structure of the muscle layer of the uterus,
- insufficient microcirculation of endometrial vessels,
Poor menstruation can last about 3 days, copious, on the contrary up to 10 days.
The reason for the change in the amount of blood volume during menstruation is that the tumor increases in size along with the uterus before they begin. Thus, there is an additional pressure on the fabric. The submucous myoma stretches the space of the shell of the organ. The circulatory system of myomatous nodes breaks upon stretching, due to this the volume of bleeding increases.
Monthly with uterine myoma abundant due to changes in endometrial tissues: without changing their intensity, they can last up to 7 days.
The consistency of the discharge in pathology can be different: from watery to thick, with chunks. Color ranges from scarlet to brown. Where do the clots come from? These are pieces of endometrium that are unevenly changed in thickness. In the first and second case, you must seek medical advice. Stop uterine bleeding often occurs only in stationary conditions after a thorough diagnosis. The condition cannot be ignored, as in case of large blood loss, general weakness, anemia and even loss of consciousness increase.
There are much less scanty periods and are also not a variant of the norm.
Spotting brown discharge after menstruation
Brown discharge after the end of menstruation for 1-2 days may be a variant of the norm. If they last longer and resemble menstruation in intensity, this is due to the growth of the endometrium and pathological processes in the organ.
Bleeding between periods occurs due to an excessive amount of estrogen, which leads to an uneven thickening of the uterus. During menstrual bleeding, there is no complete rejection. Endometrium is unevenly updated and the rejection of the remaining cells occurs later.
Another cause of uterine bleeding is a violation of the contractile ability of the reproductive organ. Tumor growth leads to excessive stress on the arteries. Symptoms of intermenstrual bleeding are:
- feeling of general weakness
- pale skin
Other symptoms of uterine fibroids
If you find one or more symptoms, you must consult a doctor for further diagnosis and diagnosis:
- Lower abdominal pain during and between the menstrual cycle. Since the pain threshold is different for everyone, the intensity is described differently. Radiation to the lower back and perineum is observed.
- Changes in the cycle, which is expressed in the lengthening of menstruation, large blood loss, uterine bleeding.
- The presence of fibroids often prevents conception or leads to miscarriages.
- With the development of a tumor, a woman's abdomen grows, and the weight does not change significantly.
- The exacerbation of pain syndrome is often observed after experiencing emotional distress.
- Difficult bowel emptying process, urination.
- Abundant blood loss leads to exhaustion and anemia.
The detection of these signs indicates the presence of an inflammatory process and requires immediate medical intervention.
What to do with bleeding with myoma?
Therapy for bleeding with myoma depends on its size. If node removal is not indicated, hormonal background is adjusted with oral contraceptives.
The third-generation drugs affect the tumor, preventing its further growth and development. The advantage of their use is the prophylactic effect of the drug. Symptomatically, hemostatic agents may be prescribed as needed, for anemia, iron supplements, painkillers.
Characteristic signs of uterine bleeding:
- long, more than 7 days of menstruation,
- copious amounts of clots in secretions
- increase in general weakness
- severe pain with iiradation in the lower back,
With a small amount of fibroids, up to 1.5 cm, doctors prescribe Logest, Mersilon, Ovidon. Средства обладают одинаковой фармакодинамикой и положительно воздействуют на репродуктивную систему женщины. Возможны побочные явления в виде слабости и увеличения веса.
Дидрогестерон, содержащийся в Дюфастоне, предотвращает гиперплазию эндометрия. The drug does not have a contraceptive effect, therefore, during the course of therapy, conception is possible. Since oral contraception does not protect against genital infections, it is necessary to carefully choose a partner. Treatment lasts from 6 months. up to a year depending on the stage of the disease.
Gonadotropin-releasing hormone antagonists not only reduce the size of myomatous nodes, but also reduce pain. Their action is to stimulate the pituitary gland, an increase in the synthesis of hormones leads to the cessation of growth of connective tissue. Such drugs include Zoladex, Dekapeptil, Buserelin. Among the side effects of irritability, depression, lack of menstruation.
- To stop heavy bleeding, doctors prescribe Vikasol. Vitamin K, which is part of it, increases blood clotting.
- Etamzilat has a longer effect. Its effect is to increase the production of blood platelets.
- Diferelin is prescribed in injections and blocks the production of follicle-stimulating and luteinizing hormone.
- Ascorutin helps to strengthen the walls of blood vessels, may be prescribed in complex treatment. Ditsinon helps to reduce the permeability of capillaries, the active substance etamzilat.
Methods of folk therapy
Phytotherapy for the normalization of menstruation should be used only after prior consultation with the doctor. In addition to an allergic reaction to individual components, some herbs can stimulate the development of myoma nodes. Popular recipes of folk treatment:
Infusion of herbs to stop heavy discharge
It is necessary to combine water pepper, shepherd's bag, nettles. All components are taken equally (2 tablespoons) and poured a glass of boiling water. In 10 minutes. collection can be drunk. A single dose of 100 g, the multiplicity of 3 times a day. Drink decoction should be started a few days before menstruation and throughout the bleeding.
Tincture on alcohol
Insist pine nuts, ginger, mummy, propolis, pine forest. To prepare the medicine you need to take:
- pine forest - 50 g,
- Vodka - 500 ml.
Alcohol tincture is stored in a dark cool place for 2 weeks. Accept inside on 40 drops, 3 times a day.
Corn decoction broth.
At 1 tbsp. boiling water will need 1 tbsp. herbs, you need to insist half an hour. It is necessary to accept infusion up to 6 times a day with a break of 3 hours on 1 st.l. The tool can be drunk with heavy and scanty menses.
The therapeutic power of herbs is not used as the main method of treatment, it is used in complex treatment to strengthen the body.
It should be?
Normally, a woman's menstrual cycle must meet certain criteria:
- The duration of the entire cycle - from 21 to 35 days,
- Regularity: deviations up to 2-3 days in any direction are allowed,
- The duration of monthly bleeding is from 3 to 7 days,
- Moderate volume (one average gasket for 3-4 hours). Intense emissions are observed in the first days of the cycle, then they become much smaller,
- Painless or moderate soreness in the first days of bleeding that does not require the use of analgesics,
- Lack of intermenstrual discharge.
The menstrual cycle has a regular nature. It plays an important role in the reproductive health of women.
With uterine myoma, the menstrual cycle changes, and this is the first sign of illness. The nature of the discharge becomes different. And even if at the initial stages of tumor development a woman does not notice any particular changes or blames them on fatigue and stress, then over time the failure of the menses becomes obvious.
Do not delay to visit a doctor! It is necessary to consult a gynecologist at the first signs of pathology. This is the only way to detect myoma in time and start appropriate treatment until complications appear.
Why does the nature of the monthly changes in myoma
The exact mechanisms of this phenomenon are not fully understood. There are several theories to explain the failure of the menstrual cycle in fibromyoma:
- The development of the node leads to the growth of the uterus. The area of the endometrium increases, which becomes the cause of heavy discharge,
- Replacement of normal muscle tissue with fibroid cells creates unfavorable conditions for the functioning of the uterus. Myometrium can not be fully reduced, which leads to the appearance of intermenstrual discharge and acyclic bleeding,
- A large submucous myoma changes the architectonics of the uterine lining, which provokes a prolongation of menstruation,
- At a certain stage of its development, the tumor begins to produce its own hormones, which affects the work of the ovaries, leads to a delay of menstruation and other disorders,
- Uterine fibroids are often combined with endometriosis, which also does not contribute to the normal course of menstruation.
Fibromyoma occurs predominantly in women over 35 years old, including after postponed abortions, traumatic births, and various interventions on the uterus. All this can cause hormonal failure and lead to a change in menstruation.
Women over 35 years old are most susceptible to the formation of benign tumors.
How does a neoplasm behave on different days of the female cycle?
The behavior of the tumor changes in different phases of the menstrual cycle. In the first two weeks before the onset of ovulation (follicular phase), the node remains stable. Minor tumor growth is observed in the second (luteal) phase of the cycle, when progesterone rules the ball. Under the influence of this hormone fibroids increases, reaching a maximum immediately before menstruation. During menstruation and immediately after the bleeding is completed, the node shrinks, returning to its normal state.
Knowing how fibroids behave throughout the entire menstrual cycle, you can choose the optimal time for an ultrasound scan:
- Ultrasound examination with subserous and interstitial myoma nodes is performed on the 5-7 day of the cycle. During this period, the endometrium is rather thin, and the mucous membrane of the uterus does not interfere with the examination of the tumor,
- In submucous myomas, ultrasound can be performed at the beginning of the cycle, as well as on days 19-24. An increase in the endometrium during this period plays into the hands, since the proliferation of tissues makes it possible to better discern the submucosa.
Interestingly, different types of fibroids are clearly visible on ultrasound in different phases of the cycle.
In the second phase of the cycle, ultrasounds are usually not done. The growing endometrium overlaps the small nodes, and the doctor may simply not notice the tumor behind the proliferating inner layer of the uterus. Everything else, in the luteal phase of the myoma can be taken yellow body.
Ultrasound with myoma is not done in the middle of the cycle, on the days of supposed ovulation. At this time, a dominant follicle can be mistaken for a tumor, and the probability of a diagnostic error is high.
The aspiration biopsy of the endometrium is often included in the examination scheme for myoma. The material is taken in the second phase of the cycle. The resulting aspirate is sent for histological examination in the laboratory. The material for histology can also be taken during menstruation - for example, if a woman is admitted to hospital for therapeutic curettage of the uterus due to incessant bleeding.
In the second phase of the menstrual cycle, endometrial biopsy is performed for histological examination.
Failure of the menstrual cycle as the leading symptom of pathology
Understanding how a tumor affects menstruation, you can predict their change in a woman:
- Menstruation becomes long and lasts more than 7 days. It is important to understand that if, before the disease in a woman, the discharge lasted only 3 days, then lengthening the bleeding time even up to 5-6 days is an alarming symptom
- Monthly become plentiful: requires frequent changes of pads or tampons (every 2 hours or more),
- In the first days of the cycle, menstruation comes with clots (characteristic of a combination of fibroids and adenomyosis),
- Menstruation becomes painful. Often, the treatment of unpleasant symptoms requires the use of antispasmodics or analgesics. The pain gives back, sacrum, crotch,
- There are bloody discharge before menstruation or immediately after it (blood after menstruation or prolonged daub is noted several days before the change of cycle). This symptom is also more characteristic of combined gynecological pathology.
One of the symptoms of uterine fibroids can be severe pain in the lower abdomen during menstruation.
The menstrual cycle with fibroids varies in different ways, but almost always in the direction of increasing the duration of menstruation and the amount of bleeding. Scanty periods for fibroids are not typical.
If you view reviews of women suffering from fibroids, you can find a certain pattern. In most of them, menstruation is strong and painful, they go 6-7 days or more, accompanied by a deterioration of health. Often, failure of menstruation is associated with a postponed abortion or traumatic childbirth. In addition to menstrual irregularities, persistent pelvic pain, constipation, and increased urination are typical symptoms of complicated fibroids.
The flow of menstruation with fibroids is influenced by various factors:
- Localization node. Pronounced changes are noted in submucous myomas. Subserous knots on the leg do not lead to disruption of the cycle,
- The size of the node. The first symptoms occur when myoma reaches a diameter of 2-2.5 cm. The greater the volume of the node, the brighter the disturbances will be. With a tumor size of 10-12 weeks of pregnancy, there are not only bleeding, but also signs of pelvic organ compression,
- The number of nodes. The more formations located in the uterine muscle layer, the higher the probability of failure of the menstrual cycle.
The probability of failure of the menstrual cycle increases with a large number of myomatous nodes.
Often on the Internet you can find discussions about how uterine fibroids came out during menstruation. Theoretically, a submucous knot on the leg can come out on its own, but in practice this phenomenon is usually accompanied by severe pain and significant bleeding. Unnoticed, the birth of a submucosa will not pass. On the contrary, this condition is considered to be life threatening for a woman and requires hospitalization in a gynecological hospital. Interstitial and subserous nodes cannot leave the uterus independently during menstruation.
Intermenstrual discharge and acyclic bleeding
The mid-cycle spotting is one of the most prominent symptoms of fibroids. According to reviews, this phenomenon is noted quite often. A woman complains that she has her period every 2 weeks or smears before the expected date of regular bleeding, but this condition has a completely different reason. This is not monthly, but intermenstrual bloody discharge, arising mainly in interstitial and submucous myoma. Their intensity can vary from a scanty brown discharge to abundant scarlet, resembling a full monthly.
Intermenstrual discharge in uterine myoma may in their intensity resemble menstrual bleeding.
Intermenstrual discharge in the middle of the cycle quite often turn into bleeding. Allocation increases, the woman's condition worsens on the background of blood loss. The result is one - hospitalization in hospital and curettage of the uterus. According to indications, intensive therapy, correction of anemia, etc. is carried out.
Delayed menstruation and uterine fibroids: is there a connection?
Can there be a delay in menstruation with myoma? Yes, but this is not the most typical symptom of pathology. The absence of menstruation can talk about the development of such states:
- Pregnancy. Against the background of uterine fibroids, it is possible to successfully conceive, but certain risks are created when the fetus is born. With a delay of 5-7 days or more, you must make a test or donate blood for hCG. These analyzes will determine whether the conception of the child. With a delay of 2-3 weeks in the diagnosis of pregnancy will help transvaginal ultrasound,
- Spontaneous miscarriage. If, after a considerable delay, unusually heavy periods have come, it is necessary to see a doctor and exclude abortion,
- The presence of comorbidities. Some gynecological and somatic diseases affect the menstrual cycle and cause it to fail,
- Premenopause. Violations of the female cycle at the age of about 40 years may indicate the development of menopause,
- Medication. Against the background of gonadotropin-releasing hormone agonists and some other means, menstruation may disappear altogether, and this is normal,
- Condition after surgery. The transferred operation can lead to a delay of the monthly. After removal of the fibroids, the cycle is restored within 1-3 months, and in this case it is not necessary to panic.
After treatment of uterine fibroids, a woman’s menstrual cycle is surgically restored, usually within a few months.
According to reviews, some women who successfully conceive a child, note the appearance of bleeding when bearing a fetus. It is important to understand: there can be no monthly periods during pregnancy even with fibroids. A bloody discharge from a future mother is a sign of a miscarriage, an injured decidual polyp or other pathology. It is imperative that you consult a doctor to rule out life-threatening conditions and begin treatment.
Climax, fibroids and menstruation, or how the cycle changes after 40 years
When a woman enters the climacteric period, the production of sex hormones is reduced. At this time, uterine fibroids should significantly decrease in size or even disappear completely. Unfortunately, this is not always the case, and the appearance of bleeding in menopause is an alarming symptom.
Possible causes of bleeding in menopause:
- Growth of myoma node and increase in uterus size,
- The development of sarcoma or endometrial cancer,
- The appearance of a different concomitant pathology of the reproductive organs.
Long, heavy or painful bleeding in menopause is a reason to be examined by a gynecologist.
If during menopause a woman has spotting, you should immediately consult a doctor, because it is an alarm signal, indicating the presence of pathology in the reproductive system.
For a tumor of the uterus is not characterized by the appearance of other secretions, except for the bloody. The occurrence of associated symptoms may indicate the development of one of the following conditions:
- Mucous discharge in the middle of the cycle speaks of ovulation, with the delay of menstruation - the occurrence of pregnancy
- Yellow, green, whitish-gray, cheesy discharges are found in inflammatory processes in the reproductive organs,
- Brown or clear watery discharge occurs in the pathology of the cervix.
All of these conditions are not associated with myoma, but can aggravate its course and provoke the development of complications.
How to stop heavy periods during a tumor
What to do if myoma is bleeding? First of all, you should contact your gynecologist. Even minor spotting may indicate the development of complications and comorbidities, not to mention heavy bleeding.
Situations in which the help of a doctor is required as soon as possible:
- Menstruation does not end for 7 days or more,
- Gradual increase in bleeding and lack of effect from the therapy,
- The appearance of severe pain in the lower abdomen,
- General deterioration: severe weakness, dizziness, loss of consciousness,
- Sensation of a foreign body in the perineum,
- Menopause bleeding,
- Spotting during pregnancy at any time.
If bleeding occurs during pregnancy, it is necessary to consult a doctor as soon as possible.
To stop blood loss, a woman can drink medicines (Vikasol, Ditsinon), but their effectiveness is very doubtful. First aid for bleeding from the genital tract is curettage of the uterus (provided that the woman is not pregnant and wants to save the child). Removal of the mucous layer allows not only to stop the bleeding, but also provides an opportunity to take the material for histological examination. Further tactics will depend on the results of the diagnosis.
Is it possible to reduce bleeding during menstruation with myoma and relieve the woman's condition? Do I need to do this at all? Reviews gynecologists unequivocal: you can not tolerate, and when the first symptoms should think about the treatment:
- Acceptance of hormonal drugs course for 3-6 months or more,
- Surgical treatment of fibroids.
It is important to understand: all hormonal means can stabilize the growth of the node and temporarily save the woman from the pathology, but do not imply a complete cure. Drug therapy will shorten the period and make them less painful, but the tumor will remain in the uterus. The guaranteed effect is only surgical treatment. Whether it will be uterine artery embolization or myomectomy is decided after a full examination. In special cases, with heavy and frequent bleeding that threatens a woman’s life, the uterus may need to be removed.
What is fibroids and the causes of its occurrence?
Myoma is a benign tumor. It may consist of connective or muscle tissue. Education can be located in different parts of the uterus, and its diagnosis is made by hardware methods. Именно от характера расположения миомы зависит изменение характера протекания месячных в виде задержки или обильных выделений.
Причин возникновения опухоли может быть много, в том числе нарушения гормонального фона в организме. When abnormal hormones such as estrogen and progesterone are abnormal, there are changes in the intensity of secretions. The reason for the appearance of tumors may be the result of surgical interventions in the form of abortions, scraping.
Before the onset of menstruation, the size of the fibroids increases, thereby increasing the level of pressure exerted on the tissue.
Features of the flow of menstruation
Monthly with myoma in most cases have the character of abundant discharge, but there may be a delay. In some cases, the usual beginning of menstruation seems to flow into the bleeding, which is extremely difficult to stop. Rare and scanty discharge with this disease are, but such cases are extremely rare. Experts recommend that at the first sign of changes in the nature of the monthly contact a specialist immediately.
Often with fibroids, the cycle of menstruation is lost, in which discharge can begin twice a month. Menstruation is accompanied by severe pain and poor health of the woman.
Pain can be so strong that it forces her to spend time in bed when critical days come. Increased blood loss affects the entire body, so hemostatic drugs are prescribed.
The following symptoms are observed:
- pallor of the skin due to anemia,
- constant feeling of weakness, fatigue,
- the appearance of dizziness and headaches,
- low blood pressure
- cold sweat.
The causes and nature of the formation of myomas may differ. The most dangerous submucous formations with many blood vessels. If they burst, the volume of blood loss increases significantly. With such tumors, there are abundant prolonged periods of time, which may be more than 7 days. Sometimes there may be spotting after menstruation.
When myoma is often so intense allocation that you need the help of specialists and the use of a hemostatic drug. Ignore the signals of the body can not, because in exceptional cases, severe uterine bleeding can lead to death.
The nature of the discharge and pain
Monthly with uterine myoma, their consistency can be significantly modified. In most cases, they have a dense structure, bright red or dark shade, which is explained by a large amount of blood. In some cases, whole clots may come out, which can be quite large. The reason for their appearance is associated with changes in the endometrium due to hormones, when the thickness changes in some areas, which explains the appearance of pieces of tissue in the secretions.
In some cases, the discharge has a very liquid consistency, while they go almost like water. In such cases, the gasket has to be changed every hour. With this nature of menstruation, it is necessary to contact a medical institution as soon as possible, since this is no longer a matter of monthly disturbance, but of the cause of uterine bleeding.
The appearance of pain is typical for every third woman who has fibroids. Such a manifestation is associated with the nature of the development and type of tumor. If the endometrial glands penetrate into the adjacent organs, then the woman has long and intense periods, accompanied by calming pains by the end of the month. With a submucosal form of a neoplasm, colicy pains are observed.
Pain is often associated with the fact that increasing in size the uterus begins to put pressure on the intestines and bladder. In this case, you may experience frequent urging you toilet.
What threatens the appearance of fibroids?
In case of detection of a small formation, experts do not rush to operate it, making removal. Violations of myoma can be expressed as a delay of menstruation, but more often associated with copious secretions. Painful sensations during menstruation are often reminiscent of contractions, which is explained by the body's attempts to push the tumor out. In some cases this happens, but is an unfavorable development. The process is accompanied by severe pain, and after the release of fibroids intensive bleeding develops, which can not be stopped without hemostatic drugs.
Since in most cases the appearance of fibroids is associated with hormonal disorders, the normalization of the disease after the detection of the disease becomes a priority. To do this, the specialist prescribes a hormonal course of treatment to normalize the menstrual cycle and stop the growth of the tumor.
Independently take hormonal drugs without a doctor's prescription is impossible. Incorrectly chosen remedy can aggravate the disease, cause increased growth of fibroids and exacerbate unpleasant symptoms.
Abdominal surgery for myoma is rarely prescribed. This happens if the tumor growth cannot be stopped by other methods or there is a degeneration into a malignant tumor.
With a significant amount of fibroids to be removed, since it is not subject to conservative treatment. In most cases, operations take place in a planned manner, after which a woman can even have children. After removal of the tumor, menstruation is usually restored within 2 months, the duration depends on the type of fibroid, its location and the complexity of the surgical intervention. After removal of the tumor will need to adhere to a number of restrictions:
- for 6 months not to be subject to physical stress,
- 2 or 3 months to forget about sex,
- Adhere to a healthy lifestyle, do not smoke and do not drink alcohol.
After removal of the tumor, the cycle is restored, the volume and consistency of the discharge returns to normal, pain during menstruation does not cause serious discomfort. Often, after surgery, a course of hormonal drugs is prescribed.
How does the menstrual cycle
Myoma does not always lead to a change in the nature and duration of menstruation. It all depends on:
- the number of nodes
- their location.
The larger the size of fibroids, the more it will deform the body of the uterus and the endometrial cavity. This will generally lead to abnormal reduction of muscle fibers during menstruation, bleeding, intermenstrual discharge. Nodes up to 3 cm are most often a “find” during the execution of a pelvic ultrasound and do not show themselves with any symptoms.
The more nodes, the higher the likelihood that the muscles of the uterus will not correctly respond to its reduction during menstruation. However, small nodules (up to 2 cm) even with a large number of them (more than 5-7), located in the thickness of the muscle layer, may also not give any clinical symptoms for years.
The most important influence on the menstrual cycle is the location of the nodes:
- Subserous. Least of all affect the amount and nature of discharge, but can become the cause of pain, discomfort, not only during menstruation, but also on other days of the cycle.
- Submucous. They have the most vivid clinical picture. Going into the uterine cavity, they increase the area of the endometrium, which provokes heavy bleeding, spotting out of menstruation.
- Interstitial. Depending on the size, they may not show themselves, or give bleeding (if they tend to grow in the uterus).