Fibroids (fibroids or fibroids) are benign tumors that occur in reproductive age. Fibroids are also known as noncancerous uterine growths. It is not associated with uterine cancers and does not cause uterine cancer. You can review my article about Uterine Cancer at https://drdermanbasaran.com/rahim-kanseri/.
Many women may have uterine fibroids at some point in their lives. However, you may not realize that you have fibroids. Fibroids often do not show any symptoms. Your doctor may accidentally discover that you have fibroids during a pelvic exam or prenatal ultrasound. Large fibroids may obstruct the urinary tract or protrude into the vaginal entrance and protrude. Sometimes, wounds may develop in fibroids, which may be infection, bleeding, or both.
What Causes Myoma?
What causes fibroids is important because finding the source of the problem serves as a guide. Therefore, women generally need to know why such conditions occur and what the risk factors are. The most basic causes of fibroids are as follows;
- Race: Studies have shown that fibroids are more common in African-American women.
- Age: A study concluded that white women younger than 35 have fibroids that grow faster than white women older than 45. At the same time, waiting to become pregnant by age 30 further increases a woman’s risk of developing fibroids.
- Early menstruation: With the onset of puberty, the first menstruation at an early age also increases the risk of uterine fibroids.
- Caffeine and alcohol consumption: In a study conducted in 2016, it was determined that the relationship between alcohol and caffeine intake and increased risk of uterine fibroids was closely related.
- Genetic factors: Researchers suggest that certain genetic changes are linked to fibroid growth. (Like family history)
- General health status: Obesity, high blood pressure and similar diseases play a major role in the development and growth of fibroids .
- Diet: Red meat-based diets (protein diets) cause myoma formation and growth of fibroids.
- Hormones: In case of abnormal secretion of estrogen and progesterone hormones, fibroid formation can be triggered.
In addition to these, the idea that “the use of birth control pills causes fibroids”, which is misunderstood and spread among the public, is an inaccurate situation. In this regard, it has been shown that birth control pills have no effect on fibroids.
What are the Symptoms of Myoma?
Many women with fibroids do not have any symptoms. However; Depending on the size, type and number of fibroids, it is possible to encounter some symptoms. In general, fibroid symptoms can be seen in women with symptoms such as :
- heavy menstrual bleeding
- Menstrual period lasting longer than a week
- Pressure or pain in the pelvis (groin area)
- frequent urination
- Difficulty emptying the bladder
- Constipation problem
- Back pain or leg pain
- painful intercourse
- Vaginal discharge in infected fibroids
- Fibroids can cause chronic pain, albeit rarely.
What Are the Types of Fibroids?
Types of fibroids are generally classified according to their location in the uterus. Accordingly, the types of fibroids known;
- The most common type of fibroids are intramural fibroids that grow in the uterine wall.
- Subserosal fibroids grow on the outer wall of the uterus. As these types of fibroids grow, they can cause pressure or pain in nearby organs due to their size.
- Submucosal fibroids grow just below the lining of the uterus. It can protrude into the uterine cavity, causing heavy bleeding and other more serious complications.
- Stem fibroids grow on small stems or stems inside or outside the uterus.
- Intracavitary fibroids grow into the uterine cavity.
How Are Fibroids Diagnosed?
Myoma diagnosis is important in terms of starting treatment as soon as possible. The clinical diagnosis of uterine fibroids is made by pelvic examination or ultrasound. If the symptoms mentioned above are observed, the correct diagnosis can be made as a result of the examinations. Your doctor can usually detect fibroids during a physical examination. It can be easily diagnosed during pelvic examination, especially in prolapsed fibroids.
If the diagnosis is uncertain, physicians may insert an ultrasound device through the vagina into the uterus to get a clear view of the area. This procedure, known as transvaginal ultrasonography, is also used to check for fibroids. Blood tests are done to check for anemia. A smear (Pap) or human papillomavirus (HPV) test (called cervical cytology tests) may be done to rule out cervical cancer. Heavy and painful menstrual period, which is one of the most common complaints, and if the menstrual period lasts for a long time, you should consult your doctor.
How Are Fibroids Treated?
Myoma treatment is generally determined according to the health status of the person and the condition of the fibroids in the body. Thanks to the treatment methods applied by the specialist doctor, the problem can be resolved without any problems. There are some important points to know about myoma treatments. These;
- Surgery may be needed if the fibroids are causing severe symptoms.
- If fibroids are small or do not cause any symptoms, no treatment is required.
- If fibroids cause symptoms, they are surgically removed, if possible (myomectomy, laparoscopic, robotic). In cases where only the fibroid is treated by removal, women are still fertile and can have children.
- In cases where fibroids are large, removal of the entire uterus (hysterectomy) may be necessary. In both procedures, a large incision (laparotomy) can be made in the abdomen. Thanks to the developing technology and if deemed appropriate for the patient, these procedures can be performed with instruments (laparoscopy) inserted through one or more small incisions close to the navel.
- If the fibroids protrude into the vagina (sagging), they can be removed with instruments inserted through the vagina.
Dr. Derman Basaran has the highly specialized training necessary to perform advanced robotic procedures and, having performed hundreds of them, he can ensure patients get the best possible results. He has taken care of hundreds of patients for myoma treatment with robot; had successful results. He will selflessly plan the process for the treatment of fibroids and apply the most appropriate treatment method for you.
You can read my Robotic Fibroid Surgery article to learn more about the treatment of fibroids with robotic surgery.
Frequently Asked Questions
Should Open Surgery Be Performed in Surgical Treatment?
Although open surgery is preferred for important problems such as fibroids, it has been frequently preferred in closed surgeries in recent years. Successful closed surgical operations are performed, especially thanks to Robotic surgery methods.
Is the uterus removed in myoma surgeries?
In fibroid operations, it is not necessary to remove the uterus. However, the experience and expertise of the doctor performing the surgical intervention is an important factor in protecting the uterus. In addition, frequent checks should be made after operations in which the uterus is not removed.
Do Fibroids Turn into Cancer?
In some cases, fibroids change and, unfortunately, can turn into cancer. Especially when sarcomatous degeneration occurs, unfortunately, there is a malignant tumor.
How Does Myoma Formation Affect Sexual Life?
The effects of fibroids on sexual life can be mentioned according to the places where they occur in the uterus. A fibroid born in the vagina makes sexual intercourse difficult. In addition, cervical and submucous fibroids cause pain and bleeding during sexual intercourse.
Does Myoma Recur After Treatment?
Fibroids are benign tumors that occur in the smooth muscle tissue of the uterus. There is a possibility of recurrence after surgical or medical treatments. However, if the uterus is completely removed, fibroid formation will not occur again.