Myoma refers to benign neoplasms, is formed against a background of high estrogen levels, often occurs in women of reproductive age. The tumor is almost always located inside the uterus, rarely - in her neck. How dangerous is the uterine myoma, and is pregnancy possible with myoma?
- Than the pathology is dangerous
- Myoma of the uterus during pregnancy
- Management of pregnancy with myomas
- Can I get pregnant with myoma?
- Can I get pregnant after removing myoma?
Myoma of the uterus with menopause - symptoms and signs Interstitial uterine myoma - symptoms and treatment of the disease How to recognize myoma of the uterus We treat myoma of the uterus at home with effective methods Treatment of fibroids by a borax uterus - use and contraindications
Than the pathology is dangerous
The neoplasm includes cells of muscle tissue and myometrium. The main causes of the onset are a hereditary factor, malfunctions in the hormonal system, pathological changes in the cells of the endometrium. A tumor can be the result of frequent abortions, use of an intrauterine device.
Classification of tumors:
- interstitial myoma - the neoplasm is located inside the myometrium;
- subserous myoma - located near the peritoneum under the outer membrane of the uterus;
- submucous - the tumor is located near the body of the uterus;
- Intramural myoma - a pathological formation located between the uterine ligaments.
Myoma - is it dangerous? The disease leads to the appearance of various kinds of complications, which can be dangerous to the health of women, negatively affect the reproductive activity. With small size myoma, there are no special problems, the main task of doctors is to prevent its increase.
With large fibroids, severe uterine bleeding can begin, which can trigger the development of anemia. Against the background of a strong contraction of the uterus after delivery, the tumor can provoke cell death. Often there are inflammations of a purulent nature in the neoplasm and nearby tissues - without proper medical treatment sepsis develops. Almost always such a neoplasm leads to a violation of the reproductive function - ectopic pregnancy, miscarriage, infertility, complicated and premature birth.
Important!The most dangerous complication is the knot twisting, the syndrome of the acute abdomen develops, urgent hospitalization and emergency removal of the neoplasm is required.
Myoma of the uterus during pregnancy
Pregnancy with fibroids is a complex pathology for specialists and for a future mother. How the pathology will develop, no doctor can predict, an unforeseen situation can occur at any time, during delivery.
Myoma of the uterus during pregnancy - symptoms:
- uterine bleeding;
- pain in the lower abdomen - it can be of varying degrees of intensity, given to internal organs;
- disruption of the organs that are located next to the uterus - frequent urge to empty the bladder, constipation;
- on the background of poor blood supply in the node of myoma increases temperature, develops the syndrome of an acute abdomen;
- the increase in the size of the abdomen is incommensurable with the timing;
- sexual intimacy causes discomfort.
How does myoma affect pregnancy? At any period of pregnancy, the neoplasm is a threat to normal gestation. The tumor prevents normal feeding of the placenta - the fetus begins to lag behind in development, suffers from hypoxia. Against the backdrop of hormonal oscillations, the neoplasm begins to increase dramatically in size.
If uterine fibroids are found during pregnancy, the probability of developing gestosis, the formation of thrombi in the veins of the pelvic region, placental abruption, or its too close fitting is high. Against the background of an increased tone of the uterus and poor blood supply there is myometrium ischemia.
Important!The threat of miscarriage - the main danger of tumors inside the uterus, at the early stage of pregnancy, it is diagnosed in every second patient.
Management of pregnancy with myomas
If pregnancy is accompanied by nodes in the uterus, the woman before the birth will have to be under the constant supervision of a doctor. In addition to removing the tumor, therapeutic treatment is provided. The main task is to reduce the muscular tone of the uterus, maximize the duration of pregnancy, so that the baby is born healthy. To properly draw up a treatment regimen, assess the threat of pathology for the woman and the fetus, conduct ultrasound and dopplerography.
The main groups of drugs:
- medicines to eliminate spasm - drotaverin in the form of injections and tablets;
- antiplatelet agents - Dipyridamole;
- tocolithics - Hexoprenaline;
- antibiotics - are rarely prescribed if there is a power failure of the myomatic node.
To normalize the level of progesterone appoint Dufastn, Tocopherol acetate. In addition, since 16 weeks, prescribe drugs that improve the nutrition of the placenta. Improve the metabolic processes, eliminate spasms will help Magne B6, Curantil.
If the tumor strongly increases in size, life-threatening complications develop, medication does not give positive results - doctors recommend that the myoma be removed. The operation is performed by the method of laparoscopy - the operation is painless, but it can cause interruption of pregnancy with myomas. Operative intervention is carried out for a period of 16-32 weeks.
Operations can be avoided if the risk to the mother's health is minimal, the woman's age does not exceed 35 years, the disease term is up to 5 years. If the woman had a long infertility, the pathology was diagnosed at a later date - the doctors will maintain the viability of the fetus, the woman will be placed in the hospital for preservation.
Neoplasm can dissolve without medical intervention - it can happen immediately after or before the birth of a child. This is due to fluctuations in the hormonal background that arise during the process of bearing the child, and immediately after delivery.
Can I get pregnant with myoma?
Nodes in the body of the uterus do not exclude the possibility of conception, especially if the tumor is small, located outside the uterus. But such a pathology increases the risk of abortion, serious problems may arise in the process of childbirth.
A woman can not become pregnant if the tumor interferes with the attachment of a fertilized egg to the uterine cavity. Also, conception is impossible if the new formation blocks the fallopian tubes - spermatozoa can not meet with the ovules. The ability to conceive is affected by concomitant diseases - polyps, polycystosis, endometriosis.
How to become pregnant with a uterine myoma? If everything develops favorably, the size of the tumor does not exceed 4 cm, it is located outside the uterus - it is possible to conceive naturally. But often doctors recommend IVF for myoma.
If, in addition to neoplasm, there are other chronic diseases, then it is necessary to turn to special reproductive clinics. After a thorough examination, based on the results of the tests and other studies, it will be possible to determine the chances for conception and successful bearing of the child.
At the initial stage, all associated diseases are treated, eliminating inflammation. Then the therapy is carried out, which is aimed at reducing the size of the tumor, or removing the tumor. Only after this is carried out the procedure of artificial insemination.
To keep pregnancy with myoma, it is necessary to register with a gynecologist as soon as possible. Doctors recommend that women with this pathology have more rest, sleep, avoid strong physical exertion and stressful situations, and often regularly undergo ultrasound.
Can I get pregnant after removing myoma?
After the removal of uterine fibroids, the probability of conception of a child is much higher than in the presence of neoplasm. In many cases, it is the nodes in the uterus that impede fertilization, especially if the neoplasms are large.
After removing very large nodes, the chance of becoming a mother decreases, since such operations often cause severe bleeding, sometimes doctors have to remove the myoma together with the uterus.
The recovery process after the operation is 8-12 months, the seams are absorbed in 80-90 days, but everything depends on the individual characteristics of the organism. After the removal of small tumors, pregnancy can be planned after 8 months.
Myoma of the uterus is a complex pathology that negatively affects pregnancy, prevents fertilization. Prevent the disease will help regular visits to a gynecologist, the right way of life, avoidance of stressful situations.