Uterine fibroids - a disease that makes many women worry. Different women ask similar questions about this pathology.. Today, the operating gynecologist Viktor Ivanovich Lachinsky, candidate of medical sciences, employee of the Clinic of Obstetrics and Gynecology of the Moscow Medical Academy named after I.. Sechenov will tell us about uterine fibroids.

Uterine fibroids and pregnancy. I would like to know if there are any recommendations that can be followed in this situation.?

Viktor Ivanovich believes that in each case the approach should be individual. In general, it is best to treat uterine fibroids if you are planning a pregnancy.. The most effective treatment for fibroids is surgery.. It is possible, using modern surgical approaches, to remove pathological formations from the uterine wall.

The presence of fibroids can cause dangerous complications both during pregnancy and during childbirth..

Myoma nodes located in the uterine cavity or in the thickness of its wall can create obstacles to the normal development and growth of the fetus, and even provoke an abortion. Knots in the isthmus can interfere with the normal progress of the child during childbirth.

The tumor is best operated on before pregnancy.. If the pregnancy was not planned, but still occurred, you need to visit the gynecologist systematically. In addition, the attitude of the doctor will be individual for each case..

There is a common misconception among women: fibroids “resolve” on their own after the birth of a child.. You can't trust such speculation..

After the birth of a child, the uterus significantly decreases in size, along with it, the fibroids also decrease, but with the resumption of the menstrual cycle, the growth of fibroids becomes more intense, sometimes very fast.. If fibroids are not removed before pregnancy, they can be excised during a caesarean section..

Myoma is inherited?

The sources do have a description of family cases of uterine fibroids.. In fact, there are genetic mechanisms for the development of fibroids, but of course there is no one hundred percent guarantee of the occurrence of fibroids in a daughter if her mother was sick with her..

To date, medical science has not developed methods for the prevention of fibroids.. This is due to insufficient knowledge of the mechanisms of its development, which means that we do not know how to influence them..

Based on many studies, we have received information about the presence of a genetic predisposition to fibroids. In addition, much here depends on the hormonal balance and the state of the woman's immunity..

From this it follows that the monitoring of these body systems and the detection of deviations from the norm is the main link in the prevention of uterine fibroids..

If there is a persistent pattern in the occurrence of uterine fibroids in the family, it is best not to resort to medical abortion, because. this manipulation will provoke the appearance of a tumor. The likelihood of developing fibroids increases with age, so it is best to plan pregnancy before the age of 25-30 years. Caution should also be taken in the use of birth control pills.. the use of some drugs from this group increases the risk of developing a tumor.

Girls should systematically visit a gynecologist, the frequency of visits should be at least once a year.

Treatment of uterine fibroids with folk remedies Among the female population, treatment with folk methods is quite widespread.. What is the effectiveness of this therapy?

According to Dr. Lanchinsky, in his practice there was no confirmation of the effectiveness of such treatment.. Still, surgery is the most reliable method of treatment.. Other therapies (homeopathy, acupuncture, physiotherapy) are secondary.

Treatment of uterine fibroids without surgery Specialists of some paid clinics often offer an embolization procedure to remove fibroids.

This method of treatment is positioned as a low-impact and progressive. However, there is an opinion that such treatment is often accompanied by the development of complications and may not be used in all women..

Embolization of uterine arteries has been used recently. Such treatment really spares the woman's body, but it is not capable of completely eliminating the disease.. The essence of the method is the artificial violation of blood flow through the vessels supplying blood to myomatous nodes.. Some authors report that the use of this method of treatment can reduce the size of the node by 29-86 percent.. The positive effect of such changes is manifested, for example, in a decrease in the intensity of menstrual bleeding.. However, sometimes the blood flow in the tissues of the uterus deteriorates so noticeably that it has to be removed..

The results of one study were published abroad, which show that 3 months after the embolization procedure, the condition improved significantly in 95.5 percent of women, and after 3 years - in 73 percent. In 10 percent of cases, doctors had to remove the nodes or the entire uterus surgically..

There is also information on pregnancies after embolization. Most often they ended in miscarriages or the birth of premature babies.. So, if a woman is planning a pregnancy, she cannot go through this procedure.. Embolization is not used if fibroids are associated with uterine cancer.

Impact of smoking on the development of uterine fibroids It is widely believed that smoking makes the course of uterine fibroids more severe.. Is this statement true

Smoking has a variety of negative effects on the human body.. Everyone knows that smoking is closely related to the development of diseases such as atherosclerosis, lung cancer and heart attack.. Tobacco smoke contains chemicals that cause constriction of blood vessels and contribute to the formation of atherosclerotic plaques inside them.. First of all, the cardiovascular system suffers from this.. There is a violation of the blood supply to all organs, including the uterus. This can really make the course of fibroids worse..

Is there a link between urological diseases and uterine fibroids?

The presence of such a relationship may be due to the localization of the tumor..

In some cases, fibroids can displace the organs of the urinary system.. This, of course, leads to the appearance of urological symptoms.. Quite often, myomatous nodes put pressure on the rectal area.. In this case, there are chronic constipation and discomfort in the epigastric region.. If a woman notes such complaints in herself, she needs to contact a gynecologist.. The specialist examines her and selects the right treatment.

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