Uterine fibroids - one of the causes of female infertility

Causes are not fully elucidated, but genetic factors are incriminated, sometimes in cases where mother and daughter have the same pathology. Hormones are also involved in this condition, especially progesterone, which helps to develop the uterine mucosa within each menstrual cycle, and the preparation for an eventual one, in the vast majority of cases, can stimulate tumor growth because the fibroids contain numerous receptors that attract hormones . Growth factors are also excluded, which can indirectly affect the size of the tumor, but neither the drinking of alcohol since young age. There are also causes that can stop the growth or development of uterine fibroids, and these are related to the pregnancy and the birth of a child because during a pregnancy in the woman's body there are some physical and hormonal changes that can regulate the hormonal excess that could favor the appearance of a . In some cases, women who already have an unpublished uterine fibroid are more likely to become pregnant, and if they do not know the cause, they find it during their medical visit. In these situations, the doctor decides whether to excimalize the fibroid according to its size or whether the woman can become pregnant.

Types of uterine fibroid localization1. Submucosal fibroma with localization in the internal cavity of the uterus is responsible for prolonged bleeding, which forces the woman to go to the doctor; . Subserosum fibrosis is located on the exterior of the uterus and can frequently cause compression, which automatically causes urinary symptoms. If fibroids develop in the back of the uterus, then compression is done on the rectum, causing constipation, or compression on the nerves generating lumbosacral pain of imprecise causes. Symptoms include: - abnormal bleeding during menstruation, but can also be outside the menstrual cycle (metroragia) - menstrual periods longer than 7 days - pain in the pelvic area - permanent pressure sensation in the pelvic area - .

Localization of uterine fibroids influences a lot and the appearance of symptomatology and rarely a fibroma can cause acute pain - hence the late detection of affection. The existence of a pediculous fibroid can cause pain caused by strangulation of the vascular pedicle. is essential for the detection of the disease and the size, but also the type of localization, appreciated with the help of histegraphia, in special cases. To supplement ultrasound data, gynecologists often recommend hormonal analyzes, especially estrogen, and to see whether or not there is a hormone hypersecretion that may support the development of fibroma or fibroids. To avoid complications and for proper prevention you need to know when to introduce yourself to the gynecologist.

These situations are generally related to symptoms but not only, and include some rules: - if there is a permanent pain in the pelvic area that does not give up even on the administration of analgesics - if menstrual periods are too long and very painful - . The main complications are the massive bleeding, which also leads to the appearance of a severe, sometimes requiring transfusions for its correction, compression on the bladder and urinary tract, fibroma torsion, tissue necrosis by disruption of the tumor around the tumor, disruption of a task or even. Sometimes simple medical supervision is sufficient if there are no manifestations that put the patient at risk. Generally, fibromas that do not produce serious symptoms have a spontaneous regression after menopause without developing precancerous lesions. Treatment is a medication for small-sized fibroids based on hormones that slow down the progression and stop possible complications.

In the case of large fibroids, which are accompanied by complications, surgical treatment - either hysteroscopy or small closures in the abdominal wall (). The uterus, in the case of surgical interventions, will generally be preserved, and hysterectomy will be done only for women who already have children and do not want more. Recovery after surgery takes place within a few weeks and also depends on the size of the tumor. The lower the fibroid, the faster recovery and vice versa. ConclusionsBecause it is a common disorder among young women and especially among those who want to become mothers, the regular gynecological consultation is at least once a year and avoiding the late detection of the affection that attracts the social life after it .

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