Myoma of the uterus is one of the most common gynecological pathologies and occurs in 25% of women. Myoma is first detected in women aged 30-40 years, when the fluctuations of the hormonal background are the most significant. Often, myoma, which grows rapidly and causes frequent bleeding, is the reason for prompt intervention. But is it possible and how to cure fibromy without surgery? We will try to tell about these methods in our article.
Non-surgical treatment of uterine fibroids
Treatment of uterine fibroids without surgery is possible today, but on condition that a woman does not have indications for an operative intervention. Indications for the operation are:
- if the size of the myomatous node reaches 12-14 weeks (uterus is increased by 14 weeks of pregnancy);
- if the size of fibroids increases rapidly and the uterus increases by 4 weeks per year (this is a risk of developing malignant tumors of the uterus);
- if the myomatous node is located in the cervical region;
- if the uterine myoma is the cause of uterine bleeding (menstrual and intermenstrual), which lead to anemia;
- if the enlarged myomatous node squeezes adjacent organs and disrupts their function (intestine and bladder).
These indications are the reason for the planned operation, but there are still urgent conditions. These include the torsion of the legs of the myomatous node and necrosis.
How to cure fibroids without surgery?
Treatment of fibroids of the uterus without surgery can be carried out with the help of medicines, and it is possible with the help of instrumental methods. So, for example, small submucous fibroids can be removed with the help of hysteroresectoscopy. Hormonal drugs are another method of conservative treatment of uterine fibroids. At small sizes of a myomatous knot they interfere with its growth, and sometimes even promote its involution.
If the size of myoma is large enough, there are frequent uterine bleeding and surgery can not be avoided, then hormone therapy is advisable to appoint to reduce the frequency and abundance of bleeding. Women who do not reach the pre-menopausal period are prescribed preparations of 19-norsteroid (Norkolut), which reduces the frequency of menopausal bleeding. It should be taken from the 16th to the 25th day of the cycle for half a year. Women who reached the beginning of the menopausal period are prescribed agonists gonadotropin-releasing hormone (Buserelin), which is used as injections three times a day. The essence of their action is to accelerate the onset of menopause and the extinction of the hormonal function of the ovaries.
How to remove fibroids without surgery: uterine artery embolization
Embolization of uterine arteries is one of the newest and most modern methods of treating uterine fibroids. Despite the fact that it also refers to the invasive, but is more sparing than the operation. The essence of this method is that the patient is catheterized with the femoral artery and the catheter is brought to the uterine artery under the control of the X-ray equipment.
Thus, we considered all the existing non-surgical methods for treating uterine fibroids. But in order for them to have an effect, you should ask for help as soon as possible. Of course, often myoma for years does not show itself, and for the first time it can make itself felt by uterine bleeding. Therefore, preventive examinations and ultrasound examinations are very important.