05/07/2022
Treatment methods for uterine fibroids
Treatment of the disease can be conservative and operative.
A conservative method of therapy (treatment of fibroids without surgery) includes adherence to a hygienic regimen, a diet enriched with fruits and vegetables, as well as preparations that contain iron. In some cases, COCs or gestagens are prescribed, which prevent the growth of the tumor, excluding the irregular effect of estrogens and progesterone on it. Courses are electrophoresis with potassium iodide on the suprapubic area.
If the pathology is combined with other diseases (for example, with endometrial hyperplasia or endometriosis), then therapy is prescribed after performing hysteroscopy, WFD, histological examination of the material obtained. With the exclusion of intrauterine pathology, a course of hormonal therapy may be prescribed.
Surgery for uterine fibroids may be required in the following cases:
in the presence of large myoma nodes;
if the size of the tumor is rapidly increasing;
if the disease is combined with other pathologies;
in the presence of severe pain;
with manifestations of tumor necrosis;
if the node is located under the mucous layer;
with a combination of uterine fibroids and heavy, frequent or irregular bleeding from the ge***al tract.
There are the following types of surgical treatment:
removal of fibroids along with the uterus - after this intervention, the woman loses the function of childbearing;
embolization of the uterine arteries - this technique involves a partial blockage of the uterine arteries, which leads to disruption of the blood supply to the node and its necrosis;
myomectomy (conservative method) with preservation of the uterus - the technology consists in "husking" the tumor. At the same time, the possibility of conception is preserved.
