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Uterine myoma?

Uterine myoma, also know as uterine fibroid, is benign smooth muscle tumor of the uterus and most common woman's disease. Many women are noticed of having tumor(s) in the uterus after gynecologial examination and most of the cases are uterine myoma. 25~30% of adult females have uterine myoma with no symptoms thereby they are detected accidently during examination.

Causes & Symptoms of Uterine Myoma

The exact cause of uterine myoma is unclear. However, myomas are dependent on estrogen to grow, thereby it is known that the size of myomas increase during pregnancy and can be decreased after menopause. Most common symptom is irregular menstruation, mostly hypermenorrhea of heavy periods and atypical colporrhagia of vaginal bleeding when not during period. Different locations of myomas bring different symptoms.

Subserosal Myomas They can be felt in abdomen area and make lower abdomal area felt heavy. If they are felt in abdomen area, frequent urination may be caused by pressing bladder or hydruria may be caused from swollen kidney because with pressed flat ureter.
Subserosal Myomas
They can be felt in abdomen area and make lower abdomal area felt heavy. If they are felt in abdomen area, frequent urination may be caused by pressing bladder or hydruria may be caused from swollen kidney because with pressed flat ureter.
Submucosal Myomas Menorrhalgia, pain in lower abdomen.
Submucosal Myomas
Menorrhalgia, pain in lower abdomen.
Intramural Myomas Heavy periods or vaginal bleeding when not during period.
Intramural Myomas
Heavy periods or vaginal bleeding when not during period.

※ Generally uterine myomas are not effective to pregnancy, but uncommonly they cause repeat ablortion and lead to abdominal pain and fever.

Examination method of Uterine myoma : Diagnosis by Ultrasonography

The most common examination method to diagnosis uterine myomas is ultrasonography, and also hysteroscopy, laparoscopy.
If necessarynumber of myomas and their sizes and locations will be diagnosed by CT examinations.

  • Ultrasonography
  • Hysteroscopy
  • Laparoscopy
  • CT

Treatment

Most myomas are benign tumors, thereby they do not require treatment when there is no symptom and the sizes are small. However, they must be determined by specialist and those who have symptoms such as frequent urination, feeling of residual urine, backache, heavy periods, anemia, menometrorrhagia, repeat abortion, and inferility need to get treatments.

Hormone Therapy Hormone therapy will be carried out for women those who wan to fertile to reduce the size of myomas or decrease bleeding. However, it must be used for short period because longer use can cause multiple side effects including amenorrhea. Also, medication will not be needed after menopause because myomas will no longer grow.
Hormone Therapy
Hormone therapy will be carried out for women those who wan to fertile to reduce the size of myomas or decrease bleeding. However, it must be used for short period because longer use can cause multiple side effects including amenorrhea. Also, medication will not be needed after menopause because myomas will no longer grow.
Surgical Therapy Myolysis, which reduces the size of myomas and stops their growth, Myomectomy, which removes myomas only, or Hysterectomy, which removes whole uterus, will be performed depending on patients condition. If the size of myoma is too large or there are multiple myomas, hyterectomy should be performed and it leads to infertility. Removing uterus can be recognized as losing womanhood because uterus roles as the origin of life and gender identity for women. However, it doesn't effect much to the sexual life except there will be no vaginal discharge, and the hormones are normally produced because menopause is not happened yet.
Surgical Therapy
Myolysis, which reduces the size of myomas and stops their growth, Myomectomy, which removes myomas only, or Hysterectomy, which removes whole uterus, will be performed depending on patients condition. If the size of myoma is too large or there are multiple myomas, hyterectomy should be performed and it leads to infertility. Removing uterus can be recognized as losing womanhood because uterus roles as the origin of life and gender identity for women. However, it doesn't effect much to the sexual life except there will be no vaginal discharge, and the hormones are normally produced because menopause is not happened yet.
Cheongna Women's Hospital
Address : 602,Jungbong-daero,Seo-gu,Incheon,22736, Republic of korea| Tel : +82-32-716-6000
Representative : Moon-Sung Son|Business Number : 137-91-99332| E-mail : kenzo1312@naver.com

Copyright © 2020 CHEONGNA WOMEN'S hospital. All Rights Reserved.

Cheongna Women's Hospital
Address : 602,Jungbong-daero,Seo-gu,Incheon,22736,
Republic of korea| Tel : +82-32-716-6000
Representative : Moon-Sung Son| Business Number : 137-91-99332
E-mail : kenzo1312@naver.com

© CHEONGNA WOMEN'S hospital.

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