Miomas

Myomas

What are fibroids or myomas?

Fibroids are round, solid formations of a benign nature that originate from the muscle fibers of the uterine wall. Fibroids can be single or multiple and are generated from the hormonal stimulus (estrogens). Therefore, uterine fibroids disappear spontaneously after menopause. Fibroids are very frequent and can affect up to 30% of women between 30 and 45 years of age.

 

What symptoms can myomas cause?

  • Heavy menstrual bleeding
  • Uterine bleeding outside the period
  • Chronic pelvic pain
  • Urgency to urinate or defecate

 

How are myomas diagnosed?

The diagnosis of uterine fibroids is made by physical examination and a gynecological ultrasound. Magnetic resonance imaging (MRI) is often useful in selected cases to differentiate the number and the exact location.

 

Types of myomas:

  • Sub-serous: Those that grow out of the uterus
  • Intra-murals: those that grow inside the uterine wall
  • Sub-mucosa: when they grow inside the uterine cavity. Some of them may cause infertility or uterine bleeding outside the period.

 

Mioma

What is the treatment of myomas?

Most myomas do not need treatment. However, if they are large or cause symptoms that do not yield with medical treatment, fibroids require some type of specific treatment.

 

Medical treatment

  • Analgesics: in case they cause pain
  • Contraceptives: in case the fibroids cause very heavy menstrual bleeding.
  • They can be administered orally (oral contraceptives) or locally (IUD-MIRENA)
  • Gonadotropin-releasing hormone (GnRH): Acts by transient suppression (6 months) of the woman’s endogenous estrogen production. It is used only in selected cases

 

Surgical treatment

Prior to performing a myomectomy, a specific drug (ESMYA®) can be indicated. It temporarily reduces the size of fibroids, allowing a more precise and less complex surgical procedure on the uterus.

 

There are 2 ways to perform a myomectomy:

  • Traditional or open surgery
  • Mini-invasive surgery: Laparoscopy

We are committed to the development of innovative surgical techniques for the treatment of uterine myomas. In this sense, laparoscopic mini-invasive surgery represents the best example of technological development to ensure the best surgical results with faster and safer patient recovery.

 

quistes-de-ovario

Frequent questions

What symptoms can myomas cause?

  • Heavy menstrual bleeding
  • Uterine bleeding outside the period
  • Chronic pelvic pain
  • Urgency to urinate or defecate

How are myomas diagnosed?

The diagnosis of uterine fibroids is made by physical examination and a gynecological ultrasound. Magnetic resonance imaging (MRI) is often useful in selected cases to differentiate the number and the exact location.

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