Fibromioma of the uterus. Treatment

Women who are diagnosed with uterine fibroids can be treated conservatively or surgically.

In the first case, hormonal, radiation, haemostatic therapy is used. Surgical intervention can be radical, semi-radical and conservative in nature.

Uterine bleeding associated with the anovulatory cycle is often accompanied by uterine fibroids. Treatment for these conditions is prescribed hormonal. Intramuscularly, Progesterone is administered for eight or ten days. Before appointment, the two-phase cycle of menstruation and the level of saturation of the body with estrogens are determined. For this purpose, the basal temperature (resting state) is measured, colpocytological studies, scraping of the uterus for diagnostic purposes and other measures are carried out. It should be noted that progesterone is effective only in some cases. This hormone, being an antagonist for estrogens, suppresses their effect on the mucosa and myometrium (muscular wall) of the uterus. The action of progesterone is directed toward inhibition of follicle-stimulating function in the pituitary gland and a decrease in the synthesis of estrogens in the degeneration of the polycystic ovaries.

Quite often in the treatment of fibroids include androgenic drugs. The agent "Testosterone propionate", "Testenate" is used. According to experts, the drug "Sustanon-250" has the best therapeutic effect. In some cases, androgenic drugs are given in tableted form. To such medicines, in particular, carry "Methyltestosterone". Androgens inhibit the production of estrogen in the ovary, the follicle-stimulating function in the anterior pituitary gland, and interfere with proliferative processes (growth) in the mucosa.

As a rule, after the therapy with androgen drugs stops menstruation, there is a slowdown, and in some cases, complete cessation of fibroids. Its reverse development begins. However, if a large (uterus size is more than fourteen weeks pregnant) is diagnosed, uterine fibroids, androgen treatment is ineffective. The disadvantages of androgen therapy include muscularisation (muscle growth, body hair growth on a male basis), acne, dyspnea, nausea, and palpitations.

In order to increase the contractile capacity of the uterus, hepatocellular therapy is prescribed. Intramuscularly injected drugs "Oxytocin", "Gifotocin", "Pituitary" and other means.

In order to eliminate uterine bleeding, which is accompanied by uterine fibroids, treatment is prescribed with drugs that can increase blood coagulability.

In the absence of the effect of hormonal and hemostatic therapy, if there are contraindications to the surgical intervention, x-rays of the ovaries are appointed. Sessions are conducted daily, the dose of irradiation is chosen depending on the thickness of the anterior wall of the peritoneum and the degree of sensitivity of the ovaries. Thus, it stops in the development of fibroids. Treatment in this case is aimed at suppressing the function of the formation of estrogens in the ovaries. After the X-ray irradiation stops the menstrual cycle, uterine bleeding. It should be noted that this method is not recommended in reproductive (childbearing) age. It is more expedient to carry out X-ray irradiation in the climacteric period.

Contraindications for this procedure include submucosal, cervical forms of fibroids, on the long leg of the subserous nodes, rapidly growing fibromy with suspicion of degeneration into sarcoma or necrosis of the node. In addition, X-rays are not carried out in the presence of pregnancy, pyosalpinx, a tumor in the ovary and cancer in the body of the uterus.