Uterine fibroids: usually mild

Fibroids, tumors of the uterine muscle reach one in two women over 40. But do not panic if this disease is common, it is most often benign. All fibroids require no treatment.

If he has most often the size of a small ball, some reaching the size of a grapefruit! This benign tumor develops from muscle, which surrounds the uterine cavity. This more or less rounded mass may measure several centimeters and weigh several pounds!

The tumor may appear in different parts of the uterus. Depending on its location, there are three types of fibroids:

• The subserosal fibroid near the outer surface of the uterus, which develops in the abdominal cavity and can compress painfully neighboring organs, the bladder or the gastrointestinal tract;

• The interstitial fibroid which grows in the thickness of the uterine wall;

• The submucosal fibroid that develops in the uterine cavity.

Of unknown origin, fibroids, however, are hormone-dependent and diminish or disappear with menopause (due to an excess of estrogen, menopause, depriving them of food, they cease to grow and calcify). In addition, it was found that there is a family plot and that black women are particularly affected, even at an early age.

All require no treatment

Often asymptomatic, the fibroid does not degenerate into cancer and a simple monitoring is usually sufficient. Prolonged and extensive rules, feelings of heaviness in the pelvis, an increase in the size of the abdomen, constipation and frequent urination can be signs, but mostly no symptoms allows guess life.

Thus, despite its frequency, the fibroid is often discovered incidentally during a pelvic exam or a pelvic ultrasound. One in two women would be carrying a fibroid after 40 years. But some fibroids can cause bleeding, pelvic pain and therefore require treatment. Treatment options are now available to physicians and patients: the hormonal treatment, surgery and more recently arterial embolization. Each of these techniques has advantages and disadvantages that should be taken into account before opting for one of them. Women must be fully involved in treatment choices that affect the primary.

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