28.08.2022 12:28
News Source: UAV
Pointing out that fibroids are often neglected, Gynecology and Obstetrics Specialist Prof. Dr. Selahattin Kumru stated that fibroids, which are the most common gynecological disease, are easy to treat and can reach large sizes if not treated. Kumru stated that some uterine tumors that look like uterine fibroids, which can cause bleeding, inguinal pain, infertility and pregnancy loss, can carry cancer cells, albeit rare.
Emphasizing that uterine fibroids are the most common uterine tumor seen in 1 out of every 3 women, Kumru emphasized that the exact cause is still controversial, but they are usually benign tumors. Stating that cases with fibroids but containing malignant cells (malignant/cancer) are very rare, Kumru warned that cancer should be taken care of in rapidly growing fibroid masses during follow-up.
“Complaints such as excessive menstrual bleeding, excessive menstrual pain, pressure on the bladder, constipation may be caused by myoma”
prof. Dr. Selahattin Kumru reminded that women with complaints such as constant groin pain, swelling in the abdomen, increase in the duration or amount of menstrual bleeding, intermittent bleeding, frequent urination, constipation, pain during sexual activity should be evaluated with gynecological examination and ultrasonography. prof. Dr. Kumru said, “In general, the cause of abnormal excessive bleeding in cases with fibroids ultrasonographically is usually attributed to fibroids, however, both the fact that some of the fibroids are actually cancers that look like fibroids and the presence of thickening in the uterus (endometrial hyperplasia) together with fibroids necessitates careful evaluation of cases with fibroids. he did. In neglected cases, there is a risk of being late and the cancer turning into advanced stages.
“Do not neglect the swelling in the abdomen by thinking that you have gained weight”
prof. Dr. Kumru continued: “For example, fibroids growing inside the uterus cause problems such as irregular bleeding, difficulties in conceiving, and miscarriage (pregnancy loss), while fibroids growing outward may remain silent and be noticed by chance. Fibroids that press on the urinary bladder in the front of the uterus cause frequent urination and a feeling of pressure in the front, while fibroids that press against the intestine in the back can cause complaints such as difficulty defecating, constipation, pain during sexual intercourse. Again, as fibroids grow, they can cause swelling and pain in the abdomen. Some patients neglect the swelling that occurs in their abdomen because the uterus enlarges, thinking that they are gaining weight, and they are late to consult a doctor. Uterus overgrown due to fibroids also experience problems such as fatigue, fatigue, and decreased effort capacity, since a significant part of the blood coming out of the heart has to go to the uterus.
“Myoma treatment is not difficult, it varies according to the type”
Pointing out that the treatment of uterine fibroids is usually individualized according to the problems of the patients, Kumru stated that small volume fibroids that are detected by chance and that do not cause any complaints or problems in the patient are followed up without any treatment. Kumru said that in a patient of childbearing age who could not conceive even though he wanted to become pregnant, the fibroid should be removed if no other reason could be found for not being able to conceive and if the problem was thought to be related to myoma.
Stating that it would be appropriate to remove the fibroids after taking samples from the uterus and making sure that there is no bad disease in a patient with menstrual irregularity and excessive bleeding, Prof. Dr. Kumru said, “If the cause of continuous and long-term groin pain (chronic pelvic pain) is large fibroids, fibroid surgery is also appropriate. Removal of fibroids will make the patient’s life more comfortable.In addition to all these, fibroids that have grown in size and have a different appearance than classical fibroids should be carefully managed considering the risk of malignancy (cancer).As a result, factors such as fibroids, the problems they cause, the age of the patients, and their expectations from treatment It is important that they be treated after an evaluation made taking this into consideration.
“Drug therapy is not a widely used and effective treatment method”
Stating that there are many different treatment options for fibroids, some drugs can make the fibroids shrink, but if the person will not enter menopause after the drugs are stopped, Prof. Dr. Selahattin Kumru; “Therefore, drug therapy for fibroids is not a widely used and effective treatment method. Removal of fibroids (myomectomy) provides an opportunity for permanent treatment for fibroids. We can easily perform these surgeries in a very short time. There is no risky situation for patients to be afraid of,” he said.
As a result, it is clearly seen that myoma treatments make the daily life of the patients easier. Fibroid surgeries are performed with less risk and easier compared to the treatments of different diseases, and the patient’s return to his daily life is very fast.