With the advice of Dr. PIETRO CIGNINI, specialist in gynecology and obstetrics, Service of Obstetric and Gynecological Diagnostics Altamedica Rome and Milan; let’s see which are the most common symptoms and the possible causes.
The fibroma It is one of more frequent ailments in childbearing age, because it affects about 40% of women between 35 and 55 years old. It is about benign growths, also called leiomyomas or myomas. Let’s say right away that they are absolutely not dangerous, in the sense that they are not associated with uterine cancer.
Because of these characteristics, some women can live with uterine fibroids, obviously keeping them under control periodically. Even in women looking for a child, there are cases in which they can safely conceive a child, carrying on peacefully throughout the pregnancy.
Fibroids often are asymptomatic
I fibroids they are formed in the smooth muscle tissue of the uterus and often do not give signs of their presence; at other times, however, the disturbances can be very annoying, up to the point of having to be removed. THE uterine fibroids they can grow variably, faster or very slowly.
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Sometimes they can get bigger, for example during pregnancy, and then shrink until they disappear after childbirth. They can also stay the same size for a long time. The cause that cause the onset of fibroids can be different, among these i genetic factors, so much so that there is often familiarity. But they can also develop for reasons hormonal: in fact, they contain more receptors for estrogen and progesterone than normal uterine muscle cells.
So much so that with the arrival of menopause, they often tend to become smaller, coinciding with the natural decline in the production of these hormones.
Fibroids different symptoms
The presence of fibroids, single or multiple, sometimes it can be entirely asymptomatic, especially if these are small. Others may show signs of their presence.
Here are the most common ailments:
- Longer cycle duration, with very abundant flows.
- Feeling of pressure in the pelvic area or sometimes pain.
- Desire to urinate more frequently, which may also be associated with difficulty emptying the bladder completely.
- Constipation.
- Back pain or leg pains.
- Sharp pain if the fibroid grows a lot in size.
It is good to say, however, that the fibroids they can develop in different areas uterus and therefore give a particular symptomatology based on their position and also on the size. There are those that arise in the internal cavity of the uterus and can be the cause of longer cycles with more abundant flows. In some cases they can cause difficulties in conceiving.
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Other fibroids, on the other hand, can grow out of the uterus (they are called subserosis) and in some cases they can cause urinary disturbances and press on the bladder or rectum (in these cases you can feel a sense of pressure on the rectum and pain back Finally, we have the intramural fibroids, that is, that arise inside the uterine wall, causing a sense of pressure on the abdomen and a more intense cycle.