Uterine Myoma: Treat, Observe, or Remove?

Uterine myoma is a benign tumor that develops in the muscle tissue of the uterus. This condition is common among women of reproductive age, and a frequent question arises: What is the best approach for uterine fibroids? Should it be treated, observed, or should removal be considered? Let’s take a closer look.

Causes and Symptoms of Uterine Myoma

• Genetic Predisposition: Fibroids can develop in women who have close relatives with a history of the disease.
• Hormonal Imbalances: Estrogen, one of the main female hormones, influences fibroid growth. Women with high levels of estrogen are at an increased risk of developing fibroids.
• Symptoms of Myoma: Depending on the size and location of the fibroid, symptoms may include abdominal pain, heavy menstrual bleeding, and fertility issues.

Treatment Methods for Uterine Myoma

Treatment for uterine fibroids depends on several factors, including the size of the tumor, the presence of symptoms, and the woman's age. Let’s review the main treatment options:

• Observation of Fibroids

  If the fibroid is small and asymptomatic, the doctor may suggest dynamic observation. In this case, the woman regularly undergoes tests to monitor the growth of the fibroid.

• Medical Treatment

  For some women, especially during perimenopause, medications may be used to help reduce the size of the fibroid and control hormonal levels.

• Surgical Intervention

  If the fibroid causes symptoms or grows significantly, surgery may be necessary. Various surgical options are available, including myomectomy (removal of the fibroid) and hysterectomy (removal of the uterus).

When Is Fibroid Removal Necessary?

Fibroid removal is recommended if the fibroid causes severe symptoms, such as persistent pain, heavy menstrual bleeding, or fertility problems. Surgery may also be necessary if the fibroid has grown substantially or is located in an inconvenient position.

Conclusion

Uterine fibroids require an individualized approach. In some cases, observation is enough, while in others, treatment or removal of the fibroid is necessary. The key is to consult a doctor in time and undergo the required tests to determine the optimal treatment approach.