Myoma (Uterine Fibroids)

What is Myoma?

Myomas, also known as uterine fibroids, are noncancerous growths that originate in the muscular wall of the uterus. They range in size from small, seed-like nodules to larger masses that can distort the shape and size of the uterus. These are hormonally responsive and often grow during the reproductive years due to the influence of estrogen and progesterone. This is a common gynecological condition affecting an estimated one in five women at some point in their lives. 

What are the causes of Myoma?

There are various factors on why women develop uterine fibroids. These include:

Hormonal Imbalances

Fluctuations in estrogen and progesterone levels during the menstrual cycle can contribute to the growth of these fibroids.

Genetic Predisposition

A family history of fibroids increases the likelihood of developing them. 

Obesity

Being overweight or obese can elevate estrogen levels, potentially promoting uterine fibroid growth.

Early Menstruation

Starting menstruation at an early age (11 years old) increases a woman’s risk of developing myomas. 

Diet

A diet composed of high amounts of red meat and low in colored greens and fruits is also attributed to the development of uterine fibroids. Other foods/beverages that are linked to this condition are high alcohol and caffeine intake. 

What are the symptoms of Myoma?

There are several symptoms of a myoma. These may vary based on size, number, and location. The symptoms include: 

Heavy Menstrual Bleeding

Excessive menstrual bleeding leading to anemia.

Prolonged Menstrual Periods

Menstrual periods lasting more than a week.

Pelvic Pain or Pressure

Discomfort or a feeling of fullness in the lower abdomen.

Urinary Symptoms

Frequent urination or difficulty emptying the bladder due to pressure.

Backaches or Leg Pains

Discomfort in the back or legs caused by pressure on nerves.

Swelling of the lower abdomen

Unexplained swelling of the lower abdomen can point to the presence of a myoma. 

Who is at risk of Myoma?

Risk factors contributing to developing this condition include:

Age and Reproductive Stage

Women in their 30s and 40s, especially those who haven’t reached menopause, are more prone to developing uterine fibroids.

Hormonal Factors

Hormonal imbalances or fluctuations during menstruation may influence myoma growth.

Family History

Having relatives with a history of fibroids increases the likelihood of developing them.

How do you prevent Myoma?

There are several ways you can prevent developing fibroids. These measures may include:

Maintaining a Healthy Weight

Healthy lifestyle choices, including a balanced diet and regular exercise, can help regulate hormone levels.

Hormonal Balance

Hormone therapy might be considered in specific cases to regulate estrogen and progesterone levels.

Regular Check-ups

Routine gynecological examinations can aid in early detection and management.

Eating a Healthy Diet

Subscribing to a balanced diet that’s rich in fruits and vegetables can help reduce the risk of developing uterine fibroids. 

How is Myoma diagnosed?

Several procedures and tests help diagnose myoma, such as: 

Pelvic Exams

Physical examinations to check for uterine abnormalities or growths.

Ultrasound Imaging

Using sound waves to create images of the uterus and detect the presence of fibroids.

MRI or CT Scans

More detailed imaging tests to visualize the fibroid’s size, number, and location.

How is Myoma treated?

Treatment options for myoma include:



Medications

Hormonal medications to control bleeding and reduce pain. These medications can include pain relievers, supplements, contraceptives, and hormone stimulators. 

Minimally Invasive Procedures

Techniques like uterine artery embolization or focused ultrasound surgery (FUS) to shrink or destroy fibroids.

Surgical Interventions

Myomectomy or hysterectomy for severe cases.

IntimaV Treatments for Painful Bladder Syndrome

Myomectomy

Myomectomy is a surgical procedure specifically designed to remove uterine fibroids while preserving the uterus. This procedure aims to alleviate symptoms caused by fibroids, such as heavy menstrual bleeding or pelvic pain, while allowing the option for future pregnancies for those wishing to retain fertility. 

In our clinic, we offer open surgery, laparoscopic surgery, and robotic-assisted laparoscopy. Dr. Jenny Jose specializes in performing minimally invasive surgeries which have faster recovery times. 

Hysteroscopic Myomectomy

Hysteroscopic myomectomy is a minimally invasive procedure used to remove uterine fibroids located inside the uterine cavity. This technique involves a small camera and specialized instruments inserted through the cervix, aiming to excise fibroids without making external incisions. It is often chosen to treat symptoms like abnormal bleeding or infertility while preserving the uterus.

High-Intensity Focused Ultrasound (HIFU)

HIFU is a non-invasive technique using focused ultrasound waves to treat uterine fibroids (myomas) by heating and destroying targeted tissue. This procedure aims to reduce fibroid symptoms such as heavy menstrual bleeding or pelvic pain without incisions, offering a potential alternative to surgery for some patients.