Uterine fibroids: how to cure?

Health Tips

Problems in the gynecological part haunt a woman in one form or another for almost half of her life. This is primarily due to the peculiarities of the structure of the female body and the functions assigned to it.

According to statistics, the second place among gynecological diseases is occupied by uterine fibroids, and about 1 million uterus are removed annually due to fibroids.

Modern methods of treatment, the possibility of preserving the uterus and reproductive function, as well as what functions the uterus performs after childbirth and the importance of preserving it, we would like to discuss today with Professor of Obstetrics and Gynecology, Doctor of Medical Sciences, Head of the Uterine Fibroids Clinic of the De’tal Medical Society – Tikhomirov Alexander Leonidovich.

Alexander Leonidovich is one of the most famous specialists in the treatment of uterine fibroids, the founder of the Uterine Artery Embolization method in the CIS, an honorary member of the European Expert Council for the treatment of uterine fibroids.

The first place in the structure of gynecological diseases is occupied by inflammatory processes, they reach 60%. But at the same time, it should be noted that the second place is occupied by a disease such as uterine fibroids, and the third is endometriosis.

These are the main diseases that affect a woman. This was even the focus of attention of the government of the Russian Federation in 2008, and it is indeed recognized as a priority in restoring the reproductive health of the nation.

The earlier a problem is identified, the more effective treatment can be. At the moment, we can say that small fibroids undergo a complete cure.

But the current trend adopted in women’s consultations is to observe up to 12 weeks, and 12 weeks is already a uterus in two fists (the normal size of the uterus is the size of a chicken egg). And only then they begin to make a decision – and then, as a rule, in the form of radical operations. And this is fundamentally wrong.

My colleagues and I are always for early treatment and mandatory preservation of the uterus, since its absence leads to numerous disorders in the functioning of the female body and the premature onset of menopause.

Sometimes, fibroids are quite asymptomatic, therefore, even if a woman is not bothered by anything, it is necessary to visit a gynecologist once a year with an ultrasound scan, because early diagnosis is the key to successful and less traumatic treatment.

But anyway, The main symptoms of uterine fibroids are: pain in the lower abdomen, bleeding, heavy menstruation, and intermenstrual bleeding. It is these manifestations that make a woman turn to a gynecologist.

Uterine fibroids is a common disease and can be the cause of infertility, recurrent miscarriage. And if it is located close to the uterine cavity or in its cavity, then it leads the woman to secondary anemia.

But most of all, uterine fibroids are dangerous for the loss of an organ, because up to the present there is a tendency “no organ – no problems”, it is easier to remove the uterus.

That is why we are following the path of organ-preserving treatment, which allows a woman to retain the opportunity to become a mother in the future without major surgical intervention.

Methods of treatment of uterine fibroids can be divided into surgical and therapeutic. Therapeutic methods of treatment of uterine fibroids are subject to small nodes that do not exceed 2 cm. The remaining methods of treatment are surgical in nature.

The crudest method of treatment, of course, is the removal of the uterus along with the nodes. Less traumatic and allowing to preserve the childbearing function is a conservative myomectomy – the removal of nodes in an operative way with the preservation of the uterus.

A modern method of treatment through small access zones (punctures) is Uterine Artery Embolization!

I would call it Uterine Fibroids Embolization because we have developed new approaches to this treatment. The purpose of the procedure is to bleed the nodes, not the entire uterus, so it is the fibroid nodes that are selectively clogged.

The undoubted advantage is that this is a micro-invasive treatment. In fact, this is a puncture (puncture) of the femoral artery, it can be compared to how blood is taken from a vein. This is the absence of general anesthesia, the absence of artificial ventilation of the lungs and the possible complications associated with this.

This is only 18 hours of hospital stay, relapse-free (the disease does not reappear) and non-adjuvant (no need for drugs, hormones, any expensive therapeutic treatment).

This is an opportunity to preserve reproductive function. And in general, if you apply in a timely manner and resolve the issue with uterine fibroids once and for all in 40 minutes, this, of course, is an absolute advantage!

No, there has not been a single refusal in my more than ten years of practice. But there were difficult cases. Myoma weighing more than 14 kg was removed from one of the patients!

Another woman had 25 fibroids removed by a conservative myomectomy, and as a result she became a happy mother. We help a woman in any situation and try to preserve the uterus with its functions to the maximum.

Embolization of uterine fibroids as a treatment method has been registered in the world since 1994, and licensed in the Russian Federation since 1997. But for the first time it was held in 2000 and by us.

To date, the procedures performed are in the thousands, and I deliberately call it not an operation, but a procedure – because it lasts 30-40 minutes, there is no general anesthesia, and the patient goes home the next morning.

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