What are the options? When options are not available? And is it possible to do without surgery at all?
Can fibroids be prevented?
Myomas are different. By location, there are three main types:
- interstitial – fibroids that grow into the muscle membrane;
- submucosal – fibroids that grow into the uterine cavity and deform it;
- subserous – fibroids that grow on the outside of the uterus, under its outer serous membrane.
It has not yet been fully established what causes uterine fibroids, although it has been proven that this is a progesterone-dependent disease. There are suggestions of a genetic predisposition to the formation of fibroids, since a family form of the disease can be traced.
Myoma develops during the ovulatory menstrual cycle, and the growth of myoma nodes depends on cyclic hormonal changes in the body. That is, theoretically canceling ovulation (for example, using hormonal contraceptives), you can prevent the development of fibroids. However, from the standpoint of evidence-based medicine, the relationship between uterine fibroids and COC use has not been established. That is, reliable methods of prevention do not exist. If a fibroid is found, something must be done. What?