Subserous myoma of the uterus

Myoma is located on the muscular layer of the uterus. It often occurs in women of childbearing age. The cause of the occurrence is a high level of estrogen( female sex hormones), hereditary and immune pathologies, metabolic disorders in the muscles of the uterus.

The subserous nodule of the uterine myoma grows toward the abdominal cavity. The tumor can be with a wide base or on a thin stalk, and can freely fit into the peritoneum. Nodules can be located one by one or form multiple subserous formations. The most common is the multiple subserous uterine fibroids, and the least spread is the uterine myoma. Occasionally, there is a subserous uterine myoma in large sizes. In this case, the size of the node reaches up to ten centimeters and can weigh more than a kilogram, but such large formations are extremely rare. Most often the size of the node is within a few millimeters.

Common symptoms of subserous uterine fibroids:

• abdominal pain;
• menstrual cycle disorder;
• miscarriage;
• infertility.

Pain occurs periodically, due to the growth of fibroids. Large nodes squeeze the organs adjacent to the uterus, breaking and inhibiting their work. There are problems with bowel movement and urination. Torsion of the legs of the node lead to tissue necrosis.

It happens that the myoma is asymptomatic so that it can be found only with a preventive examination. Ultrasound of the uterine region allows to establish the position, size and dynamics of tumor development.

Conservative treatment methods suggest special hormone therapy and the necessary correction of food. The degree of necessary surgical intervention is determined depending on the age of the patient, the propensity to form malignant tumors, their size and location.

In some women myoma grows slowly and does not cause any trouble for the patient. In other cases, the growth of myoma occurs very rapidly.

Depending on the location of the nodes, the following fibroids are distinguished:

Subserial - appears on the outside of the uterus and grows into the outer pelvic cavity. This tumor can not lead to serious changes in the menstrual cycle and can be completely invisible, but at the same time, it has a significant pressure on the surrounding organs and tissues;

Intramural subserous uterine myoma ( intramuscular) - located in the middle of the muscle layer and causing excessive growth of the uterine cavity. This type of fibroids contributes to the disruption of the monthly cycle, causes the appearance of abdominal pain and severe pressure in the pelvic region;

Submucous myoma ( submucosa) - grows in the depth of the uterus, under a thin mucous layer lining the walls of the uterus;

Interstitial subserous myoma of the uterus ( intermuscular) - subserous nodes are located inside the muscular walls of the uterine cavity. There is a uniform increase in the uterus, accompanied by heavy menstruation. With rapid growth, swelling or necrosis severe pain is observed. Has a depressing effect on the surrounding organs( rectum and ureters);

Cervical myoma - occurs in 5% of patients. This type of tumor is, as the name suggests, in the muscle layers of the cervix.

The subserous form of the uterine myoma is observed in the remaining 95% of the female patients.

In case of pregnancy many women who become sick with myomone begin to panic, and this can not be done strictly. First you need to determine the location of the tumor and its size. The group with a reduced risk level includes women without extragenital complications, up to 35 years.

The risk starts to increase with the increase in the size of fibroids. The most unfortunate is the location of the node in the cervix and with a tumor size of five centimeters.

Subserous uterine myoma and pregnancy become very dangerous satellites if necrotic changes begin in the tumor nodes. But even in this case, the pregnant woman has 70-75% of the hope for a favorable outcome of the disease.

When a subserous uterine myoma is found in a young, nulliparous girl, she is prescribed an operation to excise the tumor.

In case the myoma does not hurt, is not accompanied by pathological bleeding, has small dimensions and does not squeeze the surrounding organs, a woman can be prescribed outpatient treatment of subferent myoma of the uterus. This behavior is especially justified when a woman comes to the threshold of 50 years, and the nodes can themselves disappear. There are hormonal drugs( zoladex, decapeptil), which are able to artificially lower the level of estrogen and disable the work of the ovaries. These medications are recommended only by experienced specialists.