What exactly is myoma?

Objects or diseases that have the original name uterine myoma is often known as "meatball veins". Actually, uterine fibroids are benign tumors but if they are left for too long they can enlarge and cause complications such as anemia due to bleeding or pain.

Myomas are generally asymptomatic. Often found accidentally from ultrasound. Symptoms of bleeding generally depend on the location of the myoma. Bleeding often occurs in cases of submucosal uterine myomas or large myomas because they involve the uterine wall which usually sheds during menstruation. Bleeding can be prolonged (chronic) or sudden (acute) leading to anemia and blood transfusions.

Mioma can also enlarge during menstruation, although it does not interfere with fetal development, fibroids can cause repeated contractions and the risk of premature. The decision to remove myoma during SC must also be considered and carefully prepared.

The cause of myoma is not known with certainty, but it is related to the hormone estrogen. So, generally appear at the reproductive age. If the symptoms can no longer be treated with medication, then removal of the uterus is the last option, especially for women who are approaching menopause so that there are no more fibroids among us.

Uterine fibroids...it's no stranger to me... Even so, there are still those who like to ask what's the difference between fibroids and cysts. Myoma is a growing flesh, a cyst is a fluid-filled sac. The location of the myoma in the uterine muscle. Cysts are generally in the ovaries, there are also in the fallopian tubes (lista paratuba) or in the cervix (cyst Nabothi).

Mioma is often found in 20-25% of women of reproductive age and 30-40% of women aged > 40 years with symptoms of a lump in the abdomen, menstrual disorders or fertility problems.

There is a case of a 40-year-old woman who has 2 children who feel a lump in the stomach for a long time and menstrual bleeding is profuse, prolonged and repeated. From the ultrasound results, there are many myomas but what makes it difficult is the condition of the myomas in the uterine cavity (submucosum). If not removed it will often cause repeated bleeding until the transfusion. If the myoma alone is removed, the risk of recurrence is 30% within 5 years. Hormonal therapy is often the first choice, but it can be different in each case. That is the importance of consultation and discussion to find the best solution from the medical side and patient value. Patients do not necessarily have to obey their doctors, unless there is no other choice. So, don't be afraid to ask questions before deciding.

This patient decided to remove the uterus at the age of 40 years while still leaving both ovaries that are still good, so that the hormonal function will continue to function even though the uterus is no longer there. A patient who has had the uterus removed but the ovaries are still functioning properly cannot be said to be menopausal even though he is no longer menstruating because indeed there is no blood that can be shed again. Ovarian function continues to run according to "age" to prevent osteoporosis, early menopause symptoms and maintain sexual function.