Fibromatosis of the uterus, what is it and how to treat
Fibromatosis is a replacement of muscle tissue by connective tissue. Fibromatosis of the uterus may gradually degenerate into a benign tumor — uterine fibroids or disappear with the onset of menopause. This process can begin in a woman’s body already at the age of 30, and 30% of women subsequently identified fibroids. Fibromatosis of the uterus often detected by chance. To understand what it is, you need to know the structure of the body.
The structure of the uterus
The outer wall called perimetry. It is a thin serous membrane that covers the body. The main part of the body is muscular tissue – myometrium. Muscle fiber of the myometrium is located in different ways – there are transverse, longitudinal and circular layers. It is necessary for the special strength and elasticity of the uterus during pregnancy needs to save and hold the developing fetus and then during labor to push him out. The inner layer of the uterus – the endometrium – is lined with epithelial and glandular epithelium.
What is dangerous fibromatosis?
When the displacement of the muscular layer of connective tissue, the uterus begins to lose its elastic properties, reduces its extensibility and contractility. First, fibromatosis of the uterus has no clear boundaries and it is almost impossible to identify on ultrasound.
Changing hormones during pregnancy can cause acceleration of the development of fibromatosis. Often pregnant women are offered caesarean section due to low uterine contractility or significant tumors that interfere with normal delivery. Formed fibromatous nodes at the location in the submucosal layer can be the source of bleeding, and large nodes interferes with the normal functioning of the body.
Subsequently with the development of areas the connective tissues become delineated border and turn into a fibromatous node. Hormonal imbalance-related fibromatosis of the uterus, leading to infertility. During pregnancy and childbirth, the presence of fibromatosis may cause pathology of pregnancy, miscarriages and premature births.
There are many causes of fibromatosis of the uterus.
- When damaged the muscular tissue of the uterus during the abortion, previous operations or injuries there is damage to the receptors of the uterus that responds to the concentration of female sex hormones. This increases the effects of estrogen on the condition of the uterus that promotes development of fibromatosis.
- When inflammation of the ovaries or their dysfunction is a violation of the ratio in the blood of progesterone and estrogens, which also negatively affects the condition of the myometrium and triggers its replacement by connective tissue.
- Hormonal background of woman is regulated in the brain in special sections of the hypothalamus and pituitary gland. While head injury, inflammation, tumors, disorders of the nervous system, stress is an imbalance to the regulation of hormonal background the Central nervous system.
- Liver diseases also affect the level of sex hormones. Estrogen metabolism occurs in the liver when it is slowing down the amount of sex hormones in the blood increases.
- The development of fibromatosis contributes to the metabolic syndrome and obesity. In adipose tissue also synthesizes estrogens that adversely affect the uterine tissue.
- Genetic predisposition to development of pathology of the uterus and fibroids increases the risk of developing fibromatosis of the uterus in the offspring.
Depending on the degree of diffusion in the body fibromatosis may be diffuse or nodular. Diffuse fibromatosis is distributed evenly throughout the muscle tissue of the body. When the host identifies the form of localized nodes in parts of the uterus. The nodes may be located in the submucosal layer of the endometrium. Such nodes are often the source of bleeding. The node on the stem can penetrate into the cavity of the vagina or when there is abundant growth to occupy the entire cavity of the uterus, simulating pregnancy. The knots in the muscular layer of the uterus often do not interfere with the work of the authority. Subserous nodes, which are located outside the body, can grow in the pelvic cavity.
In the initial stage of the disease fibromatosis of the uterus does not manifest itself. Because excess connective tissue, reduces contractility of the uterus, menstruation can become longer and more abundant you should be alerted woman. For large nodes the abdomen may increase in volume, there is heaviness in the abdomen, urinary incontinence and chair. During the examination the gynecologist can not detect any pathology, the uterus may be slightly compacted or enlarged.
The diagnosis is established by ultrasound, where you can find fibromatous nodes or parts of the seal of the myometrium with increased echogenicity, uterine size become more than the norm, the contours of uneven.
In the diagnosis and determination of treatment tactics helps study of hormonal. In this regard the increase in the level of estrogen in the blood. For the differential diagnosis with endometriosis may require hysteroscopy. To exclude malignancy prescribed a blood test for tumor markers, and biopsy of nodules. May require examination of the liver (study levels of liver enzymes and bilirubin levels, ultrasound examination of abdominal cavity organs).
Fibromatosis of the uterus has a different underlying cause, so the treatment depends on the cause of the disease. Liver disease therapy with hepatoprotectors and tools that improve the flow of bile. Obesity and metabolic syndrome recommend a special diet to reduce body weight, exercise. In pathology of the ovaries is carried out anti-inflammatory treatment with antibiotics, vitamins, and resolving therapy.
With abundant and painful menstruation use anti-inflammatory drugs and medications to treat anemia.
If a major factor in the development of the disease became hormone imbalances, it should be the appointment of female hormones. To reduce the growth of fibromatous tumors and normalization of the menstrual cycle recommend taking drugs with a low content of estrogen (for example, Jeanine, yasmin). If the appearance of fibromatosis is accompanied by hyperplasia of the endometrium, prescribed progestin drugs (e.g., antiseptic). For the treatment of fibromatosis, it is possible to install the intrauterine device. Modern spiral contain progestogen, which is released into the blood women daily in small portions.
In the treatment of fibromatosis helps traditional medicine with the use of decoctions of various herbs. The juice of St. John’s wort and shepherd’s purse can reduce the level of estrogen. Anti-inflammatory effect and has an alcohol tincture of calendula. Potato juice and decoction of burdock have anti-tumor effect, reduce the development of fibromatosis. The infusion or decoction of upland uterus normalize the level of hormones in the blood. All the herbs used in courses for three to four weeks.
Observation by a gynecologist if fibromatosis of the uterus is held twice a year with a mandatory inspection on the chair in the study of hormone levels and ultrasound. It must be remembered that fibromatosis of the uterus is not a disease, but a process preceding the development of uterine fibroids. With proper treatment and prevention of the disease can be prevented and to avoid undesirable consequences.