Bleeding when the fibroids how to stop

Under the mean myoma a benign tumor in the muscular layer of the uterus, which is more often diagnosed at a late reproductive age. Disease manifests itself in the form of single or multiple myomas of round shape, which consist of interlacing smooth muscle fibers.

Despite the benign nature of the tumor, requires special attention when bleeding the fibroids. How to stop him, using any of the methods decided by the doctor after careful diagnosis. The appearance of fibroids is the reason for the examination at the gynecologist. Knowing the location and size of fibroids, it is possible to determine the tactics of treatment, to prevent blood loss and to stabilize the natural hormones women.

Drug therapy

Treatment of fibroids with the help of medicines is justified in the case of waiting, when the disease manifests itself in the form of a single myomatous node of small size, not increasing during the observation period, as well as when multiple small nodes to remove, which is surgically impractical. Drug therapy is indicated in early stage disease diagnosis, and also in the appearance of fibroids in young nulliparous women.

The most informative methods of diagnosis of fibroids is ultrasound of the pelvic organs and magnetic resonance imaging.

Ultrasound is used to detect the tumor, and MRI to detect small lesions and to assess the state of neighbouring reproductive organs (ovaries, fallopian tubes).

Conservative treatment using drugs is justified in cases of mild symptoms or in their absence, on the background of existing fibroids. Treatment allows to achieve a positive result in 80% of cases with early diagnosis.

READ  Where to begin pregnancy planning woman

Drug therapy involves the use of drugs to eliminate the bleeding:

  1. Tranexamic acid – anti-inflammatory, antifibrinolytic tool that is used to eliminate profuse menstruation, uterine bleeding, due to activation of fibrinolysis (dissolving of blood clots ). The high concentration of drug in the body binds to plasmin and prevents the formation of kinins and other peptides involved in the inflammatory process. However, the use of hemostatic drugs heparin dosage with caution under the supervision of a physician. Antibacterial agents used with the retention interval after administration of Tranexamic acid. Similar effects have such drugs as Ekzatsil, TRANSALTA, Traneksam.
  2. Agonists gonadotropin-releasing hormone inhibit the secretion of pituitary gonadotropins. The drug is aimed at reducing the synthesis of estrogen that are actively produced by the organism in the reproductive period. Receiving agonists reduces the size of fibroids and reduce the risk of bleeding. However, prolonged use of these drugs (more than 6 months) contraindicated due to severe side effects (osteoporosis, autonomic dysfunction). Anti-estrogen means a short course (3 months) is usually prescribed before surgery (removal of myoma node) to reduce blood loss during the procedure.
  3. Combined oral contraceptives are used to stabilize hormonal levels, reducing blood volume and pain during menstruation. Outstanding representatives of the hormone therapy drugs are antiseptic and cough medicine that contain synthetic progestogen. Hormonal contraceptives are shown to young women to reduce the size of benign tumors, but not all modern studies confirm their efficacy in the treatment of hormone-dependent tumors.
  4. The progesterone is used mainly in women in the late reproductive period. Supplementation of progesterone prevents abnormal growth of tissue, contributes to the rejection of the mucus layer, restoration of the endometrium and menstrual cycle. Currently, progestins in the treatment of uterine fibroids are used rarely and only for special reasons.
  5. The antagonists-estrogens and progesterone prescribed to older women with myoma in the period of premenopause to stabilize hormonal levels. Hormonal imbalance observed in uterine fibroids, eliminate antiestrogens (Tamoxifen) and progesterone antagonists (Mifepristone).
  6. Surgical treatments

    Modern, less traumatic methods of treatment of fibroids, eliminating bleeding differ from those previously used. In the past decades with uterine fibroids, endometriosis, the only option for elimination of the bleeding was a radical hysterectomy. Today, this procedure is used only if other methods have not yielded the desired effect. In each individual case, the surgeon decides what to do and which treatment to choose.

    The main methods of treatment of fibroids with the aim of eliminating bleeding during your period is recognized as low-impact options to reduce the risk of possible complications. Surgery is indicated when a rapid tumor growth (more than 4 weeks per year), increasing its size more than 12 weeks of pregnancy and compression of adjacent organs:

MAXCACHE: 0.48MB/0.00126 sec