Fibromatosis of the uterus is the initial stage of the development of fibroids ; this is the state of replacement of muscle tissue with areas of connective tissue with dysfunction of the uterus. At the stage of fibromatosis, there are still no nodes as such, but a certain increase in size of the uterus is formed.
As a result of the formation of special conditions and circumstances, fibromatosis is transformed into a state of a benign tumor – uterine fibroids.
The exact cause of the development of uterine fibromatosis has not yet been identified, age and hormonal changes are considered the main ones. But among all the causes and influencing factors stand out some that have the greatest impact:
- hormonal imbalance in the female body, menstrual disorders,
- inflammatory processes in the genital area,
- frequent abortions and diagnostic curets, carrying out various kinds of medical manipulations,
- genetic predisposition, especially in the female line,
- inadequate and poor nutrition, poor ecology,
- stresses and bad habits
- overweight and obesity,
- various somatic diseases that somehow impair reproductive functions.
Uterine fibromatosis is conventionally divided into two types:
- diffuse, or common,
- nodal (usually these are zones of future fibroids). Nodular fibromatosis is usually subserous, when the nodes begin to ratify in the direction of the abdominal cavity, under the uterine lining, and submucous, grows towards the endometrium.
Due to the small size of fibromatosis, it is very difficult to notice symptoms in the initial stages of development. It is usually detected already at the stage of formation of fibroids of various sizes. Then the clinical manifestations are intensified, they can appear quite brightly and diversely, and diagnosis is not so difficult.
With fibromatosis of the uterus, there may be a pulling and aching pain in the lower abdomen or in the lumbar region, and during the formation of submucosal nodes, the pain may also be cramping. For fibromatosis, menstrual disorders with lengthening the time of menstruation, a large volume of blood loss, the occurrence of a “daub” between menstruation may be characteristic.
In uterine fibromatosis, menstruation can become painful, progressing in severity.
Discomfort and pain (dyspareunia) may occur during sexual intercourse.
Due to increased blood loss during menstruation, manifestations of anemia can occur with signs of trophic disorders – dry skin, brittle nails and hair.
In advanced cases, problems may arise with the pelvic organs with urinary incontinence or constipation .
Fibromatosis of the uterus strongly influences the course of pregnancy – there may be premature labor , miscarriages, or signs of infertility may progress. If you save the pregnancy, it will be difficult, with possible complications in childbirth.
The basis of the diagnosis is an examination on the chair, an ultrasound examination, as well as hysteroscopy, laparoscopy and a study of the hormonal status of the woman.
It is necessary to differentiate with malignant processes of the uterus and foci of endometriosis.
Gynecologists deal with the treatment of fibromatosis of the uterus.
The type of treatment depends on the manifestations. If a woman has no complaints, treatment is not carried out, only regular check-ups every three to six months.
A course of multivitamins and antioxidants is required, it is forbidden to visit the sauna and bath, tan in the solarium and on the beach. Useful treatment of herbs and juices course for 10 days per month – for 3-6 months.
When hormonal balance is disturbed, hormonal preparations are shown, they delay the growth of fibromatous foci and the formation of nodes. If the nodes are large and there is no effect from the therapy, they resort to surgery.
The main complications are the development of anemia and impaired reproductive function. The prognosis for the timely start of treatment is favorable. The growth of nodes can be prevented.