Uterine myomatosis is the appearance of myomas or fibromas (benign tumors) in a woman’s uterus, it often affects women over age 30. If a single muscular tumor is found in the uterus, it is called a myoma, if there are more myomas present, they are referred to as myomatosis. In some women myomatosis can cause no issues and be left untreated, however, if any problems present themselves, a surgery is required.
Uterine myomas are the most common type of pelvic tumors. It’s present in up to 40% of women in the age of 30-50. Uterine myomas are different shapes and sized, they may be microscopic or grow slowly until they fill the whole uterus.
What are the Symptoms of Uterine Myomatosis?
Myomatosis is not dangerous by itself, in fact about one quarter of uterine myomas are asymptomatic. However, they can cause issues, especially if they are allowed to grow.
The most common symptoms are:
• Strong and prolonged menstrual bleeding.
• Pain or pressure in the lower abdomen.
• Painful sexual intercourse.
• Pelvic cramps.
• Difficulty or even pain while urinating.
• Painful menstrual periods.
It is important to mention that symptoms depend on the size, number and location of the myomas. However, if you present any of the symptoms listed above you need to visit your gynecologist as soon as possible.
How is Uterine Myomatosis Diagnosed?
The most reliable method of diagnosing Uterine Myomatosis is through an ultrasound along with a standard gynecological exam.
The ultrasound provides the doctor with information about the uterus, the uterine cavity as well as the size of the individual myomas.
If the uterine myomatosis is causing no issues, it’s possible to forego treatment and only undergo regular gynecological exams. In older women, who have significant issues, are on the verge of menopause and don’t plan any pregnancy, a hysterectomy or removal of the uterus may be performed.
A hysterectomy is a surgery that requires full anesthesia with several days of hospitalization. The uterus may be removed through an open incision in the abdomen; it can be removed laparoscopically or through the vagina. The ovaries and fallopian tubes are usually left, as their role in the production of hormones is important. If the woman has already undergone menopause, these organs are removed as well.
A different procedure is used for young women planning to have children. In this case it’s important to save the uterus and only remove the tumors that would prevent pregnancy.