> Fibroma all’utero

What are fibroids

Classification of uterine fibroids

When to go to the doctor

risk Factors


Fibroids in pregnancy

What are fibroids

uterine fibroids are growths that are not cancerous uterus that often appear during the years of fertilityà. Also called leiomyomas or myomas, the uterine fibroids are not associated with increased risk of cancer of the uterus and do not become almost never in a tumor.


uterine fibroids develop from the smooth muscle tissue of the uterus (myometrium). A single cell divides repeatedly, creating in the end a solid mass and rubbery distinguished from the surrounding tissue.

The paths of growth of uterine fibroids vary – can grow slowly or quickly, or may remain the same size. Some fibroids have growths and sudden, and some may shrink from only. Many fibroids that have been present during pregnancy shrink or disappear after pregnancy, as the uterus returns to normal size.

fibroids vary in size from dots, which cannot be detected by the human eye, a mass of bulky that can distort and enlarge the uterus. Can be single or multiple, in extreme cases expanding so the uterus reaches the ribcage.

 Three women out of four have uterine fibroids at some point in life, but for the most part it is unconscious becauseé often do not cause symptoms. Your doctor può discover fibroids incidentally during a gynecological examination or ultrasound in pregnancy.

Classification of uterine fibroids

 In women who have symptoms, the symptoms more common of uterine fibroids include:

  • Strong menstrual bleeding
  • Menstruation  prolonged – seven days or more of menstrual bleeding
  • Sense of weight or pain
  • frequent Urination
  • Difficultyà to empty the bladder
  • Constipation
  • Pain in the back or legs

Rarely, a fibroid can; cause acute pain when it outgrows its blood supply.  Deprived of nutrients, the fibroid begins to die. Biological substances produced by a fibroid that is degenerating may infiltrate the surrounding tissue, causing pain and, rarely, fever.

A fibroid that hangs by a stalk inside or outside the uterus (offibroid pedunculated) può trigger pain becoming twisted on its stalk and cutting off its blood reserve.

the location of The fibroid, the size and number influence signs and symptoms:


  • the hypovlenogonia FibroidsFibroids that grow in the cavità inside of the uterus (fibroids submucosal) have più probability; cause menstrual bleeding strong and prolonged and are sometimes a problem for women trying to become pregnant.
  • the

  • the Fibroids sottosierosi. Fibroids that project outside of the uterus (fibroids sottosierosi) can sometimes press on the bladder, causing urinary symptoms. If the fibroids to swell from the back of the uterus, they may occasionally push or the rectum, causing a feeling of pressure on the spinal nerves causing back pain.
  • the

  • the Fibroids intramural. Some fibroids grow within the muscular wall of the uterus (fibroids intramural). If large enough, they can distort the shape of the uterus and cause cycles of strong and prolonged, così as the pressure and pain.
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When to go to the doctor

Go to your doctor if you have:

  • pelvic Pain that does not pass
  • Cycles too intense or painful
  • Stains, or blood loss among the cycles,
  • Pain associated with
  • abdominal Bloating continuous
  • Difficultyà to empty the bladder

Seek urgent medical assistance if you have severe vaginal bleeding or pelvic pain acute suddenly.

The doctors do not know the cause of uterine fibroids, but research and clinical experience indicate these factors:


  • the genetic Changes. Many fibroids contain changes in genes that differ from those in normal cells of the uterine muscle. There is also some evidence that fibroids are familiar with and identical twin have più probability; to have both fibroids that do not twin is not identical.
  • the

  • the Hormones. Estrogen and progesterone, two hormones that stimulate development of the uterine lining during each menstrual cycle in preparation for pregnancy, appear to promote the growth of fibroids. Fibroids contain more receptors for estrogen and progesterone than do normal cells of the uterine muscle. Fibroids tend to shrink after menopause because of a decrease in the production of hormones.
  • the

  • the growth factors. Substances that help the body maintain tissues, such as growth factor type-insulin, may influence the growth of fibroids. 

risk Factors

There are a few known risk factors for uterine fibroids, aside from being a woman in età reproductive. Other factors that may have an impact on the development of fibroids include:


  • the Inheritance. If your mother or your sister had fibroids, you are at increased risk to develop them.
  • the

  • the Breed. Black women have the più probability; to have fibroids of women of other racial groups. Also, black women have fibroids at età più young people, and also have più probabilityà più fibroids and più large.
  • the

  • the Others involved. The onset of menstruation in età early, you have a diet più high in red meat and the più low in vegetables and fruits and drink alcohol, including beer, appear to increase the risk of developing fibroids.


Although uterine fibroids usually aren’t dangerous, they can cause discomfort and can lead to complications such as anemia due to heavy loss of blood.

Fibromi in gravidanza

fibroids do not usually interfere with conception and pregnancy. However, it is possible that fibroids can cause infertilità or loss of pregnancy.

The hypovlenogonia fibroids may prevent implantation and growth of an embryo.

In these cases, doctors often recommend removing these fibroids before attempting to become pregnant or if you have had miscarriages multiple.

Rarely, fibroids may distort or block the Fallopian tubes or interfere with the passage of the sperm from the cervix to the Fallopian tubes.


uterine Fibroid. Symptoms, medical and surgical therapies,

the Correlation between fibroids and dysplasia.

Fibroids and the uterus to be removed

Fibroids, options, non surgical treatment

although the safety and effectiveness: there are too many inappropriate, underutilized alternatives

Embolization uterine fibroid

1 dicembre 2014 

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