Category “Dimensions. How small uterine fibroids manifest themselves and are treated. Fibroids size according to MRI 3 numbers

Uterine fibroids are a benign tumor that appears in the reproductive organ. The age group susceptible to the disease is women 20-70 years old. This disease occurs due to hormonal imbalance. At the initial stage, the disease has no symptoms; only when pain and bleeding occur does a woman decide to undergo examination. The size of uterine fibroids in weeks is diagnosed using ultrasound. Treatment depends on its size.

The size of a benign tumor is determined by weeks and centimeters. This completely coincides with the obstetric period (fetal growth during pregnancy). Therefore, the size of fibroids is usually calculated by week.

• A small tumor (about 2 cm) lasts no more than 4-6 weeks. Reasons for surgery only if the fibroid stalk is twisted. May be removed due to excessive bleeding, leading to anemia. Also if a woman has been diagnosed with infertility;
• Average (from 4 to 6 cm) period is 10-11 weeks. If the nodes are not actively growing and there are no pronounced symptoms, then the operation may not be performed. Formations that are located on the outside of the uterus can disrupt the functioning of the organs located closest to it. With average fibroids, infertility or miscarriage may occur;
• Myoma exceeding 6 cm in diameter is considered large; its duration is equal to 12-16 obstetric weeks of pregnancy. Such fibroids can only be removed surgically and with drug treatment to eliminate tumors.

Size of uterine fibroids in weeks and centimeters

At an early stage, fibroids are 4 weeks old. It has no symptoms and does not bother the woman. The main thing is to identify this disease before 7 weeks. It will bring much fewer problems than in later stages of detection.

When it increases to 5 cm and a period of about 10 weeks of obstetric pregnancy, the first symptoms begin to appear.

• Menstruation with pain that does not respond to painkillers.
• Upon reaching 12 weeks, the cervix enlarges, causing bloating.
• If the diagnosis is pedunculated fibroid, then there will be a sharp pain in the abdomen.
• With large fibroids, its enlargement leads to compression of neighboring organs, which interferes with normal urination and defecation. Pain begins in the lower back and near the rectum.

Fibroids, the size of which is more than 12 weeks, entail the formation of adhesions in the tissues of the body and nearby organs.

When a patient complains, an ultrasound examination is performed and appropriate tests are taken. Ultrasound is the most accurate detection of this disease, as well as the timing of its onset. Thanks to the examination, it is possible to accurately determine whether a tumor is benign or not. The possibility of a benign tumor becoming malignant depends on the timing of its detection. Every woman needs to make it a rule that she undergoes ultrasound regularly.

After examination and further diagnosis, the doctor makes a decision on the operability of the tumor. For this, the following indicators are available:

• Uterine fibroids measure 6 cm and last for more than 12 weeks. This tumor size is life-threatening for the patient. Myoma nodes that are more than 12 weeks old must be urgently removed.
• Consistently intense pain. This feature is typical for medium and large fibroids. The myomatous node leads to compression of nearby organs and also puts pressure on the rectum. Defecation is impaired, which can lead to intestinal inflammation and intoxication of the body.
• Bleeding began. Basically, it is caused by fibroids for a period of 15 weeks or more.
• Pregnancy planning. If a woman cannot become pregnant or bear a child, medium-sized fibroids are often the cause. Hormonal levels change during pregnancy, which leads to tumor growth and poses a threat to the baby.

If uterine fibroids are more than 12 weeks old and are located on the back wall of the uterus, this can cause premature birth. Oxygen starvation of the fetus may occur.

• There is a risk of benign fibroids developing into malignant ones. This opportunity arises with the rapid growth of fibroids.

Small or medium fibroids can be treated without surgery, provided there are no complications. If the tumor is benign and even a few millimeters in size, you still should not relax and start treating it, because it may be located in a harmful area.

Tumor growth

To treat fibroids, it is important how quickly they grow. If over the course of a year the uterus has enlarged to 5 weeks or more, then this tumor is progressing. Its growth is affected by hormonal imbalance in the body. There are also the following reasons for the rapid development of this disease:

• a woman has not given birth until she is 30 years old
• gynecological pathologies
• sufficient number of abortions
• taking hormonal drugs
• long-term influence of ultraviolet radiation on the body.

Sometimes uterine fibroids grow to enormous sizes, the weight can be about 5 kg and 40 cm in diameter. This resembles late pregnancy.

The effect of fibroid size on pregnancy

With small or medium-sized fibroids, pregnancy can proceed normally. If the tumor is large, then pregnancy, as well as bearing a child, is not possible. Conception does not even occur due to the fact that the nodes block the fallopian tubes.

If a woman finds out during pregnancy that she has a large fibroid, complications may arise during childbirth. This may include bleeding, infections of internal organs, as well as unforeseen situations.

The most serious are fibroids located in the vagina. It causes infertility, as well as spontaneous miscarriages. If pregnancy occurs due to a benign tumor, then the patient is constantly under the supervision of doctors to prevent miscarriage. If the growth of the fibroid node increases rapidly, then the pregnancy must be terminated.

In some pregnant women, myomatous nodes stop growing altogether, in 10% it decreases, and only in 20% can it begin to grow at a progressive rate.

Removal of fibroids

An ultrasound examination revealed that the nodes were enlarging; the doctor ordered a full examination of the patient to begin with. Then the operation is performed. There are the following types of surgical intervention: laparoscopy, laparotomy, strip surgery, hysteroscopy, hysterectomy.

For hard-to-reach and large nodes, hysteroscopy is done - making incisions through the vagina.

Removal of fibroids 10 weeks. You cannot delay removal. The operation is performed through an incision in the anterior wall of the abdominal cavity. This rather serious operation to remove a benign tumor is called laparotomy. After it, a long rehabilitation is required.

Removal of fibroids 12 weeks. When a tumor of this size is diagnosed, surgery is performed immediately. As a last resort, hysterectomy is used - complete removal of the uterus. This operation is performed if no treatment is no longer effective. The rehabilitation period is about 2 months.

In case of a complex case, as well as widespread foci of the disease, a strip operation is performed.

Complete removal of the uterus for fibroids

The entire reproductive organ can be removed: if the size of the tumor has reached unacceptable levels, also if removal of the nodes is not possible. The main indicators for this are:

• late detected formation of nodes,
• uterine prolapse,
• prolonged blood loss,
• suspicion of a malignant tumor,
• increasing anemia.

Rehabilitation after removal

To quickly return to your normal lifestyle, you must adhere to the following recommendations:

• eliminate stress on the stomach, but try to move more;
• avoid constipation;
• do not lift heavy objects;
• Eliminate stress, which often leads to hormonal changes.

To plan a pregnancy, you should consult your doctor.

Take medications to restore the functioning of the uterus. Also, if you have any unpleasant symptoms, consult a doctor.

Every woman should regularly visit her gynecologist and monitor her reproductive system.

Uterine fibroids are one of the most common pathologies of the female genital organs. Formed from a small nodule, it can grow to large sizes, causing complications.

Timely relief of small fibroids will avoid complications and completely restore the functionality of the female reproductive system.

Uterine fibroids are benign formations consisting from endometrial cells and vascular tissue, which is localized in the walls of the uterus. Vascular tissue provides nutrition to the fibroids and active growth of its cells.

In the absence of treatment and hormonal imbalance, the tumor grows quickly, increasing in size and can form new pathological foci.

Options

To diagnose fibroids, two options are used to indicate its size. When diagnosed using ultrasound, the tumor is measured in millimeters and centimeters. During a clinical examination in a gynecologist’s office, the size of the fibroids is determined according to the degree of uterine enlargement, characteristic of the period of pregnancy.

According to these parameters, small fibroids include tumor no more than 2 cm, in which the uterus enlarges according to 5–12 weeks of pregnancy. The main sign of a small tumor size is small dense myomatous node, which forms the center of future major sprawl.

On palpation, the node reveals tight stable core. It persists even in the absence of blood supply to the fibroids or unfavorable hormonal background.

With the initial development of fibroids and its small size, along the edges of the node there may be peripheral growing volume. But, as a rule, a pronounced increase is typical for tumors of medium and large size.

A small tumor is a fibroid that has not yet acquired an independent growth mechanism.

Small fibroids are accompanied by the appearance of some symptoms:

• increased volume of menstruation;
• cycle reduction;
• increase in pain intensity during menstruation;
• appearance spotting brown discharge;
• discomfort or nagging pain in the lower abdomen.

Therapy and prognosis

When the first signs of a small fibroid appear, you need to contact a gynecologist who will conduct a detailed diagnosis and prescribe treatment. For the treatment of small fibroids, it is most often prescribed conservative therapy with the use of special medications and agents, hormonal and symptomatic action.

There are several techniques that allow you to obtain a positive therapeutic effect in the treatment of small fibroids.

A course of antigonadotropins and synthetic gonadotropic releasing hormone agonists

Today, this method is considered the most effective and gentle in the treatment of small fibroids. This hormonal treatment has several goals:

1. Hormonal regulation, by reducing the hormonal activity of the ovaries to a level that allows you to stop the development of fibroid cells.
2. Stopping the spread of benign lesions to abnormal areas, by reducing their sensitivity to estrogen.

The method is used for tumors from 0.5 to 2 cm in diameter. This method is the use of drugs based on antigonadotropins and gonadotropin releasing hormone agonists, which suppress in the pituitary gland growth of gonadotropic group hormones, through action through the hypothalamus.

In essence, the drugs used have antihormonal effect, in which the menstrual cycle stops and all the signs of menopause appear. Due to this action it is observed complete regression of fibroids.

The drug is used for the procedure Decapeptyl, which is intended for intramuscular and subcutaneous administration. The most preferred option is subcutaneous administration in the form of depot forms.

The procedure is carried out according to a certain scheme: the drug is administered from days 1 to 5 of the menstrual cycle, 3.75 mg, then take a break of 28 days and repeat the course. Depending on the characteristics of the tumor, treatment can last from 3 to 6 months.

Usually, after 4 months of therapy, tumor volume reduced by 70%. In addition to its therapeutic effect against benign tumors, the drug helps restore the cycle and eliminates pain during menstruation.

But besides the positive properties, this method has one significant drawback with irregular use or incorrectly selected dosage, after treatment there is renewal fibroid growth, only in a more active form.

Embolization

Embolization is a method indicated for the removal of fibroids by stopping its blood supply. This technique is used for formations up to 5 cm.

The procedure is minimally invasive surgery o, which is carried out using small punctures in the groin area. All manipulations are carried out under local anesthesia, so the patient does not feel any pain at all, and the targeted impact of surgical needles requires virtually no rehabilitation.

During the procedure, the doctor uses several needles makes punctures in the area of ​​benign formation, penetrating the uterine artery and vessels up to 0.9 mm, framing the tumor. These vessels are located on the border between healthy and pathological tissues.

Through needles no larger than 1.5 mm into these vessels a special drug is delivered, blocking the cavity of the artery, and thereby preventing blood from flowing to fibroids. The drug is a mass of organic matter in the form of irregularly shaped microparticles or small balls.

To obtain a positive effect in the treatment of a small tumor, as a rule, one procedure is enough. Within 7 or 10 days after surgery, neoplasm cells die, and the fibroid resolves. During this period, the patient does not need to stay in the hospital.

In place of the destroyed fibroid, a scar is formed, which completely disappears after 3–5 months.

This method is popular and widespread in European countries. This is due to minimal side effects and trauma. After treatment, there is no uterine bleeding and in 97% of cases, normalization of the cycle and blood loss during menstruation is noted.

In two weeks noted after treatment tumor reduction by 74%. In 5% of patients several months after therapy completely disbanded central node.

The disadvantage of this technique is that when the drug is introduced into the vessels, not only pathological tissue can be affected, but also healthy tissue. As a result, it is observed death of healthy epithelium, which can provoke inflammation of the uterus, or the appearance of new fibroids.

Progestin

When a tumor forms no more than 1.5 cm, is prescribed by using progestin-based drugs. It is most often prescribed as a birth control pill, taken once a day.

They are aimed at eliminating the problem by normalization of ovarian function, which begin to actively produce progesterone, which suppresses the growth of fibroid cells. To obtain a positive result, treatment must be carried out strictly according to the regimen prescribed by the drug developer or drawn up by a doctor.

The average treatment period is 6 months, after which an additional examination will be prescribed and, if necessary, treatment can be continued. As a rule, after a full course, lasting six months, fibroids reduced by 55%.

This technique has few side effects and is highly effective. But with long-term use, it should be borne in mind that the drugs can lead to liver dysfunction.

Levonorgestrel-containing hormonal device Mirena

It is used to treat small tumors of the uterus that are localized in it for a long period of time. This remedy can cope with fibroids that have existed for about 5 years. This type of spiral combines therapeutic and contraceptive effect.

The spiral has an inhibitory effect on the pituitary-hypothalamic regulation, as a result of which estrogen production is blocked, and the pathological cells die.

The spiral is a thin T-shaped frame, which contains the hormone levonorgestrel. Throughout the treatment, spiral produces this hormone, releasing it into the blood in small quantities. This type of treatment is only used in reproductive age. Additionally, the tool cannot be installed for chronic inflammation endometrium.

Antiplatelet agents and anticoagulants

These drugs are prescribed to improve blood circulation during the recovery period after treatment. Most often prescribed as an anticoagulant Warfarin, which is taken once a day. To enhance the effect of the drug, it is combined with antiplatelet agent. In this case, preference is given to Heparin.

Both drugs should be used At the same time. During the treatment period, it is not recommended to change the dosage, since a smaller dose will not have the necessary therapeutic effect, and too high a volume of the drug used will lead to to the development of bleeding and long-term healing of the endometrium.

Symptomatic therapy

In addition to the main treatment, during the period of relief of small fibroids, additional therapy is prescribed aimed at eliminating the symptoms associated with the disease. To do this, use the following means:

• hemostatics. Designed to reduce the severity of bleeding during hormonal treatment. For this, the use of Etamzilat, water pepper extract and a decoction based on shepherd's purse is indicated;
• antispasmodics. Indicated to relieve pain caused by spasms of the uterine muscles. Spazmalgon is most effective in this case;
• painkillers. During the treatment of fibroids, non-steroidal painkillers are prescribed, which are aimed at relieving pain and reducing symptoms of inflammation. These drugs include Naproxen and Ibuprofen;
• antidepressants. They allow you to improve the psycho-emotional state of the patient, which may be noted during the first time of treatment with hormonal drugs.

Indications for surgery

In addition to conservative methods, surgical methods are also used to treat fibroids. Although, in general, small benign tumors are not operated on, there are exceptions in some situations. Surgical treatment is indicated in the presence of the following factors:

• submucosal location of the tumor;
• high probability degeneration into cancer;
• submucous type of fibroids with interstitial and centripetal development;
• the presence of constant heavy bleeding;
• excessively active growth in education;
• infertility;
• necrosis central node.

The main danger of a neoplasm lies in its potential ability to grow and degenerate into a malignant cancerous tumor, which is why it is so important to monitor the increase in the size of myomatous nodules.

When uterine fibroids are diagnosed, the size for surgery to remove it is determined by a set of studies:

• visual bimanual examination on a gynecological chair using a special mirror;
• ultrasound examination to determine the number and size of fibroids.

In order for the doctor to prescribe the correct treatment, it is necessary to repeat the ultrasound procedure several times. This will determine the rate of tumor growth. To obtain a detailed picture of the disease, it is recommended to do an MRI.

With the growth of fibroids, the cavity of the organ itself also gradually increases - this resembles the growth of an embryo. Because of this similarity, the size of uterine fibroids is usually compared with the weeks of pregnancy. For example, uterine fibroids at 7 weeks are approximately 2.5 cm.

Myoma sizes

In gynecology, it is customary to conditionally divide uterine fibroids into three types, based on the size of the tumor:

1. Small fibroids. It is comparable to a 6-8 week pregnancy and has a volume of up to 2 cm. Typically, such a tumor does not manifest itself in any way; a woman finds out about the disease by chance. It is important to identify the formation during this period - a fibroid 7 weeks in size will bring much less trouble than an advanced giant tumor.
2. Average fibroids. During pregnancy, the size will be 10-12 weeks or up to 7 cm. A patient with such a tumor may complain of heavy, painful menstruation that cannot be relieved with medications. Small bleeding occurs in the middle of the cycle, the so-called “daub”.
3. Large fibroid. The parameters of the neoplasm are comparable to an embryo at 12-15 weeks.

Symptoms

The presence of such uterine fibroids is manifested by severe symptoms:

• pain in the belt, heart, and in case of adhesions with the tissues of neighboring organs - and in other places;
• frequent numbness in the legs due to problems with blood circulation;
• disturbance of defecation or increased urge to urinate due to pressure of the tumor on the nearest organs - intestines, bladder;
• an increase in the lower abdomen while maintaining weight at the same level.

Small and medium-sized fibroids in the absence of complicating factors allow conservative treatment without surgical intervention. In such cases, conception and a successful birth are possible. But large fibroids will become a serious obstacle to childbearing.

Even if the tumor is very small and is measured not in centimeters, but also in millimeters, you should not relax: it may be located in a dangerous area. The growth of a tumor on a pedicle can cause inconvenience even if it is 9 mm in size: when the pedicle is twisted, the pain can be unbearable.

Another mandatory characteristic of fibroids is the speed of their growth: an increase in 12 months of more than 5 or weeks or 4 cm is considered a dangerous signal and one of the indications for surgery.

Treat can't cut

A patient with a diagnosed tumor first of all asks the question: at what size of uterine fibroids is surgery performed and whether it is possible to do without it.

Doctors identify several indications for surgical intervention:

1. Fibroids are larger than 12 weeks or 6 cm. Such fibroid nodes pose a threat to a woman’s life. If several medium-sized nodes are detected, their urgent removal is considered strictly necessary. In this case, slightly smaller uterine fibroids, for example, 5 weeks, are subject to drug treatment under the supervision of the attending physician.
2. Woman planning pregnancy. Average fibroids often cause infertility or early miscarriages. Changes in hormonal levels during pregnancy stimulate tumor growth: this can be either a small growth or a sharp increase many times over, creating a threat to the baby.
3. Risk of degeneration into sarcoma- malignant tumor. First of all, this probability is manifested by rapid tumor growth.
4. Constant severe pain. This sign is also characteristic of medium and large fibroids. The location of the myomatous node can cause the tumor to compress nearby organs, causing severe pain. So, with pressure on the rectum, rare stools are observed - 1 or 2 times every 6-8 days. This situation threatens intoxication of the body and inflammation of the intestines.
5. Heavy bleeding. Constant loss of significant amounts of blood leads to anemia. Uterine fibroids usually bleed heavily for 15 weeks or more.

Small uterine fibroids, i.e. less than 4 cm, rarely removed. Usually the doctor selects the right treatment and simply monitors the condition of the tumor. It is better to treat fibroid formations comprehensively: hormonal drugs, gymnastics, diet, folk remedies. The exception is pedunculated fibroids; such a tumor is dangerous and painful and must be removed.

Menopause stops the growth of fibroids due to a decrease in the production of estrogens - female sex hormones. Therefore, passive observation tactics are also acceptable during menopause. The alternative is a radical solution to the problem, removal of the uterus.

Of course, there is no need to rush to the operating table: a knowledgeable specialist will use every opportunity to reduce fibroids with medication. If surgery is the only possible way out, you shouldn’t delay it either, because delay can cost your health.

Traditional and alternative surgeries

Uterine fibroids that have reached the size for surgery must be removed - this is the golden rule of gynecology. In advanced cases, the tumor reaches the parameters of a full-term child: it weighs up to 8 kg and has a diameter of up to 40 cm. The torment caused by the giant tumor body is terrible. Yet women endure pain for years and categorically refuse to remove the source of suffering.

Removal of uterine fibroids is an abdominal operation, but some fear of it is justified and natural. The intervention is carried out under anesthesia, so there is no need to panic.

Modern medicine offers different options for getting rid of fibroids, let’s start with gentle alternatives:
. Applies to a node no larger than 6-7 weeks. Reviews from doctors characterize laser as the least traumatic method, which has many advantages:

• does not leave unsightly seams, only a small scar measuring 1.5 - 2 cm, as seen in the photo;
• maintains maximum fertility;
• rehabilitation lasts only 14 days.

Considering that the latest sensitive equipment is used and highly qualified doctors work, many patients prefer to find out in advance how much the operation costs in different clinics. You can save on expensive treatment by receiving a quota from the state. True, this will take some time.

Uterine artery embolization. The effectiveness of UAE is 98%, while with conventional surgical removal the risk of recurrence is 40%. A solution is injected through a catheter on the femoral artery, blocking the vessels feeding the fibroid. As a result, the tumor gradually dries out and dies. It is better to do such an intervention when the fibroids are about 9 weeks old or less. The long-term consequences of the procedure have not been fully studied. Some patients after UAE experienced an absence of the menstrual cycle - amenorrhea.

How the operation works - video

Abdominal surgery

It happens that the condition of the fibroids does not allow the use of alternative methods of removal: the situation is complicated by necrotic processes in the tissues, the tumor stalk is twisted, etc. Then surgeons perform traditional abdominal operations, making incisions in the abdominal wall. After such removal of uterine fibroids, the woman will have to spend the postoperative period in the hospital under the supervision of doctors.

There are four types of traditional abdominal surgeries:

Laparoscopy or myomectomy. The intervention occurs through the insertion of special equipment into punctures on the abdominal wall - a laparoscope, and therefore does not leave large scars. The second plus is the short rehabilitation period, it will be only a week. During laparoscopy, several fibroids are usually removed, not exceeding 15 mm in diameter. The uterine cavity should be enlarged for a maximum of 15-16 weeks. For the uterus itself, the consequences of such an operation are the least severe; the risk of adhesions in the fallopian tubes is minimal.

Laparotomy or removal of fibroids through a small incision made on the abdominal wall. Indications for laparotomy:

• distortion of the shape of the uterine body caused by rapid tumor growth;
• the growth of large tumors in the abdominal cavity or pelvic area;
• the size of the nodes is more than 12-15 weeks.

Hysteroscopy or resectoscopy. A special device, a hysteroscope, is inserted into the uterine cavity through the vagina. The method is applied to single uterine nodules 6 weeks or more in size, located on the posterior or anterior wall of the uterus. It is advisable to carry out the intervention in the first 7 days of the cycle. The operation is so simple that it can be performed on an outpatient basis.

Hysterectomy- complete removal of the uterus. A radical measure used in extreme cases when other methods are no longer effective:

• with gigantic tumor sizes;
• degeneration of a benign tumor into sarcoma;
• the presence of many different types of nodes;
• menopause

Recovery will take 2 months. The doctor will prescribe a painkiller for a few days, because... the pain does not allow me to even just stand, and performing the simplest movements is painful. Then you need to take a course of antibiotics. Based on the patient’s condition, restorative medications are prescribed. In the postoperative period, the risk of bleeding is high. Any bleeding is a reason to immediately seek medical help.

Removal of fibroids - video with Elena Malysheva

Features of rehabilitation

The operation to remove uterine fibroids is not the most difficult or dangerous, but it is still important to follow a number of rules in the postoperative period. This will help you quickly return to a normal rhythm of life and restore hormonal levels.

The advice of gynecologists is mandatory, especially since it is not difficult to follow them:

• avoid constipation, especially in the first postoperative days;
• try to move more, while eliminating any stress on the stomach (slow walking will do);
• in the first six months after surgery to remove uterine fibroids, you can lift no more than 3 kg;
• exclude stressful situations, because they lead to hormonal imbalances and relapse of the disease.

You can plan a pregnancy only after consulting with your doctor. An operation is always stressful for the reproductive organs, the recovery of which may take quite a long time.

During the rehabilitation period, it is necessary to take medications that normalize the structure of the uterine body and the menstrual cycle. Any unpleasant symptoms cannot be ignored - it is better to once again make sure that everything is fine than to allow complications to develop.

Middle-aged women often face a disease such as uterine fibroids. It is a benign tumor that occurs due to an excess of the female hormone estrogen. With timely diagnosis and comprehensive therapy, a myomatous node can be cured without surgery. If the size of the fibroid can be described as large, the tumor puts pressure on surrounding organs and tissues. This means that conservative treatment methods will be ineffective, and the woman will have to undergo surgery.

The danger of fibroids is that the tumor can develop asymptomatically for a long time. And only when bleeding begins, pain begins or discomfort is felt, the woman decides to seek medical help.

The neoplasm is diagnosed using a special mirror on a gynecological chair or with ultrasound diagnostics. Lack of treatment and medical supervision can lead to the degeneration of the node into a malignant formation and an increase in the number of tumors.

Sizes of fibroids and their symptoms

It is extremely important for women to understand at what size uterine fibroids surgery is performed, and in which cases one can limit oneself to hormone therapy and folk remedies.

When the node grows, this leads to the fact that the volume of the organ also increases, as during the development of an embryo. That is why the size of the uterus during fibroids is determined, as during pregnancy, in weeks and centimeters (millimeters). For example, a fibroid at 6-7 weeks is 2.5 cm.

Based on the size of the tumor, it can be divided into three categories or groups. There are uterine fibroids:

• Small. The size of the uterus corresponds to 6-8 weeks of pregnancy, and its diameter does not exceed 2 cm. Such a node is usually diagnosed by chance, since it is not capable of causing pain or other signs of illness. Uterine fibroids for 7 weeks do not require surgical removal; it will be more effective to simply treat it. The doctor will prescribe a course of hormone therapy, and using a photo from an ultrasound, he will draw up a table (development chart), and will also monitor the size and nature of the tumor.
• Average. This category includes fibroids 9-10, as well as 12 weeks. Such a node has pronounced symptoms and signs; the woman suffers from heavy menstruation and pain. Women often wonder, how many centimeters is 12 weeks of fibroids? The size of fibroids at 12 weeks corresponds to 7 cm.

• Big one. Myoma 14-16 weeks is characterized as large. You should understand how dangerous a large tumor can be. In this case, drug treatment is powerless; surgery is required. Myoma 20 weeks is a giant tumor that requires urgent removal.

Small or medium uterine fibroids 7-8 weeks rarely cause serious complications after effective hormonal therapy. Neoplasms of 10-13 weeks, even with proper treatment, will cast doubt on the patient’s fertility. There are cases when surgery is required for patients with small nodes.

Even if the tumor is measured not in centimeters, but in mm, urgent surgical intervention may be required. The doctor makes this decision if nodes 8-15 mm have legs. Tumors with this structure tend to twist and cause severe pain. Uterine fibroids of 3 cm should be excised if the tumor is located in a dangerous or hard-to-reach place. If such a serous node reaches a size of 5-6 cm, it will be extremely difficult to remove it without damaging the organ.

Indications for surgery

A woman, having heard that she has been diagnosed with uterine fibroids for 8 weeks, always tries to find out all the options and methods of treatment. Unfortunately, it is sometimes impossible to do without surgery.

Doctors have identified several indications when a tumor is definitely removed:

• Uterine fibroids 12 weeks (60 mm in diameter). Such a node threatens the health and life of the patient. Sometimes not one tumor is found, but several medium-sized nodes. When diagnosing multiple uterine fibroids 6 cm, excision of the tumor is mandatory and urgent.
• Pregnancy planning. Myoma at 9 weeks often causes infertility or early pregnancy failure. If you want to conceive, you must first remove the node, even if it is only 4 cm. Changes in hormonal levels during pregnancy can stimulate the growth of the tumor. If uterine fibroids are detected 5 weeks after conception, the doctor will recommend terminating or continuing the pregnancy according to indications.

• Risk of degeneration. If fibroids of 7 weeks have increased to 11 weeks in a few months, this may indicate the presence of atypical cells. To prevent the node from developing into cancer, it must be removed without fail.
• Pain syndrome and dysfunction of the pelvic organs. Subserous uterine fibroids of medium or large size can put pressure on the bladder or intestines, which causes constipation, urinary incontinence, etc. Constant pain and other negative manifestations of the tumor, such as heavy bleeding, are a direct indication for surgery.

Uterine fibroids at 9 weeks deserve special attention, as well as tumors of a different size if the tumor develops in a woman during menopause.

During menopause, estrogen is released in a smaller volume, so doctors often decide that surgery is not necessary, preferring a wait-and-see approach.

What to do if observation indicates tumor growth?

If the patient is not of childbearing age, the uterus is removed along with the node.

Abdominal surgery

Subserous uterine fibroids 9-10 weeks in most cases require surgical removal, less often excision is required for smaller nodes. The traditional way of performing the operation is to remove the tumor through an incision in the abdominal wall.

It is necessary to carefully prepare for the procedure, and after its completion the patient must remain in the hospital for several days under the supervision of medical personnel.

For uterine nodes, abdominal surgery can be performed in one of four classical ways, namely:

• Myomectomy or laparoscopy. Small incisions are made in the abdominal wall. An optical device, a laparoscope, is inserted into them. Indications for surgery using this method are the small size of the nodes and an increase in the volume of the uterus for no more than eight weeks. Rehabilitation after the procedure proceeds quickly and is rarely accompanied by complications. The woman retains her reproductive function.
• Laparotomy. It is used if the uterus has reached the size of 12-15 weeks and is pressing on nearby organs. After the tumor is removed, sutures are placed on the abdominal wall. It is recommended to stay in the hospital after surgery for 5-7 days. The total rehabilitation period is about two months.

• Hysteroresectoscopy. The hysteroscope tube is inserted into the uterus through the vagina. Using special equipment, you can remove nodes measuring about 3 cm in the most gentle way. This method has the most positive reviews among women who have undergone the procedure.
• Hysterectomy. This is the most radical method, which involves removing the nodes along with the uterus. It is used extremely rarely if the tumor is gigantic in size, is growing rapidly or is prone to degeneration.

In the postoperative period, the patient is prescribed antibiotics and restorative drugs. A course of hormones may be prescribed to stabilize the endocrine system.

A woman who has had a 12-week tumor removed needs to take care of herself, be attentive to her well-being, and immediately seek medical help if alarming symptoms appear.

The size of uterine fibroids for surgery is not always of paramount importance. Each case is individual and requires a thoughtful approach.

Alternative methods for removing fibroids

Myomas are not always operated on. Medicine has made great strides forward, which means that today women who consult a doctor in a timely manner have access to reliable methods. An effective solution would be laser excision of the node.

This is the least traumatic method, characterized by many advantages, such as:

• absence of scars;
• short rehabilitation period;
• preservation of reproductive function.

The laser is successfully applied to six to seven week old tumors. The procedure is carried out in modern clinics and medical centers. The price of the service varies significantly.

If there is no money for laser removal of fibroids, you can apply for a state quota.

The second reliable way to get rid of a tumor in the fifth week is UAE. Uterine artery embolization It is characterized by high effectiveness and the absence of relapse after the procedure. A catheter is inserted into the woman's femoral artery, through which a special solution will be infused into the arteries feeding the tumor. It has a clogging effect, the node stops receiving nutrients and gradually dies.

The use of UAE is allowed when the size of fibroids is 9 weeks. The larger the tumor has reached, the more unexpected consequences may arise after UAE has been performed. There have been cases where, after arterial embolization, a woman experienced a lack of menstruation - amenorrhea.

Uterine fibroids are a benign neoplasm that is localized in the muscular layer of the organ and consists of muscle fibers. This tumor is quite common; every 4th woman is diagnosed with it.

Cervical fibroid is a fibroid node on the cervix, and as it grows it moves into the vagina. This type of neoplasm is rare.

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Fibromyoma is a benign tumor that is formed from smooth muscle tissue and has a pronounced connective component.

All these neoplasms have recently appeared in young women; they are now increasingly diagnosed in patients aged 20 to 40 years. Of all gynecological diseases, the diagnosis of fibroids is 30%.

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For example, this is abortion, hysteroscopy, laparoscopy, biopsy, coagulation of the cervix. Sexually transmitted infections are also of great importance in the development of such neoplasms.

Many young people begin to be sexually active quite early and without barrier protection. This often becomes a prerequisite for the development of fibroids.

How big can these formations be?

The size of fibroids is one of the main parameters due to which effective treatment is prescribed. They can be calculated in millimeters (mm), centimeters (cm), and also weeks of pregnancy.

The size of the fibroid is its diameter (cm, mm). But also one of the criteria is the size of the uterus, which is calculated in weeks of pregnancy. That is, the size of the organ corresponds to its size at different stages of pregnancy.

According to these criteria, the doctor can determine the approximate size of the formation during a gynecological examination. This is explained by the fact that as the node grows, the uterus also increases in size. Despite the fact that there are many modern diagnostic methods, doctors today still use this method.

We can say that the tumor enlarges the uterine cavity, just like the embryo growing in it. The gestational age fully corresponds to the size of the organ in centimeters, that is, the height of its bottom.

What size does the uterus reach? At 8-9 weeks the uterus reaches 8-9 cm, 10-13 weeks - 10-11 cm, 14-15 - 12-13 cm, 16-17 - 14-19 cm, etc.

The diameter can only be determined using ultrasound, although this method also does not provide accurate numbers.

More accurate results are determined by MRI and CT.

Such modern methods can diagnose myomatous nodes, the diameter of which is only 5 mm.

Depending on the size, the following types of fibroids are divided:

• small;
• average;
• big.

Small tumor

Small fibromyoma is a tumor that is treated conservatively. The uterus can correspond to the size of up to 6 weeks of pregnancy, but no more. Small fibroids range in size from 15 mm to 25 mm.

The operation is performed only if the fibroid is of the submucous type, if there is torsion of the pedicle in the fibroid of the subserous type, or if there is a high probability of this.

Also, small nodes can be removed if the patient has been diagnosed with infertility or has developed anemia due to heavy bleeding.

Small formations of the interstitial type do not appear in any way.

Such myoma or fibromyoma often decreases significantly or disappears completely upon the onset of menopause.

But there may be situations when an operation during this period is necessary.

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Medium myoma and fibromyoma

An average myomatous node is diagnosed if the uterus is enlarged before 10-12 weeks of pregnancy. The diameter of such fibroids can reach from 40 mm to 60 mm.

In this case, the conservative method is indicated only if there are no symptoms of the disease, and also if there are no signs of active growth. In other cases, surgery is performed.

With medium-sized formations that are localized on the outer side of the uterine wall, the functioning of nearby organs may already be disrupted. Such nodes can provoke infertility, and spontaneous abortions often occur. This happens especially often if there are lesions of the cervix.

Large knots

If there is a large node, then the uterus has already reached a size comparable to 12-15 weeks of pregnancy, while the diameter of the myoma or fibroids can be 60 mm or more. At this stage of development, the myomatous node is removed during surgery. In this case, the location and type of tumor are unimportant.

Treatment of a large node may involve the use of complex drug treatment, and then surgery is prescribed. Medicines are needed to stop the rapid growth of the tumor.

When performing an operation to remove a large node, there is a risk of bleeding, and as a result, the doctor will be forced to remove the entire organ.

Since removal surgery is quite stressful for the reproductive organs, after it is carried out, medications are necessarily prescribed to normalize the condition and structure of the uterus, as well as to prevent relapse.

To do this, you need to normalize hormonal levels.

How fast can a tumor grow?

In diagnosis and treatment, it is very important how fast the node grows. Rapid growth is noted if the uterus has increased by 5 weeks of pregnancy or more over the course of a year. Such a rapid increase in tumor entails hyperplastic processes in the endometrium and anemia.

Uterine fibroids can grow to very large sizes. Sometimes it reaches 3-5 kg, and the diameter can be up to 40 cm. That is, it can grow to the size of a full-term pregnancy.

The reason for the rapid growth of myomatous nodes is a hormonal imbalance in the body. But it should also be noted that fibroids and fibroids grow rapidly if the following factors occur:

If a woman does not undergo proper treatment, then the node may begin to die, which is very dangerous, since all the symptoms of an “acute abdomen” appear, and the woman must be hospitalized and immediately operated on.

Does this affect pregnancy?

Pregnancy with small and medium fibroids usually proceeds normally. But when the fibroids are large, from 60 mm, then the woman cannot bear a fetus. And also often, even the process of fertilization does not occur, since the node blocks the fallopian tube.

If a pregnant woman is diagnosed with a large node, then during childbirth such serious consequences as bleeding, labor disturbances and the danger of infectious and inflammatory processes may occur.

Especially dangerous are myomatous nodes of the cervix, which grow in the vagina. Such formations can cause a woman to become infertile, and in most cases miscarriages occur. If pregnancy occurs due to cervical fibroids, the patient most of the time is under the supervision of doctors in the hospital to prevent miscarriage.

Pregnancy with cervical fibroids may be accompanied by complications such as intrauterine fetal death and uterine bleeding.

If the formation on the cervix rapidly increases and poses a threat to the life of the pregnant woman, then the pregnancy is terminated.

According to statistics, during pregnancy in 50% of women the myomatous node does not grow, in 10-20% it decreases, and in 20-30% the tumor begins to actively grow.

Indications for surgery

Doctors prescribe surgery for the patient in the following cases:

Women who have reached menopause also often undergo surgery. If the patient has pain, sometimes at this age a woman is recommended to have the entire organ removed.

Are you still sure that it is impossible to GET RID OF UTERINE FIBROIDS forever WITHOUT SURGERY?

Have you ever tried to get rid of UTERINE FIBROID? Judging by the fact that you are reading this article, victory was not on your side. And of course you know firsthand what it is:

• constant pain in the side, heaviness in the stomach...
• heavy menstrual flow, uterine bleeding...
• anemia...
• loss of strength, depression, apathy...
• change in body weight...
• constipation and urinary problems...

Now answer the question: are you satisfied with this? Can UTERINE FIBROID be tolerated? How much money and time have you already wasted on ineffective treatment? After all, sooner or later it will grow to a size where only SURGERY can help! Why push yourself to the extreme! Do you agree? That is why we decided to publish an exclusive technique from Elena Malysheva, in which she revealed the secret of RIDING uterine fibroids.