MYOMA
Myomas (also:leiomyomas, fibroids) are an accumulation of numerous benign, nodular growths or tumors, consisting of muscle and connective tissue, that may form in or on the uterus. They are distinguished by their size, shape and location, which are also determining factors for any symptoms and complaints. Uterine myomas are common in women of childbearing age, but usually develop between the ages of 35 and 50. Myomas develop and grow under the influence of female hormones. After menopause there is hardly any growth of tumors, because the female hormone levels decrease. A rare malignant form of myoma is called leiomyosarcoma.
TYPES OF MYOMAS
Fibroids are non-cancerous tumors that appear in the tissues around the womb.
There are four types of fibroid:
- Intramural: This is the most common type. An intramural fibroid is embedded in the muscular wall of the womb.
- Subserosal fibroids: These extend beyond the wall of the womb and grow within the surrounding outer uterine tissue layer. They can develop into pedunculated fibroids, where the fibroid has a stalk and can become quite large.
- Submucosal fibroids: This type can push into the cavity of the womb. It is usually found in the muscle beneath the inner lining of the wall.
- Cervical fibroids: Cervical fibroids take root in the neck of the womb, known as the cervix.
The classification of a fibroid depends on its location in the womb.
SYMPTOMS OF MYOMA
Many women who have fibroids don’t have any symptoms. In those that do symptoms can be influenced by the location, size and number of fibroids. In women who have symptoms, the most common symptoms of uterine fibroids include:
- Heavy menstrual bleeding
- Menstrual periods lasting more than a week
- Pelvic pressure or pain
- Frequent urination
- Difficulty emptying the bladder
- Constipation
- Backache or leg pains
CAUSES AND RISKS OF MYOMA
It remains unclear exactly what causes fibroids. They may be related to estrogen levels.
During the reproductive years, estrogen and progesterone levels are higher.
When estrogen levels are high, especially during pregnancy, fibroids tend to swell. They are also more likely to develop when a woman is taking birth control pills that contain estrogen.
Low estrogen levels can cause fibroids may shrink, such during and after menopause.
Genetic factors are thought to impact the development of fibroids. Having a close relative with fibroids increases the chance of developing them.
There is also evidence that red meat, alcohol, and caffeine could increase the risk of fibroids, and that an increased intake of fruit and vegetables might reduce it.
Being overweight or obese increases the risk of fibroids.
Childbearing lowers the risk of developing fibroids. The risk reduces each time a woman gives birth.
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Your Sincerely,
Dr. Ajibade,
B.Sc. Public Health & Alternative Medicine (Cameroon); Diploma in Naturopathy (USA); Diploma in Acupuncture (India & Sri Lanka); mLASTMB (Lagos), mNCPNM (Nigeria), mNANTMP (Nigeria), mACTMPWA(West Africa).
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