How do you treat myoma?
- Observe for any symptoms
- Take medication
- Non-invasive procedures
- Have surgery
Myomas are benign tumors composed of muscle tissue. These fibroids seldom develop in the cervix, but when they do, they are usually accompanied by other myomas in the upper part of the uterus. If you suspect that you have these fibroids, you will need myoma treatment in Las Piñas. Approach the nearest hospital with a Women’s Health and Diagnostic Center such as the Perpetual Help Medical Center. These trusted establishments can help treat problems with your reproductive system.
When left undiagnosed, large cervical myomas can partially block the urinary tract and prolapse towards the vagina. Prolapsed myomas can potentially lead to the development of sores. These can become infected and cause abnormal bleeding. It’s important to treat myomas even if they are benign tumors as these symptoms can affect the health of your body. Here are some methods you can consider when it comes to treating myomas.
Observe For Any Symptoms
Most women with myomas have little to worry about. Most women do not encounter severe symptoms when it comes to these fibroids. In most cases, you can just wait to see if any symptoms arise. This is called expectant management or watchful waiting. However, this does not mean that you have to completely ignore the fibroids altogether. You still need to approach your doctor for a checkup periodically to ensure that the fibroids remain non-cancerous.
Medication is also used to treat myomas. This is a great non-invasive option for a lot of women. It does not fully cure fibroids but can manage symptoms such as pain, pressure, and bleeding. Myoma medication targets hormones that regulate the menstrual cycle. Patients who experience heavy menstruation and pelvic pressure can use the following:
- Progestin – Releasing Intrauterine Device (IUD)
Myomas that are located in the uterine walls can be relieved using an IUD. The IUD does not shrink the myomas or make it disappear, but it helps regulate heavy bleeding. The IUD device must be placed by a gynecologist as requested. Inform your doctor prior to the session so that they can prep the IUD.
- Gonadotropin-releasing Hormone (Gn-RH) Agonists
Gn-RH agonists lower estrogen and progesterone levels when taken as therapy. Menstruation stops and the fibroids shrink for several months. Anemic symptoms also improve during this time. However, this type of medication can only be used for a month and it is not recommended for women of reproductive age. It is recommended to be used by women nearing menopause who desire to manage their myomas.
- Non-Steroidal Anti-inflammatory Drugs (NSAIDs)
NSAIDs can be used to treat cramping and pain caused by myomas. This type of medication targets the specific hormones that cause cramping. However, NSAIDs do not have the ability to shrink myomas. Your doctor may also prescribe high doses of NSAIDs for a long duration.
- Tranexamic acid (TXA)
Tranexamic acid promotes blood clotting. When used, TXA can decrease the amount of bleeding caused by myomas. This medicine is often used when the patient is experiencing acute heavy bleeding. It is not recommended to use TXA for long term purposes.
MRI-Guided Focused ultrasound surgery is a non-invasive treatment for myomas that also preserves your uterus. This requires no incisions and is done for outpatients. The procedure is performed while you are within the MRI scanner, which is equipped with a high-energy ultrasound transducer for treatment. The images from the scanner give your doctor a precise picture and location of where your myomas are located. Once the location is locked down, the ultrasound transducer focuses sound waves or sonications into the myoma to heat and destroy small areas of the myoma tissue.
There are different methods of surgery that can destroy and remove myomas. Here are some surgeries that may be recommended to you depending on the severity of your condition.
- Uterine Artery Embolization
Embolic agents are injected into the arteries supplying the uterus with blood. The embolic agents cut off the blood flow to the myomas, which causes it to shrink and die.
This laparoscopic procedure uses radiofrequency energy from an electric current or laser to destroy myoma fibroids and shrink blood vessels. Cryomyolysis is a similar procedure that freezes the myoma fibroids.
- Hysteroscopic Myomectomy
If the myomas are diagnosed with submucosal, a hysteroscopic myomectomy is recommended. The surgeon removes the myomas using instruments inserted through the vagina and cervix into the uterus.
- Abdominal Myomectomy
Multiple or enlarged myomas may need open abdominal surgery to remove them. This type of surgery can affect fertility due to scarring but is a much preferable option compared to a hysterectomy.
A hysterectomy is the complete removal of the uterus. This remains the only proven and permanent solution to myomas. Women who have undergone a hysterectomy will be unable to bear children. The ovaries can also be removed during this procedure, which brings on menopause and potential hormone replacement therapy. There is still an option for the patient to keep the ovaries when this type of surgery is done.
Myoma treatment in Las Piñas can be done at a Women’s Health and Diagnostic Center at a trusted hospital such as the Perpetual Help Medical Center. Before making any drastic decisions, make sure to consult your doctor for more insight. Depending on the severity of your condition, you may or may not necessarily need surgery. Approach your doctor if you experience any of the symptoms mentioned.