Lifestyle ,1 day ago 5 of gynecological diseases, which do not need surg
Many women faced with situations when the doctor says, "Let us make your operation."To understand, when you do not necessarily go under the knife.
Yes, there is a state where the operation is necessary, sometimes - urgently. However, a qualified physician will never propose the interference was "just", "just in case", when in fact there is no clear evidence. If there is an opportunity to conservative treatment - so you can try to restrict them.
When all the same operation may be needed, and when it is possible to delay or even her not to do, "Health with Mail.Ru" says Camille Bakhtiar, an obstetrician-gynecologist, MD, professor, doctor of the highest category of the network of medical clinics "Family."
hysteromyoma
With this diagnosis are facing so many women, mostly after 35 years. The word "fibroids" scary, but do not despair: fibroids quite successfully treated and are not always promptly.
Why is there a fibroid? The main reason is hormonal imbalance if there is some surplus of female hormones, it can cause fibroid growth. Other risk factors include genetic predisposition, metabolic disorders, inflammatory diseases of the pelvic organs, abortion, curettage, obstetrical complications,obesity , mental overload, and so on. Strategy for the treatment of fibroids doctor determines individually and not necessarily it will include the operation. For interventions do have evidence, they are as follows:
- Planning for pregnancy ;
- Fibroids large - 14-15 weeks;
- Very fast assembly progression;
- Bleeding;
- Problems with bladder or bowel, which are connected with fibroids;
- Torsion nodes, nodes pushed out;
- Submucosal fibroids location.
If no such evidence, and fibroid is small and does not cause inconvenience, your doctor may prescribe medication, it includes hormonal and anti-inflammatories.
During the suppression of the production of female hormones estrogen fibroid growth may stop. It is required to monitor and control its growth by means of ultrasound, and the planning of pregnancy, a sharp jump in tumor growth and occurrence of unpleasant sensations will have to be addressed in the operation.
Erosion or ectopia?
Often, the diagnosis of "erosion", delivered a woman is not quite true. In many cases, this implies ectopy or pseudo - normal state in which no defects cervix, therefore, it does not require any treatment, only observing.
If ectopic squamous epithelium of the outer part of the cervix is changing in the cylinder from the cervical canal. This is the physiological norm.
Another thing, if true erosion, where cervical mucous is destroyed, there are wounds. This condition can develop due to inflammatory and infectious processes mucosal injury due to hormonal failure and so on.
For the diagnosis of all women should regularly do a colposcopy, cytology study, to be tested for sexually transmitted infections by.
True erosion should be treated comprehensively. Treatment includes anti-inflammatory therapy and removal of abnormal areas of the cervix with a laser or knife radiosurgery.
Ovarian cyst
This benign filled with liquid, which is formed in women of reproductive age often enough.
Causes of cysts, their nature, and thus the tactics of treatment may be different.
If a woman has a functional cyst, surgery is not necessary, but if true tumor, you may need surgery.
When the functional - the follicular or corpus luteum cyst - you just watch, ultrasound and sometimes hormonal drugs for several months.
These cysts can occur during normal operation of the ovaries and disappear on their own within one to several cycles. When planning treatment need to look at the size of the cyst, whether it brings discomfort and so on.
Of course, the tactics in a small cyst, not giving any symptoms, will be quite different than when growing cyst, which is accompanied by pain in the lower abdomen, spotting between menstrual periods, irregular and painful periods.
In contrast, functional, true tumor - endometrioid, dermoid, serous and others - do not disappear by themselves, can grow may have a risk of degeneration of malignant tumors is also dangerous break (which may be a consequence of peritonitis ), threaten the sterility.
To prevent the development of complications, such cysts is desirable to remove by laparoscopy.
endometriosis
This hormone-dependent diseases, in which the uterine lining (endometrium) grows outside the body.This leads to disruption of the work of those bodies, which were endometrial tissue, the development of the inflammatory process.
Endometriosis can affect how the pelvic organs, and others, even remote places: the bowel, bladder, lungs. One type of endometriosis - adenomyosis, wherein the hearth disease is in the muscle layer of the uterus.
By the treatment of endometriosis should be treated strictly individual and if there is such a possibility and probability of good results, the doctor may prescribe medication rather than surgery.
In some cases, if the disease is in the early stages, and the woman does not plan to children, justified the use of hormonal methods by which the monthly stop and lots of endometriosis regress. But the treatment is long and without guarantees a perfect result.
Sometimes it helps to pregnancy (although endometriosis may cause difficulty conceiving) - during the period of gestation of the child's disease is really fades, however, after birth may appear again.
In severe illness or absence of the effect of hormone therapy physician will likely insist on surgery - laparoscopic removal of endometriosis. This is not only because of the discomfort and potential fertility, but also because of the risk of degeneration of the affected in endometriosis tissue cancer.Sometimes pronounced changes have to remove the uterus.
vaginal repair
Vaginal repair or colporrhaphy shown to those women who have severe vaginal prolapse, the threat of loss of the cervix or uterus, ruptured vaginal walls, scarring in the rupture zone, there is urinary incontinence , hyperextension of the vaginal muscles. In these cases, in fact, only the operation will be able to solve the problem.
In cases where there is no hazardous situations can also try to strengthen the pelvic floor muscles with the help of special exercises.
It is known to all of Kegel exercises, you need to perform every day - about 50-100 muscle contractions, not less. Within a few months of regular exercise muscles must come in tone, can also become a better and brighter sexual feelings.
In addition, there are special exercise equipment to strengthen the pelvic floor muscles (eg, beads).Abdominal exercises, squats and lunges can also be a bit improve the genitals muscle.
Another method for correcting the omission of the vagina and uterus - is the use of a pessary - uterine ring which holds the bodies in a normal position, but does not return them to the place forever. This is shown when the operation for some reason is impossible. Pessary can prevent complications associated with prolapse of internal organs.
In any of these situations, the main thing - not to self-medicate and consult a qualified doctor, who will select the treatment, adequate for you.
No comments