Cervical myomas are non-cancerous, round, smooth growths made of muscle. They form in the cervix, which is the lower part of the uterus, and are not common. They are often found along with uterine myomas, also called uterine fibroids, in the larger upper part of the uterus. Submucosal fibroids grow into the inside of the uterus, intramural fibroids grow within the walls of the uterus, and subserosal fibroids grow on the outside of the uterus.
Myomas, also called fibroids, are non-cancerous growths. Sometimes they cause problems, especially if they get big. These fibroids can block parts of the urinary tract or push through the cervix into the vagina. When this happens, they can develop sores, which may cause unusual bleeding or infection.
What causes cervical myomas?
The most common cause of myomas is thought to be having too much of the hormones estrogen and progesterone. During your period, these hormones make the lining of the uterus thicker and can make myomas grow. Myomas have more spots for these hormones to attach than normal muscle cells in the uterus.
Other risk factors for cervical fibroids include
Genetics: Fibroids can run in families. People with family members who have had cervical or uterine fibroids are more likely to get them too.
Age: Most fibroids appear in people between 30 and 40 years old. Fibroids usually shrink after menopause because the body makes fewer hormones.
Ethnicity: African-American women often get fibroids at a younger age and usually have larger and more fibroids than women from other backgrounds.
What are the symptoms of fibroids?
Small cervical myomas do not cause symptoms, but larger myomas can cause one or more of the following problems:
Heaviness of menstrual periods or intermenstrual bleeding
Anemia from heavy periods and vaginal bleeding
Pain during sex
Unusual vaginal discharge
Pain in the lower belly
Pain and cramps in the abdomen
A swollen belly or feeling of heaviness
Trouble urinating, such as slow or dribbling urine
Urinary tract infections
Constipation
What is the diagnosis for Cervical Myomas?
See your doctor for a pelvic exam if you have symptoms of fibroids. Most cervical myomas are easy to find during a regular checkup. An ultrasound done through the vagina may also help find them.
To investigate the problem, your doctor might also want to perform other diagnostic procedures during your visit, including magnetic resonance imaging (MRI).
Other examinations for diagnostic use include:
Hysteroscopy: In this procedure, the doctor will use a hysteroscope which is a long, thin tube with a camera on the end of your vagina to view the appearance of the fibroids on the cervix.
Laparoscopy: The doctor makes a small cut near your belly button and puts in a thin, flexible tube with a light to look inside your belly at your uterus, ovaries, and fallopian tubes. This helps them find fibroids that might not be seen in other ways.
What are cervical fibroid treatment options?
Small myomas that cause no symptoms may not require treatment. However, your doctor will want to monitor your myomas and ensure they don't start growing or causing problems.
Anti-inflammatory medicines like ibuprofen or naproxen can help reduce bleeding during periods and lessen pain from fibroids. This simple treatment is suggested for women who have pelvic pain or discomfort during their periods because of fibroids.
Some women with fibroids/myomas may have drug therapy as an option. Drug treatment for fibroids is given in the following options:
Birth control pills: Low doses of these pills can help manage painful bleeding and heavy bleeding.
Gonadotropin-releasing hormone agonists: These medicines stop your periods and can make fibroids smaller. Because they can have side effects, they are usually only used for a short time, often before surgery, to lower the chance of bleeding.
Progestin IUD: This option is for women with myomas that do not change the shape of the uterus. While progestin doesn’t treat myomas, it can help reduce heavy bleeding.
Surgical treatment for cervical myomas:
Myomas or fibroids can cause painful periods and heavy bleeding. Medicine can help, but if the fibroids are large and cause pain, trouble getting pregnant, or urinary problems, surgery may be needed to remove or treat them.
Myoma surgical treatments may be:
Uterine fibroid embolization: Even though this treatment is named for the uterus, it can sometimes be used for cervical fibroids, depending on their size and location. This non-surgical treatment blocks the blood flow that helps fibroids grow.
However, while UFE works well for most fibroids in the uterus, it has not worked as well for cervical fibroids so far.
Laparoscopic myomectomy: A laparoscopic myomectomy is a type of surgery that removes fibroids using a few small cuts in the abdomen. The surgeon uses a tool called a laparoscope to see the area they are working on.
Laparotomy is traditional "open surgery." In this method, the surgeon takes out myomas through a larger cut in the abdomen.
A hysterectomy is when the surgeon completely removes the uterus and sometimes the cervix. If the myomas are very large, this may be the only option for the surgeon.
Why choose Tender Palm Super-Speciality Hospital for Cervical Myomas treatment in Lucknow, India?
Tender Palm Super-Speciality Hospital offers advanced Cervical Myomas treatment in Lucknow, India, at an affordable cost. We have a team of experienced gynecologists, known as some of the best doctors for women’s uterine health care. We provide accurate diagnosis with advanced ultrasound and imaging, personalized medical management, and uterus-preserving surgical treatment when required. Our team has decades of experience in successfully treating Cervical Myomas in Lucknow, India.
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