The things you want to know about myoma.

🌸 Hello... Today, I would like to talk to you a bit about myomas. Myomas are generally benign tumors that originate from the muscle tissue of a woman's uterus.

Hello! Today, I would like to talk to you a bit about myomas. Myomas are generally benign tumors that originate from the muscle tissue of a woman's uterus. They can present with different complaints in different age groups. As obstetricians and gynecologists, we don't recommend surgery for every myoma. Depending on the patient's history, current situation, desire for fertility, age, whether she has had a previous pregnancy, and whether she desires to have children, we can offer alternative treatment options for managing myomas.

Myomas can be treated in various ways based on their location, number, size, growth pattern, whether they are fast-growing or not, whether the patient complains of pain, whether they cause abnormal bleeding, and whether there is excessive bleeding leading to anemia in the patient. Some myomas grow inward toward the area where pregnancy would occur. In such cases, they are important due to excessive bleeding, irregular bleeding, or their potential to interfere with pregnancy.

Some myomas grow outward from the uterine muscle wall towards the abdominal organs, pressing on surrounding tissues such as intestines or the bladder, causing rapid growth and resulting in pain. Myomas can also grow within the uterine muscle wall, either towards or away from the uterus, generally enlarging the uterus and being completely localized within the muscle tissue. In these cases, the number and size of the myoma, whether it causes pain, whether it leads to increased or prolonged menstrual bleeding, or whether it causes abnormal bleeding or irregular bleeding, are considered to determine the treatment option for the patient.

Of course, we do not perform surgery for every myoma, but when a surgical decision is made, we determine the type of surgery based on the patient's age, whether we will preserve her uterus, her desire to continue fertility, whether she has a living child, and whether she desires a new pregnancy. In younger patients, especially those who have not yet had a pregnancy or have a desire for a new pregnancy and have myomas growing into the uterus, we can recommend surgery using a minimally invasive method called hysteroscopy to remove the myomas from inside the uterus and send them for pathology.

If the patient's myomas cover the uterine walls or grow outward from the uterus, then depending on the number, location, and size of the myomas and our potential to preserve the uterus, we can recommend surgery in either an open or closed method. If the patient has numerous myomas, causing excessive bleeding and pain, and has not left a healthy area of the uterine muscle wall to preserve, if the patient is older, close to menopause, or has completed her fertility, we can also recommend surgeries other than myoma surgery, such as recommending a hysterectomy.

I wish you all a good day."

Thanks... There is always hope.