Lots of blood loss, abdominal pain during menstruation: fibroid myoma

Having a growth in the uterine muscle layer usually does not lead to complaints. In some cases it can mean that the woman may experience extreme pain or heavy bleeding during menstruation. In addition, one may experience (a lot of) blood loss outside the period. Why does a fibroid only occur during a woman’s childbearing years and what can be done about it?

Fibroids myoma

  • Menstruation vs hormones
  • Origin of fibroids
  • What are the symptoms of a fibroid?
  • Recognition and research
  • Medicinal or surgical treatment


Menstruation vs hormones

A woman’s period is initiated by the ratio of ovarian hormones in the body. Estrogen and progesterone are the most important substances that initiate the monthly cycle. Once menstruation is over, estrogen levels increase so that the uterine wall and mucus are optimally repaired and protected. It ensures that blood circulation is optimal. This means that it is maintained for an average of 27 days pending the implantation of a fertilized egg. If this does not apply, the estrogen level will drop, causing bleeding to start. If implantation does occur, the amount of progesterone increases, causing the uterine wall muscle to remain loose and the mucus to be maintained. The egg is therefore protected. How does this relate to the formation of fibroids?

Origin of fibroids

Fibroids grow in women during the fertile period. In other words, as long as menstruation is active due to the interplay between estrogen and progesterone, there is a chance that it will occur. It will therefore not apply before and after the childbearing years. It is therefore directly related to the level of estrogen. This is responsible for good blood flow and the maintenance of the uterine tissue. The actual reason for the growth is so far unknown. However, it can occur in a quarter of women, provided the woman has not yet been pregnant. It can appear as very small to relatively large growths. Please note that the pill and other hormonal treatments can also influence the degree of deformity.

What are the symptoms of a fibroid?

The condition often occurs gradually, where the size remains so small and completely unnoticed. During pregnancy, growth can accelerate due to the changing hormone composition, which increases the risk of the condition during pregnancy. Some miscarriages are thought to be related to the formation of fibroids. Because the condition occurs in and around the uterus, menstruation-related complaints can also be aggravated. Think of severe pain, because the contracting muscles are counteracted in the condition. A lot of blood loss can also be the result. Extreme, possibly prolonged bleeding may occur, which also causes related complaints. Think of extreme fatigue, dizziness, pale skin, and so on. In other words, temporarily one has complaints comparable to anemia.

Recognition and research

Because up to a quarter of women are at risk of having it, research into this if you have similar symptoms makes sense. If a painful sting occurs during sexual intercourse, it can certainly be a sign that this is the case. Normally an internal examination will be necessary to assess whether the condition is present. In addition, an assessment is made to determine whether there is anemia and additional examination may follow into the condition of the condition.

Medicinal or surgical treatment

Often there are no complaints and it does not need to be treated. If there are many complaints, because it induces anemia, it can be treated with medication or surgery. On the one hand, the pill (or modification thereof) can be used to stabilize hormone levels or to simulate a temporary transition. It means that estrogen levels are significantly reduced using LHRH agonists or progestins. This stimulates the condition less favorably, allowing it to subside. Furthermore, embolization can be applied, which prevents the blood supply to the fibroids. On the other hand, surgical intervention may be necessary. This applies if the condition has taken up a lot of surface area. It may involve removing the fibroids through an abdominal incision. If there are large adhesions to the uterine wall, the uterus may be completely removed, making it impossible for the woman to become pregnant.
Please note that the consequences of bleeding can be counteracted with tranexamic acid. This has a more blood-clotting effect. However, this should not be used in several cases, because people may be susceptible to thrombosis.

read more

  • Myoma enucleation: peeling out fibroids outside the uterus
  • Irregular menstruation due to overactive thyroid gland
  • Sheehan’s syndrome: cessation of menstruation and no breastfeeding
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