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The uterine fibroma is a benign tumor that never evolves in cancer. Even though it passes unobserved most of the time, it can cause bothersome symptoms and require a treatment. How many women are touched? Why does one develop a fibroma? What are the signs? The most often discreet, most fibromas are detected at random of a gynecological exam. In spite of its frequency, ts reasons remain even mysterious. The most frequent feminine tumorThe fibromas are the non cancerous tumors, constituted of very hard and very dense fibrous cloths. They develop themselves from the uterine muscle and of the fibrous cloth of the uterus. Capable to measure some millimeters to several score centimeters, the fibromas are very currents. One estimates that 20 to 40% of the women between 30 and 45 years presented or will present uterine fibromas. It is about the most frequent strong feminine tumor. The fibromas develop themselves independently the some of the other. In half among them, one recovers genetic aberrations. The most often benign, they pass unobserved. But close to 25% require a treatment. Thus, they are responsible for near the half of the hysterectomies (ablation of the uterus) practiced in the western countries. Of the mysterious reasonsAlthough the exact reasons of the fibromas are not known, different hypotheses have been advanced. They could result from minuscule injuries occurring during the rules. Some researchers question a genetic origin. The women whose near parents suffer from fibromas are more susceptible of in to be reached. Besides the domestic and genetic factors, other encouraging elements have been identified: - The hormonal factors: the development of the fibromas is encouraged directly or indirectly by the estrogènes and in a least measures the progestérone via the factors of growth. Thus, some fibromas can disappear after the menopause, when the production of hormones rest;
- The obesity, the age of the first rules - before 12 years -, the infertility, the absence of child or the ethnic group (the black women are exposed to fibromas more of bigger size and occurring to a more precocious age) play a role also.
The symptomsThe big majority of the fibromas is asymptomatiques, their presence provoking no trouble. It can arrive while they appear by some signs. The symptoms vary according to the women, the size and the locatlisation of the fibroma. The signs the frequent? Of the frequent and abundant menstrual bleedings, of the pelvic pains, the abdominal cramps, the distending, the unrests of the miction or the transit, or even of the fertility problems. However the presence of these symptoms doesn't prove the existence of a fibroma. This one must be confirmed at the time of a gynecological exam and possibly by a scan or an imagery by magnetic resonance (IRM). About 30% of the patients in age to procreate present one or several fibromas, and a third among them are symptomatic with very often necessity to achieve a treatment is to conceal the bleedings, either to relieve the pains, either finally to improve fertility or to reduce the obstetric risks of the fibromas. In the case where your symptoms alter your quality of life, don't hesitate to consult. Your physician will be able to present you the different therapeutic options and will be able to help you to choose the one that invites you best. 2010-10-26
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