Management Of Uterine Myoma In Addition To Surgery In Women 34 Years?

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Morning doctor, my name is Nana 34 years old and I have not been married yet .. FEB 2018 Kmrn I was hospitalized for typhus, DB and diagnosed with gastric acid (gastritis). My stomach is getting bloated day by day … At first I thought it was because of my stomach acid because according to the info if I had stomach acid, my stomach would become distended. But finally my mother suggested checking up, and I checked up. The general practitioner advised me to get an ultrasound, after I had an ultrasound in my uterus, there was an intrauterine myoma in the posterior corpus. 99×164 mm. Guess 2, should I get surgery? Can it be done with drugs without surgery?

1 Answer:

Hello Nadia,


Myoma uteri is the growth of benign / non-malignant tumor cells in the uterus, uterine muscles, or around the uterus. Intramural myoma means myoma grows between the uterine muscle tissue. The cause of myoma is uncertain, but it is likely influenced by hormonal factors, obesity, and alcohol consumption.


Myoma uteri sometimes shows no visible symptoms. Some of the symptoms of uterine myoma that can be felt such as excessive menstruation, severe menstrual pain, frequent urination, constipation, abdominal pain, swollen abdomen, and pain during intercourse. Myoma uteri rarely affect fertility.


To ascertain uterine myoma, the doctor will perform anamnesis, physical examination, and if necessary a supplementary examination such as by ultrasound, MRI, hysteroscopy, laparoscopy, and biopsy. As for the management of uterine myoma, of course it will be adjusted to the patient's condition. Some of the treatments for uterine myoma include:

Periodic observation without special handling in patients with small myoma size and does not cause complaints
Medications: hormonal drugs, tranexamic acid, and painkillers to reduce symptoms
Removal of myoma with hysteroscopic surgery, myomectomy, hysteroscopic morcellation, uterine artery embolization, endometrial ablation
Uterus removal if the patient does not plan to get pregnant again, in cases of recurrent myoma, or cases of myoma too much in patients over 40 years

I assume you have not consulted an obstetrician because beforehand check with a general practitioner huh? For your case whether you need surgery or not, you should first consult with your obstetrician so that you can re-evaluate your condition and you can be given the most possible treatment options. If it is recommended for surgery, you should follow the doctor's advice. But if you are not sure, you may also seek a second opinion with other obstetricians, right?


Hope it helps you,


Thank you

: by

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