What to do with EKZ in case of uterine myoma? EKO and uterine myoma - what is the possibility of vagination

A quarter of a woman's reproductive age sticks to uterine myoma. An increase in the number of abortions, flamboyant illnesses, and obesity, an increase in the number of ailments.

Myoma of the uterus: what kind of ailment?

Uterine myoma for good-natured plump dentures and clitins of smooth membranes. It often develops on aphids of increased estrogen levels, and sometimes it switches to self-regulation mode and the production of moisture hormones.

Vuzli can roztashovuvatisya under the mucous membrane, in comrade m'yaziv or closer to the serous ball. Fibroids of small size do not give symptoms. Many knots, large rosemaries are manifested by a characteristic clinical picture:

trival, clear menstruation;
bіl;
impaired function of the susceptible organs due to squeezing of the plump;
hostriy lives in case of hemorrhage of fibromyomas.

How does myoma affect reproductive function?

More than half of women with fibromyoma suffer for no reason. Shards of illness change the chances of pregnancy and produce up to bezplydda, nutrition, chi robbing IVF with uterine myoma, becoming relevant.

Why don't you care? The role of myoma in infertility is in the deformation of the empty uterus, which can lead to the onset:

There is a transition for vaginess, and vaginess does not come. Tse is relevant as natural, so piece filling.
There are risik days and early days, as well as bleeding during the hour of vagity.
Attachment of the placenta over the myomatous nodule threatens with development or in front of placental ruptures.
The canopies are often accompanied by anomalies of the veins.

Preparing for ECD with uterine myoma

For women from my mom, preparation to the EKZ is carried out with the improvement of the university.

Small indentations up to 3 cm in diameter, which do not deform the empty uterus and interstitially and subserously, do not require liquation.
The knots of the great roses will require prompt excavation.
Submucosal rotting nodules and interstitial nodes up to 4 cm are visualized by the method of hysteroresectoscopy.
Vision of other types of nodes is better by laparoscopic method.
In case of contraindications, uterine artery embolization should be carried out before surgery.

The presence of multiple knots complicates the preparation before freezing. In this case, it is recommended to see only tіlki, yakі vplyvayut on the form of an empty uterus, sootvoryuyut її.

To carry out a resection of all nodes, a situation may arise if healthy m'yazovoi tissue is not left behind, otherwise it will be small. The occlusion of the operated uterus was brought to cicatricial deformity, and it is contraindicated for ECD.

Preparing to the EKZ after the removal of myoma should be started no earlier than in 6-12 months. For the whole hour, a scar is formed on the matts. But the optimal term is 1-1.5 years. In this term, there is a possibility of a recurrence of swelling, which reduces the current vaccinity after additional ECD.

Conducted operation A possible development of such complications, like synechia of an empty uterus, cicatricial deformity.

The camp of the scar on the mat is evaluated for additional ultrasound. Signs of incompetence - contraindications to ECD. Stimulation protocols for myoma Preparations for preparation before piece-by-piece flooding of the building to provoke the re-growth of swelling.

That's why the advancing schemes are hoped for:

Short protocol - using a gonadotropin-releasing hormone agonist for 2-3 days of the menstrual cycle together with gonadotropin hormones.
Long protocol - recognition of a GnRH agonist from the middle of the luteal phase. Zastosovuyt such preparations as Diferelin, Suprefact. Introduce subcutaneously near the umbilicus.
GnRH antagonists (orgalutran, cetrotide) have been found to be virulent in common with gonadotropins.

Improving the ECD result in myoma

For these reasons, the vuzol does not change the shape of the empty uterus, there may be a small increase in the number of folds in comrade m'yaziv, the frequency of current vagities after piece filling becomes up to 37%. Myomectomy was also performed, and then stimulation was performed, which affected 35 to 37% of women.

The expansion of the node intramurally, improvement for the growth of the new growth of the uterus reduces the frequency of vaginess to 12% from the first test. Under the hour of wine-making, there are often complications at the sight of the threat of a weekend, bleeding, and front curtains.

The recurrence of swelling prolonging the fate after the expiration naturally decreases the number of vagits, after the long-term stimulation protocol is stopped.

Influx of vaginess on myoma

Small myomatous nodes do not mess with the moisture regulation system and hormone production, so the stink is stronger to hormonal knocks to the body. Fibroids after EKZ up to 5 cm under the hour of vagity change in the growth rate, otherwise the growth rate stabilizes. In some cases, the slope of the vuzol does not appear.

Ale, in about 30% of cases, the vagitis provokes a stronger growth of the cavity, as it can increase in 2 times. Canopies in bagatioh vipadkas should be carried out for the help of a caesarean rosette.

If the fetus is taken away, a myomectomy or removal of the uterus can be performed.

Yuliya Shevchenko, obstetrician-gynecologist, specially for the site

Korisne video

Dobroiakіsnі nevotvorennya uteri - more gynecological pathology, which is accompanied by a mass of unacceptable symptoms and leads to bezpіddya.

To the very same, there are many friends of couples who think about a child, praise the food “what is possible with uterine myoma?”

An opinion on the new can be given by the doctor-gynecologist after complex obstezhennya.

Myoma - the adoption of a good character, which is blamed for the quickened under the smooth tongue or well-to-do tissues of the mother. Leiomyoma, fibroma and swollen tumors (fibroma, myofibroma) are seen in the histological type. At the present time, the exact reason that causes the pathology to vindication has not been established, it is based on the hormonal and recession theory of the appearance of nodes.

The disease is most commonly affected in women during premenopausal period, but the rest of the illnesses are very young.

It is important that risk factors lead to the development of uterine myoma in young women, є:

Poor ecology (atmospheric pollution, water), and especially the baggers of great cities suffer.
Parts of stress. Psychoemotional and physical adventure.
Small handed way of life, a sedentary robot.
Zayva vaga.
Taking hormonal drugs.
Endocrine and cardiovascular pathologies.

It is impossible to get stuck on a lot of these factors, so the gynecological pathology of the turbulent women is not possible.

Why is there no vagіtnіst?

I have a thought, that it is blameless for good-natured newborns of the uterus, shards of the impossibly natural flood. However, it is not true. Uterine fibroids are caused by hormone-dependent structural damage, localized in the uterine emptiness, which leads to destruction at various stages of conception and winemaking of a child.

Wuzli in mattsі lead up to:

The impossibility of conceiving a child.
Mimovilnym abortions.
Front canopies.
The sounding of that deformation of the ancestral pathways, which is an absolute indication before the operation "Caesarean Root".
Pslyapologovym aggravated vinica - bright uterine bleeding, inflammation of the uterus, sepsis.

On the onset, the excess of vagity and the curtains themselves do not pour in the insoles of the myoma, the scallops of the її rosemary, the place of expansion and the presence of the complication. Virishuvatnya nutrition about the possibility of natural conception, winemaking and extracorporeal flooding, for the presence of knots in the mother, it is necessary with a doctor after a serious obstezhennia.

Stuchne zaplіdnenya with myoma

Uterine myoma is the same with the most frequent nutrition, which women are praised for, who got into trouble with this illness.

Most fahivtsiv shilyayutsya to the point that the procedure of the YBC is unnecessarily instigated for obviousness, be it, to induce good new creations, through:

The empty uterus with myoma is most often deformed, which leads to difficulty in implantation with vaginess.
Myoma is a hormonal pathology, so small vesicles can grow significantly in diameter and add to the size that develops.
Changes and sounds of plump birth paths change the normal protrusion of the fetus in natural canopies.

As a result of this, in most cases, spontaneous conception is contraindicated in case of myoma and ECO.

When planning vagity, it is necessary to undergo a retaliation and, for the necessary, a course of liquor, which allows you to prepare the body for wine and drink.

Exaltation of pathology and vaginess

Fakhіvtsі brought, scho bezpіddya, like viniklo through the myoma of the uterus, є werewolves and go through after the treatment of pathology. When planning vagity with myomas, it is important to consult with a doctor and choose the most effective tactics of therapy, after which, as a rule, vagity is established.

Pozbutisya vuzlіv at the mother can be conservative and operational methods.

Medical therapy includes:

Taking gonadotropin-releasing hormone antagonists (Zoladkes).
Exciting combinations of oral contraceptives (Regulon, Novinet).
Correction of salivary deficiency anemia ( saline preparations).
Zagalnozmіtsnjuvalnu therapy (reception of vitamin-mineral complexes).

Under the influx of hormonal preparations, myomatous nodules swell in growth, and may change, with the onset of conception.

Operative treatment for new mothers is indicated for the ineffectiveness of drug therapy, as well as for large (uterine expansion over 12 years of pregnancy) and intensively growing nodules. Prior to surgical interventions - the method of FUS-ablation, embolism of the uterine arteries, resection of the nodes and hysterectomy.

The volume of presentation is determined by the doctor-gynecologist. Choose the method of operation to lie down depending on the extent and localization of the pathological process, as well as the severity of the woman's condition.

ECO after prompt delivery

What to do with EKO during my post-op operation, and with some difficulties to get stuck?

Tse nutrition, as if praising the woman, as if it was broken surgically on the matts. Vіdpovіsti on nygo that otsіnіt mozhlivіst piece zaplіdnennya fahivets-gynecologist can only. Imovirnist succesfullness of the procedure to lie down in the life of a woman, obliges and efficiency of the operation.

To the most effective organ-preserving surgical interventions for myoma are:

Embolization of the arteries of the uterus. The way, when through the stegnova artery to the vessels, which bleed the newborn, a special speech is introduced, which clogs their lumen. At the end of which knots change in the roses and “dry out”. Prior to the operation, the operation has a high efficiency, painlessness and a dry recovery period.
FUS-ablation- a method, the essence of which is used in the coagulation of the myomatous node by focusing ultrasonic quills. Clinical efficiency of the method to lie down in the form of localization and histological condition of the node.

Patients after the operations are given a dynamic guard by the rock. For the presence of complications, recurrence of myomitis and other contraindications, you can undergo the EKZ procedure.

In some ways, EKO is not possible?

Unfortunately, in case of uterine myoma repair, in a number of cases, the procedure of piece filling is not carried out.

EKO is an expensive operation, because doctors do not carry it out at times, because the chances of success in attaching an embryo, and even wine making, do not exceed 20%.

Piecewise contraindication is contraindicated in:

Great neoplasms that are accompanied by clear bleeding and deform the empty uterus and cervical canal.
Scars on the matts, which were lost after the resection of the nodes.
Gastroectomy (during this operation, the entire uterus is seen to be visible, which relieves the current vagity).

Virishuvati nutrition according to the feasibility of the IVF procedure is necessary with the doctor in an individual order, 3 months after the operation. It is important that in the course of this hour the hormonal damage is observed and the ventilation will be as informative as possible.

Extracorporeal flooding in case of non-glamorous myoma

Why is it possible to work for the YBC for my, yak did not give in to jubilation?

Often nutrition, as if blamed on representatives of a beautiful state, for some reason they did not undergo a course of conservative therapy and surgical intervention.

In this case, the procedure of piece filling is associated with a high risk, like for a mother, so for a child, it is rarely carried out. ECO is possible at different times, so:

The knots in the mats are of small size (up to 3 cm in diameter) and do not grow under the influx of hormones.
The new creation does not deform the uterine emptiness and the cervical canal (mostly myomas, rotting in the interstitial ball or under the serous membrane).

In case of any type of vaginess with newly formed uterus, it will require constant monitoring by an obstetrician-gynecologist. This is due to the fact that under the influence of the hormonal background, which changes with the skin month of winemaking, myoma can increase in size and be accompanied by complications that threaten like a mother, and a future child.

Select the protocol for piece filling

In order to “give the go-ahead” to IVF, it is necessary to follow the protocol with minimal doses of hormonal drugs, which can lead to illness. The effectiveness of the procedure to deposit in the form of expansion and localization of excess illumination.

Vagity in case of piece filling rises for the first time by 38% in case of:

Myomatous nodules (up to 3 cm in diameter) that do not deform the empty uterus.
Roztashuvannya osvіti posterior walls of the uterus.
Fibroma, the growth of which is to be deposited in the form of equal female hormones in the blood.

The ECD procedure itself with myoma does not have any special features and is composed of stages of stimulation, puncture, filling and attachment.

Uterine myoma of a healthy one, with proper and correct treatment, is not a contraindication for the procedure of piece filling. It is even more important to regularly take a prophylactic look at the gynecologist, with the method of early detection of that timely therapy of pathology, which increases the chances of success in achieving pregnancy by natural path and with ECD.

Leiomyoma is a benign swelling in the female organ system. More than 21% of women and girls from 18 years of age may be ill.

Half of the weak state, as suffering from fibromyomas, may be further discord in the state system. So, it appears through the appearance of symptoms, illness, mainly in mature women. Up to 35 they have a significant decrease in the number and quality of eggs. Myoma of the uterus can be accompanied by somatic damage, growth of the lining of the mucous membrane of the uterus with endometrial posture, as well as illness, associated with the endocrine system.

Uterine fibroids and IVF - at first glance, it doesn’t appear later, because good-natured plumpness may have a negative impact on the planting of the filled egg and a further development. Remember that the implantation was successful, it's a good weekend.

EKZ and uterine myoma, for those who have tried the protocol for leiomyomas, there may be ambiguous opinions. Before the program, it is necessary to go through a liturgy to increase the chances of vinification of the fetus.

Conservatively, the treatment is composed of low preparations, the dosage of such a term is to be prescribed after looking at the patient, examining the anamnesis, carrying out a pirakhunka vuzlіv and їх rozmіrіv, roztashuvannya.

Vyhodjachi іz IVF statistics in uterine myoma, pathology vzagalі not vplyvayut on vagіtnіst, yakshcho vuzol less than three cm and not vplyvaє on the empty head reproductive organ. With intramural and subserous nodules, which do not change the natural shape of the state organ, surgery is not prescribed during the protocol.

Intramural, subserosal nodes - larger, lower than 3 centimeters, which are added to the natural shape of the bottom of the neck, it is necessary to take a path of surgical insertion before the program of extracorporeal flooding, as if you were losing sensation, as if you didn’t see f Ibraznі vuzli. To the one that the woman cannot blame the plaid, then he should be able to take charge.

Even if the size and location of changes in the natural structure of the reproductive state organ, up to a couple of centimeters, should be cleaned with a path of low-traumatic surgery, hysteroresectoscopy, as if it were 20-40 minutes under anesthesia of the patient coins.

In some cases, the help of surgical intervention is contraindicated for any number of reasons. For the preservation of reproductive function, vicarious embolization of the uterine arteries. Therapy is based on the blood flow blocking the struma of the blood in myomy nodes, which is a pharmacological test, which is injected into the arteries of the uterus through a catheter through the steno.

If the myoma was seen for the help of a surgical intervention, then the ECO can be planned for the pіvroku chi rіk. It is necessary for the appearance of a mycological successive tissue in the empty uterus. First of all, the patient will evaluate after the birth. For consumption, the protocol is changed after 6 months.

It is strongly not recommended to check more than fate, shards can be re-approved with leiomyoma. I in the aftermath of the effectiveness of the extracorporeal flooding, the shards of new universities block the glee, directing to the adoption of the absence.

Varto relatively pick up preparations for folіculogenesis. That is why fibromyoma can be manifested through their injection into the body. In such cases, vicorists have long protocols for gonadotropin-releasing hormone agonists.

Situations, if extracorporeal flooding is not effective in leiomyoma:

disruption of blood flow;
vіdsutnіst аbо marriage of the comrade of the internal lining of the uterus;
ignition process;
if over the submucosal nodules the number of endometrial lesions is reduced;
anomalies in the lower myometrium and the inner lining of the uterus;
hormonal imbalance in the range of myometrium and endometrium.

With nutrition, how can ECD work with uterine myoma, it is possible to give only a little more knowledge of the world, localization and creation of deformation on the empty uterus.

Surrogate motherhood

IVF in case of uterine myoma due to irradiated surrogate mother cannot be indicated. So how ECO with fibroids is possible.

Surrogate motherhood is necessary for different people:

great leiomyoma expansions, correction cannot be carried out;
strong change in the natural life of an empty uterus;
appear after the surgical insertion of the womb uterus through the tissue of good tissue;
sagging of small lips after the operation;
elimination of a lack of a scar in the presence of removed fibrous nodes

infusion

Vagіtnіst - tse zavzhd znachnі vnіshnі zmіni in organіzmі. They include an increase in the vibration of the yellow body, estradiol, and a change in hormonal body. The remaining fact is the increase in fibrous nodes, which are 5 cm in diameter. Tobto, vin stabilizuetsya over the hour, as it may be for whom the optimal expansion.

When the display is over five centimeters:

vtrata childi pіd hour winemaking;
lack of delivery of the fetus with the necessary speeches;
front canopies;
decreased blood streak with a possible swelling of the fibrous node;
untimely removal of the placenta;
uterine bleeding;
genetic pathology of the fetus;
rozbіzhnіst rumen pіd pologіv;
front opening of fruit tunics (PRPO);
broken blood pharynx.

Fibromyoma is not contraindicated to vagity. For the shortest result, you should consult a doctor before natural conceptions, as well as those of the YBC. Allowed for the people of the child to lie down in front of the front of the myom, її roztashuvannya, rozmirіv, and also on the empty uterus.

Some people may not allow people through the lack of scar tissue through the possibility of opening the empty uterus.

Apparently, more than 55% of women suffer from uterine myoma without pregnancy. Before the primary infertility falls over 23%, and the secondary infertility - 32%. In this case, swelling often accompanies additional factors and infertility - endometriosis, inflammation of the appendages of the uterus, adhesions in the small pelvis, immunological, neuroendocrine disorders. All of these pathologies are a compressing factor in the case of a bezplydya.

Damage to the implantation of the embryo is less likely to occur with myomas, which deform the empty uterus. The incidence of actual vagity is practically the same in women after conservative myomectomy (about 21%) and in patients with fibroids that do not deform the empty uterus (about 17%). Such low indications of renewal of fertility may lead to the development of primary indications to conservative myomectomy with the improvement of rozmiriv, localization of nodes, the patient's condition, and the incidence of illness.

Stimulation of ovulation in ECD cycles in uterine myoma

During the stimulation of superovulation in the cycle of ECD, treatment for uterine myoma in the anamnesis of vicarious is given by such schemes:

Long protocol- includes a variety of common injections of gonadotropin-releasing hormone (a-GnRH) agonist - diphereline, decapeptyl, suprefact, subcutaneously in the navel, starting from the 19th-22nd day of the menstrual cycle (mid-luteal phases) i).
Short protocol- a-GnRH should be administered one hour with gonadotropic drugs on the 2nd-3rd day of the menstrual cycle.
Choice of gonadotropin-releasing hormone antagonists– (ant-GnRH) – orgalutran, citrotide, in combination with gonadotropins.

Efficiency of the EKZ procedure in various forms of uterine fibroids

Myomatous vuzol, which does not deform the empty uterus. size up to 3 cm, do not create a negative impact on the EBC procedure. The frequency of the onset of vacancies per sample becomes 37.3%. It is possible to fix the ECD procedure in this form of uterine myoma without anterior surgical insertion.
Frequency of current uterine vaginess after conservative myomectomy under an hour of long-term protocols for stimulation of superovulation with a-GnRH to become close to 37%, with short protocols - 35%; with vicarious ant-GnRH - 25%. Qi indicators of the effectiveness of the EKZ are approaching such patients without the need for surgical intervention with a myoma size of up to 3 cm, so as not to deform the empty uterus.
Intramural localization of the myoma node(Myoma is expanded in the middle mucosa of the uterus, deforms and leads to an increase in the growth of the uterus) significantly reducing the effectiveness of the ECD program. Uterine vacancy after the 1st try of the EKZ procedure occurs only in 12.5% of women. Vagity after EKZ in most women with intramucosal myoma is often interrupted by fleeting widows, or it is folded in front of canopies. Thus, for this form, it is necessary to carry out an operative procedure before the EKZ procedure.
In case of conservative myomectomy, the EKZ procedure should be carried out more quickly later, as for 1 rіk after the second type of treatment, because after the end of this period, the frequency of myomy recurrence increases. Recurrence of uterine myoma is an unfriendly clerk of the ECD procedure, reducing its effectiveness. With any long-term protocols for stimulation of superovulation with a-GnRH (diphereline, decapeptyl, suprefact) to cause a low frequency of onset of uterine vaginess.

Follicular reserve in uterine myoma

The follicular reserve (ovarian reserve) in women over the age of 38 is significantly reduced. The third skin patient with uterine myoma has a small follicular reserve.

Optimal stimulation protocol for uterine myoma

Evaluation of the effectiveness of various ovulation stimulation schemes showed that, with a normal supply of follicles, the optimal protocol for superovulation stimulation in patients with uterine myoma is a long protocol for testing a-GnRH. Uterine vaginess is 38%.

With multifollicular ovaries, it is possible to zastosuvannya be-any schemes of stimulation with urahuvannyam risk leading to the syndrome of hyperstimulation of the ovaries. The optimal protocol for multifollicular ovaries is a short protocol for testing a-GnRH, uterine vagity is found in 36%.

Puffy-like processes and puffiness myometrium. Uterine myoma. Tactics of management of vaginal women with uterine myoma

Before the puhlinopodibnyh processes and puhlin myometrium, non-epithelial and zmishany puhlin are seen. To non-epithelial puffs, according to the WHO classification, there are benign neoplasms - leiomyoma and evil - leiomyosarcoma and endometrial sarcoma.

Fibroids - a good new womb, which is most likely to shrink. Uterine fibroids are mainly blamed on the reproductive period of life (in 20-30% of women older than 30 years), most of them are asymptomatic. Population data has been reported that fibroids develop in 15-17% of women over 30 years of age. The incidence of illness is steadily growing (10-20% in 1988 and 30% in 1999), which is due not only to improved methods of diagnosis, but, without recurrence, to fall and in the absolute increase in the number of uterine myomas. Illness in young women can lead to a decrease in reproductive function, pratsezdatnost, and if it leads to disability.

Uterine fibroids - good-natured puffer from m'yazovyh and good tissue elements. In times of excess in the swelling of the m'yazovyh elements, the term "myoma" of the uterus is crusted, with the prevalence of successful tissue stroma - "fibroma", and with the same amount of both tissues - "fibromioma", the remainder is most commonly. The largest extension of the term "myoma" of the uterus, to that we gave it to the koristuvatimemos tsim names.

For current manifestations, uterine fibroids are dyshormonal plumpness with lesions in the system:

"Hypothalamus - Hypophysis - Cortex of the Supra-Narral Entities - Ovaries"

The dishormonal nature of the swelling causes a number of metabolic disorders, a functional deficiency of the liver, and also often a violation of fat metabolism. The hypothalamic-hypophyseal disorders can change the genesis of the newborn or develop suddenly through a pathological afferentation from the myomatous uterus. In the development of uterine leiomyomas, there is great significance not only for excess estrogen, but also for the destruction of the mechanisms of adaptation of the system of steroid homeostasis. Ignoring those that pathogenetic mechanisms of the development of uterine myoma dosi remain unidentified, it is generally accepted that there are reports about those that steroid hormones of the ovaries take part in them.

My growth is often associated with a remarkably high level of estrogen. Navpaki, a decrease in the level of estrogen, for example, in postmenopausal women, indicating a regression of myoma and myometrium. However, the hopes that rely on the change or even the expansion of myomatous nodes with progesterone analogues (progestogen) were not completely correct. Moreover, in some cases, there was an increase in the growth of the uterus and myomi. It has been established that the progestins themselves can play an important role in the growth of uterine myomas, and the mitotic index increases in the luteal phase of the cycle in myomas.

It has also been reported that the expression of receptors and other mRNAs is increased in uterine myomas, equal to normal miometry for both estrogen and progesterone.

Most of the reports are important to determine the growth of myomy in the concentration of cytosolic receptors in state hormones and folding mechanisms of their interaction with endogenous and exogenously administered hormones.

Apparently, after the onset of menopause, there is a change in the growth of myomatous nodes, the proteo is deprived of alcoholic nutrition, as a consequence of the change in the number of receptors, or as a result of a decrease in the level of estrogen, progesterone and androgen c (this is a hypothesis about those that myomas can be sensitive to androgens).

In the same period of life, more than 60% of women have climacteric disorders, which significantly reduce the quality of life and induce hormonal correction with analogues of steroid hormones.

Subserous uterine myoma and vaginess - the stage of risk is easy to prescribe a drug

Complication of subserous myomas

The most severe complications of subserous myoma under the hour of vagity є torsion of the lower leg. But it can only be in that mood, if myoma can be a long time. If a woman is planning vagity and under the hour of obstezhennia, she will have a convulsive myoma on a thin lower leg, and she will recommend visualization.

Well, myoma in the past let me know about the hour of vagity with torsion of the lower leg, women for life indications need an emergency surgical operation. Vagіtnіst svoіy sberegti vdaєsya zavzhd. In order to avoid this in another trimester (on aphids, together with progesterone to the blood, which takes into account the shortness of the smooth muscles of the uterus), sometimes an operation is performed to remove the myomy - a conservative myomectomy.

Subserous myomas of the great rosemaries on the legs can press on the organs, which will make the uterus disappear. As a large subserous myoma is spread on the anterior surface of the uterus, it can crush the sebaceous pathways and lead to stagnation of the sciatica. Under the hour of vagity, it’s even more unsafe, so that the stoppage of the battle can call out the disruption of the functions of the nirok (and the stink and so pratsyut from the overwhelm of the hour of vagity). In addition, the stasis of the cross-sections is turned until the stones are settled and the infection comes. Tobto vagity can be aggravated by the attacks of nir's ring or by pyelonephritis.

If the subserous myoma of the great rosemaries is spread on the posterior wall of the uterus, then it can press on the rectum and tissues, which will make you sick, including blood-bearing judges. It caused constipation to the point of intensification (and the stench still accompanies vaginess through a decrease in the intestinal activity of the intestines), forming hemorrhoids and sickly cracks in the anus, yak before that, they can be a gate for the prevention of infection and the elimination of the development. Purulent-inflammatory processes in the tissues of the rectum.

Tim is not less, at more vipadkіv with a constant watchfulness for a vagit woman at a woman's consultations, all of them are easy to get away and safely bring the woman to the floor.

Compounding of subserous myomas

Canopies with subserous myomas also pass safely, without complications. Prote, traplyayutsya and folded like a different disruption of generic activity, scho with discoordination of the contraction of the uterine muscles. Protracted canopies are unsafe for the weakened body of the woman and the fetus and the infection. Due to the lack of contraction of the uterus after the birth of the fetus and placenta, bleeding can begin (normally, the m'yazi, which has contracted, presses the blood-bearing vessels and prevents bleeding).

All the complications can develop, and obstetricians and gynecologists, as a posterity for a woman during the hour of vacancy, zazdalegіd put together a plan for sloping at different times. A woman with uterine myoma for a few days before the fall, call the hospital until the pre-surgery hospitalization of the bed, so that an obstetrician-gynecologist, who will take care of her canopies, should take a look at the tactic of the half-way.

Subserous uterine fibroids rarely become unsafe during pregnancy and low. Moreover, under the influence of hormones (most importantly progesterone), fibroids can change in rosemaries.

As a way of looking at gynecological pathologies, one of the most widespread problems, one can boldly call my uterus a good newborn. It will be guarded by 20–25 years of representatives of a weak state, like a century-old frame, attached to reproduction. At that, according to statistics, 55% of patients are diagnosed with no uterine fibroids. In that number, 23% of the falloffs were indicated as primary infertility, and 32% were often reported as secondary infertility.

Crimium of good-natured enlightenment can be guarded by concomitant factors of impossibility of conception, which imply good fortune:

endometriosis;
igniting processes, yakі in the uterus, appendages;
fixing adhesions in the small pelvis;
neuroendocrine pathology;
immunological damage.

Infusion of myomi on the reproductive system

Surprisingly, like a myoma, the embryo is implanted. Significantly, that this process becomes more difficult in different myomas, the manifestation of such a deformity of the uterus. In case of a successful conception after the removal of myoma, it is practically not affected by the number of successful vagities in myoma, as it does not deform the uterine void. Indicators become 21% vs. 17% clearly. Like bachimo, fertility improvement shows low results.

Therefore, when performing a conservative myomectomy, it is necessary to protect low factors, among them:

rosemary of good-natured fluff;
place of roztashuvannya new creation;
age group, to what extent the patient should lie down;
trivality of overcoming the pathological process.

What is the point - conservative myomectomy? This is the name of the procedure for surgical removal of benign tumour, in order to preserve the reproductive function of the uterus after surgical insertion.

If myoma is localized in the mother, with vagity, such negative consequences can be observed:

increased risk of vaping;
increase the possibility of front canopies;
not included pathological interruption of childbirth;
when looking at the sloping paths, there is a mechanical sound;
zbіlshuєtsya risik vyniknennya to sepsis, p_slyapologovoї bleeding.

Chi є myoma is the cause of the presence of vagity

Regardless of the number of studies, there is still no clear evidence that uterine myoma is the main reason for the impossibility of conceiving a child. However, it has been noted that the puffer itself can be damaged during implantation of the germ at the uterine wall. Vіm, having poured in the new creation on the possibility of conception, they signified their time, vikoristovuyuchi "proof of the protilege".

With the surgical removal of uterine swelling, 50% of patients with no pregnancy were successfully taken.

You can give a pleasant visnovka to someone who is so fluffy, having ceased to be a clerk, which destroys the implantation. Shvidshe all on the right in the deformity of the uterus and the pathological state of the endometrium. If you look at the EKZ procedure in this section, then you can talk about the need for an early assessment of the endometrium and uterine emptying.

As shown by the investigation, with the diameter of the uterine myoma, which in the average became less than 7 cm, that not deformed uterine emptiness on the vіdsotok vagity and impossibility of wine-shaving with ІСІ and EKZ did not suffice.

Childbirth due to the presence of swelling in the empty uterus also takes place not without unacceptable surprises, which include the early release of water, anomalies in case of contraction of the uterus, bleeding. Ale, for the hourly singing of the possible complication of medical risks, they perebuvayut at acceptable boundaries.

Myoma and ECO

As the statistics show, different forms of benign swelling in the uterine stool may have a different impact on the effectiveness of the EBC: