Treatment of large fibroids without surgery. Uterine fibroids - what is it, causes, first signs, symptoms, treatment and complications How to remove uterine fibroids without surgery

Myoma of the uterus is a benign formation in the myometrium, and today every third woman has already encountered this disease.

The disease, in the lion's share of cases, is formed in women in the period from 30 to 40 years. And this is really scary, because in our time a woman only by the age of 30 becomes emotionally and financially ready for the birth of a child.

Until that time, she is getting an education, looking for a good couple, and after that she decides to have a baby.

And at this time, the creeping pathology destroys all plans and hopes. How are fibroids treated? Most women are sure that the disease needs to be removed, there is no drug treatment, and besides, myoma very often degenerates into a tumor, but this is not entirely true.

Treatment of uterine fibroids without surgery and treatment of uterine fibroids is quite real. The main thing is that certain indicators of the uterus are observed for alternative treatment:

  • the uterus should not be enlarged to match more than 12 weeks of gestation;
  • nodes should not exceed more than two centimeters in diameter;
  • the work of internal organs due to fibroids is not impaired in any way;
  • the symptoms of the disease are not very bright;
  • there are no contraindications to medications;
  • the nodes grow at a measured pace.

Note that all these signs are characteristic of the primary stages of the disease, although most women learn about the pathology much later, when the symptoms can no longer be overlooked, and it is difficult to remove it, since the pathology grows to sizes that require surgical intervention.

To cure uterine fibroids without surgery, it is absolutely impossible to ignore visits to the gynecologist even when there is no reason for this.

When do you have to resort to a scalpel?

Of course, every attending gynecologist will try to preserve the possibility of childbearing for his patient, however, pathology often reaches a stage when it is generally impossible to preserve the genital organ. When is it necessary to remove the entire organ to treat fibroids?

If one of the following signs is present, surgery is indispensable:

  • the uterus is enlarged to a state of 14 weeks of pregnancy;
  • nodes are localized in the uterine cervix;
  • the node provokes severe hemorrhages, which cause anemia;
  • the knot presses on the internal organs, causing them to malfunction.

How to treat uterine fibroids without surgery?

How to cure uterine fibroids? If the disease is in the initial stages of development, and the doctor decided not to rush into the operation and cure the disease in an alternative way, then the methods of treating uterine fibroids without surgery can be as follows:

  1. Arterial embolization.
  2. FUS ablation.
  3. Hormone therapy.

Embolization of the uterine arteries (UAE) with uterine myoma

This method, abbreviated as EMA, was invented by medicine relatively recently. This is a minimally invasive method that makes it possible to cure pathology without surgery.

In the course of treatment, a blockage of blood vessels is implied due to the introduction of an embolus into the vessels. Due to the blockage of the channels that feed the fibroids, the formation does not receive the substances necessary for development and dies.

Pathology dies rather quickly, within a day. This treatment is carried out under the supervision of a specialized specialist - an X-ray surgeon. Note that in our country, not all medical organizations are able to carry out UAE due to the lack of the necessary equipment.

Hormone therapy

How to get rid of uterine fibroids using hormonal agents? There are several types of medicines that are used for non-surgical treatment:

  1. Agonists- funds that are based on the creation of artificial menopause in a woman. not only does not develop, but also regresses. A positive result may appear 3 months after starting the medication. However, this type of treatment also has side effects: depression, osteoporosis, hot flashes.
  2. Progestins- drugs blocking the production of progesterone. This method is not very effective because it does not cause complete elimination of uterine fibroids.
  3. 17-ethynyl testosterone- a very unpopular remedy, prescribed only in certain rare cases.
  4. 19-norsteroids- are often prescribed by a doctor for endometriosis and myomatosis.
  5. Androgens Is a remedy that negatively affects the functioning of the mammary glands and ovaries. Due to the large number of side effects, this treatment is rarely used.
  6. Antiandrogens- it is ineffective in the treatment of this disease, therefore, if it is prescribed to the patient, then in combination with other means.
  7. Hormone replacement therapy- the most effective hormone therapy.

Non-surgical treatment of uterine fibroids with folk remedies

For centuries, mankind has been collecting information about the medicinal properties of plants and still turns to it for folk recipes for various ailments.

In the treatment of uterine fibroids, infusions of chamomile, cornflower blue, common motherwort, St. John's wort, strawberry and fly agaric have shown themselves perfectly.

Herbs must be brewed in a certain proportion and taken before meals for two months - this is great for treating uterine fibroids without surgery. After this course, you need to take a break for 2 months and continue taking the solution.

Contraindications for disease

To quickly undergo treatment without surgery, it is necessary to strictly follow certain generally accepted rules:

  1. Completely insulate yourself from stress, depression and disorders, as they cause hormonal surges that create a positive environment for the development of nodes and their speedy growth.
  2. To completely exclude the lifting and movement of weights over 3-4 kilograms, since they provoke tears.
  3. Overheating of the body must be completely eliminated. To do this, the patient needs to give up baths, beach tanning, solarium, as well as baths and saunas.
  4. Refuse massages.
  5. Provide yourself with complete protection against pregnancy, since it is hormonal stress for the body, and even more so a possible abortion.

Can uterine fibroids be cured without surgery? Undoubtedly. Observing these measures, provided that the uterine fibroid is at the initial stage of formation, a woman has the right to count on successful treatment of uterine fibroids.

Uterine fibroids, the treatment of which is a rather long process, is not a sentence, although it is a very complex pathology.

The female reproductive system is often subjected to tumor processes, which are of a different nature - and benign.

The largest number of pathologies, fortunately, falls on benign tumors such as fibroids, fibroids, or simply. This is a benign neoplasm of connective tissue cell structures that forms in the muscle tissues of the uterine wall.

The concept of pathology

Fibroids are slow in development. A single cell structure, for some unknown reason, begins to divide uncontrollably, forming a myomatous node. Such nodes can be localized in various uterine layers and areas of the organ.

Therefore, uterine fibroids are classified into several types:

  • - is formed under the outer mucous layer of the organ, grows into the small-pelvic or retroperitoneal space;
  • - is formed in the depths of the muscular uterine layer;
  • - is formed under the mucous layer on the inner side of the uterus.

Fibroids are found preferentially in patients between the ages of 30 and 47. According to statistics, almost half of the women in this age group have fibroids. There are also abnormal cases when fibroids occur in very young patients.

Myoma can dissolve on its own, however, such a fact does not mean at all that it should be ignored. It is imperative to identify the nature of the tumor, determine the prognosis and, based on the data obtained, select an adequate therapy.

How to treat uterine fibroids in the early stages?

The causes of fibroids can be various factors, but they are all associated with hormonal imbalance, therefore, even after surgical treatment, the hormonal background must be put in order, otherwise the formation may recur.

The easiest way to treat fibroids identified at the initial stages of development.

Sometimes in such a situation, only hormone therapy is enough for the tumor to dissolve on its own.

If the formation is small in size, then the probability of a complete cure of the fibroid is high.

In any case, if a fibroid is detected, it is necessary to immediately begin its treatment, which only a specialized specialist can adequately select.

In general, the treatment of fibroids is conservative and operative.

Surgery

Indications for surgical treatment of uterine fibroids are:

  1. Large parameters of the neoplasm;
  2. Submucous nature of the nodes, intramuscular myoma tumors with growth in the uterine cavity;
  3. The presence of a concomitant tumor process in the ovaries;
  4. Rapid increase in fibroids;
  5. If fibroids provoke infertility or create an obstacle to the bearing of the fetus;
  6. Abundant menorrhagic menstruation or metrorrhagic bleeding that occurs regardless of the cycle during the intermenstrual period.

The age of the patient, her plans for motherhood, the localization of the nodes and other factors are of great importance in the choice of treatment. Surgical interventions such as hysteroresectoscopy, hysterectomy, conservative myomectomy are used.

The standard is a combined approach to treatment, which involves the combination of a surgical method and hormone therapy.

Can it be treated without surgery?

It is possible to get rid of fibroids by conservative methods, however, the success of such treatment can be guaranteed only with an insignificant tumor size.

Treatment in such a situation should be started immediately. Immediately after the detection of the formation, the patient is prescribed hormonal therapy, which is aimed at resorption of the myomatous nodes.

But we repeat, conservative therapy is effective only if fibroids are detected at the beginning of its development.

In addition to hormone therapy, there is another conservative new treatment for uterine fibroids that is gaining popularity - this is arterial embolization.

The technique involves an artificial blockage of the vessels supplying nutrition to the tumor tissue, as a result of which the fibroid shrinks and dies. Special drugs are injected into the vessels, which over time create a kind of plug inside the artery. This technique is non-surgical and is carried out only with local anesthesia.

Medication methods

Medication methods for treating uterine fibroids include taking various medications such as:

  • Antigonadotropic drugs- Buserelin, Danazol, Hextrion,. Under the influence of these funds, the patient experiences a premature menopause, and the nodes begin to decrease. Such drugs are usually taken in long courses of six months or more. Considering their by no means cheap cost, such treatment is very expensive. In addition, after stopping the intake, the fibroids may begin to grow again;
  • 19-norsteroid derivatives- Nemestran, Orgametril, Norkolut, etc. These drugs help to reduce the size of the tumor, however, they need to be taken in long courses of 6 months or more. and more. If there is no effect, then estrogen therapy is used;
  • Oral contraception- Novinet, Diane-35, Janine. Such drugs help to stop the growth of nodes by inhibiting ovarian activity and changes in hormonal levels.

In general, the principles of drug treatment are based on changes in hormonal levels in order to reduce the size of the tumor.

Herbs

Medicinal herbs are widely used in the treatment of uterine fibroids. Such herbal medicine can be symptomatic or systemic.

Against heavy menstruation, women are advised to take infusions of shepherd's purse, viburnum bark, nettle or water pepper. Of course, the reception of such herbal infusions is unable to dissolve the fibroids, but such remedies will quite cope with profuse bleeding.

Herbs with antitumor effects, such as:

  1. Yarrow;
  2. Nettle;
  3. Calendula;
  4. Celandine;
  5. Burdock root, etc.

It is permissible to use such methods of treating myoma tumors only after medical approval and as an additional therapeutic technique.

Diet

When myoma processes are detected, it is necessary to adjust the diet so that the body does not lack the resources necessary to fully restore the hormonal background, improve the general condition of the body and accumulate strength to resist the disease.

It is recommended to drink at least 4 cups of green tea daily, which contains epigallocatechin, which has a powerful anticancer effect. It is useful to eat nuts containing monounsaturated fats, dairy products, garlic and spices, and flaxseeds.

The diet should not exceed the required daily amount of calories, because obesity with fibroids is not at all welcomed.

Massage

Massage for uterine fibroids has a number of contraindications. You can massage any part of the body, with the exception of the lower back, abdomen and buttocks. In addition, gynecological massage is contraindicated for patients.

For the treatment of fibroids, massage is not used. In addition, with myoma, vacuum, lymphatic drainage or anti-cellulite massage is unacceptable. Any warming or vibration effect can provoke an exacerbation and active growth of myomatous nodes.

Hirudotherapy

Treatment of fibroids with leeches refers to non-standard therapeutic methods. This method has practically no contraindications, so it is suitable for almost all patients.

Hirudotherapy for uterine myoma contributes to:

  • Normalization of cellular material metabolism;
  • Reducing the size of the nodes;
  • Accelerate blood flow by eliminating blood congestion;
  • Relief of pain.

Leeches act on bioactive points, irritate them, which helps to stimulate certain intraorganic structures. In addition, specific enzymes are present in the saliva of leeches, which endow it with anti-inflammatory and immunostimulating, vaso-purifying and hypotensive effects.

Experts believe that for maximum effect, leeches should be placed inside the vagina.

Hirudotherapy is carried out in courses of 10 procedures, the duration of one course takes about 5-10 weeks.

Such therapy should be supportive and only supplement the main treatment. Exposure to leeches is contraindicated in patients with severe anemic forms, hemophilia, hemorrhagic diathesis, hypotension, intolerance and pregnant women.

Douching

Douching with various solutions is used quite widely in the treatment of uterine fibroids.

Such solutions are prepared from various raw materials, for example, celandine, boron uterus, red brush, burnet, etc.

Douching is carried out in courses of 7-10 days. The best effect is achieved when douching is combined with the internal reception of a decoction or tincture.

Douching is contraindicated to be carried out constantly, because with the abuse of such treatment, a violation of the vaginal microflora and dysbiosis can develop.

Physiotherapy

There is a lot of controversy regarding the use of physiotherapy techniques in patients with fibroids.

Indeed, physiotherapy with thermal methods such as phonophoresis, ultrasound, infrared light therapy, ultraviolet irradiation, paraffin therapy and other methods is contraindicated in the presence of fibroids.

For the same reasons, visits to a solarium, saunas or baths, sunbathing, etc. are contraindicated for such patients. The reasons lie in the ability of such thermal effects to provoke an increase in estrogen.

But physiotherapy has other possibilities that are not related to thermal methods. Decrease in estrogen is promoted by iodine-bromine, radon baths and iodine electrophoresis. Also, with myoma, treatment with interference currents, magnetotherapy, zinc electrophoresis, EHF, etc. is quite acceptable.

Radon baths

Such procedures are considered to be very effective in the treatment of neoplastic processes. With such an effect, a significant slowdown and even a stop in the growth of myomatous nodes is observed. Radon is able to act through the skin and with the flow of lymphatic fluid.

Radon baths for uterine fibroids are used in the form of alpha therapy. Several hours after the bath, radon affects the body, changing the intensity of biochemistry processes, which subsequently leads to the restoration of the activity of organic structures.

Radon baths promote accelerated regeneration of cellular structures, improve microcirculation, increase blood clotting, which allows you to get rid of the profuse bleeding characteristic of fibroids.

Charcot shower

However, among the useful properties of the Charcot shower, there is also the ability to dissolve tumors.

But even if there are no severe bleeding and pain, and the fibroid is at an early stage, it is better to avoid such procedures so as not to provoke an exacerbation and accelerated tumor growth.

Electrophoresis

Electrophoresis is a physiotherapeutic procedure successfully used for uterine fibroids.

With the help of this method, the uterine myometrium, ovarian function and menstrual cycle are restored, the severity of the clinical manifestations of the myomatous process decreases.

The most commonly used drugs for fibroids are iodine (potassium or sodium iodide), zinc, etc.

Under the influence of electrophoresis, the estrogen level is normalized, inflammatory processes in the genitourinary system are eliminated, intermenstrual bleeding disappears, etc.

In general, electrophoresis is included in the complex of conservative therapeutic procedures used for fibroids. The procedures help to reduce the severity or completely eliminate clinical symptoms, restore the muscular layer of the uterus and ovarian functions.

Pressotherapy

Pressotherapy is a cosmetic procedure aimed at restoring the lymphatic system.

In the presence of uterine fibroids, pressotherapy is contraindicated, because lymphatic drainage massage, which is pressotherapy, stimulates blood flow, which can cause active growth of existing nodes and the formation of new nodes.

How to stop bleeding?

One of the characteristic signs of uterine fibroids is bleeding that occurs between periods (metrorrhagia) and at the same time (menorrhagia).

Bleeding must be stopped regardless of its nature. To do this, resort to hemostatic therapy, which can be conservative or surgical.

Conservative hemostatic therapy involves the use of drugs based on blood components, as well as agents to increase blood clotting, strengthen the vascular walls, etc. Surgical therapy involves arterial embolization.

If hemostatic therapy turns out to be powerless and the blood cannot be stopped, then curettage of the endometrium, ectomy of the bleeding node, or removal of the bleeding uterus is performed.

Can the tumor go away on its own?

In some cases, uterine fibroids are able to dissolve on their own. For example, this often happens after childbirth or with the onset of menopause.

In the first case, the process of reverse development is associated with hormonal changes that occur in the body after childbirth.

After the onset of menopause, fibroids resolve due to the cessation of estrogen production, because the ovaries cease their activity.

Sometimes patients can achieve independent resorption of fibroids by correcting nutrition, taking hormonal drugs and healthy lifestyle.

Any woman who first heard her diagnosis - "uterine fibroids" can be overcome by panic. Fear is associated, first of all, with the need for an operation, because any intervention in the body is in itself unpleasant, as well as with the removal of the uterus and subsequent infertility.

However, these experiences could have been entirely justified decades ago. Modern medicine has methods of treating fibroids in more gentle ways. Today, it is even possible to treat large fibroids without an operation, because it is not for nothing that surgeons have a saying that the best operation is the one that was not done. In the absence of objective indications for the removal of the uterus, surgical methods of therapy are not justified. The operation is necessary only in cases where the pathology poses a potential danger to the health and life of a woman.

Please note that this text was prepared without our support.

Causes of uterine fibroids

Until now, scientists have not been able to come to a common point of view about the causes of this pathology. Presumably, the development of fibroids is associated with a hereditary predisposition. There is also an opinion that fibroids occurs due to fluctuations in hormonal levels, especially in cases of increased estrogen levels.

Most often, this disease is diagnosed in women with diabetes, obesity, who have a history of many births and abortions.

Fibroids can also be a reaction to damage caused by inflammatory diseases of the genital organs, diagnostic curettage, abortion and traumatic childbirth.

Localization of myomatous nodes

Fibroids of different localization have different symptoms. Submucous fibroids (when the node grows inside the uterine cavity) is manifested by heavy menstrual periods with heavy bleeding. This condition can be accompanied by severe anemia, low blood pressure, and as a result, fatigue, malaise, weakness, and dizziness.

The danger of this fibroid also lies in the fact that it is often the cause of infertility, because there is a violation or damage to the site of implantation of the embryo on the uterine mucosa.

Intramural fibroids located in the wall of the uterus can lead to an increase in the uterus to a large size (up to 20 weeks of pregnancy), which threatens the development of severe uterine bleeding. In such cases, surgery may help to remove the node. Large uterine fibroids without surgery can be treated using the modern method of uterine artery embolization, which is very popular today due to its high efficiency and safety. After removal of the tumor, the size of the uterus remains the same.

With subserous myoma (localization of myomatous nodes on the wall of the uterus from the outside), bleeding is rare, the contractile function is not impaired. This type of myoma, as a rule, causes symptoms of compression of nearby organs (especially if there are many nodes and they are located in several places). In such a situation, immediate treatment is required.

Diagnostics of the large fibroid

Large fibroids have obvious signs. However, there is not enough data from the patient survey to make a diagnosis. To clarify the size of the tumor and the localization of the nodes, it is necessary to carry out a set of studies:

  • gynecological examination - allows you to identify a change in the volume of the uterus, and sometimes detect the neoplasm itself;
  • ultrasound examination of the pelvic organs - with its help, the localization of the tumor, its size and changes caused by myoma in the uterus are determined. Ultrasound can be transabdominal (performed through the abdominal wall) or intravaginal (with the introduction of a sensor into the vagina);
  • hysteroscopy - an examination used in the case of localization of the node in the uterine cavity.

How are large fibroids treated?

The process of treating large fibroids should not be postponed "for later", preferring long-term observation of the course of the disease.

Despite the fact that the development of a tumor is most often associated with a violation of the hormonal background, its restoration with the help of drug therapy does not give the desired effect, i.e. hormone therapy cannot be considered as the main measure. Taking hormonal drugs only allows you to reduce the size of the myomatous nodes before the upcoming surgical intervention. For this purpose, the following medicines are used:

  • Dyufaston, Utrozhestan, which include artificial progesterone;
  • Danazol, Byzanne, Buserelin, Byzanne - their action is aimed at suppressing the function of the ovaries.

With the help of these drugs, the size of the tumor is reduced, and the area of ​​tissues damaged during surgery is reduced. Hormone therapy is also used in the postoperative period: it helps to stabilize the general background and prevent a relapse of the disease - a new development of uterine fibroids.

Given that a large fibroid can cause a serious deterioration in a woman's health, it must be removed. The method of removal is chosen by the attending physician in each case individually, taking into account the general condition of the woman, the results of her examination and the patient's fertility plans - whether she wants to become pregnant in the future.

Removal of a large fibroid is carried out in several ways:

  • laparotomy operation - with an incision on the anterior abdominal wall;
  • laparoscopic intervention - through several small punctures;
  • hysteroscopy - with the introduction of a hysteroscope into the uterine cavity.

If hormone therapy is ineffective - there is no reduction in fibroids to 6 cm, all the above methods can be used to remove fibroids together with the uterus.

In this situation, despite its great trauma, laparotomy is the preferred method. When carrying out an operation using modern methods, it is possible to preserve the cervix.

The choice of treatment for large fibroids also depends on the age of the patient. For young women, it is advisable to remove only the tumor, leaving the uterus in place. However, this is only possible if the neoplasm has been previously reduced to six centimeters. If this was achieved with the help of hormonal therapy, removal of the tumor is performed:

  • laparoscopy - if the myoma is subserous or intramural, but localized closer to the outer lining of the uterus;
  • hysteroscopy - with submucous myoma. The disadvantage of this method is the high risk of disease recurrence.

Treatment of large uterine fibroids without surgery: UAE and FUS-ablation

Embolization of the uterine arteries (UAE). During UAE, an embolus, an incoherent substrate, is injected into the vessels that provide nutrition to the myomatous node. Due to the blocking of the blood flow by the embolus, the supply of the tumor stops, which begins to die off after a few hours. The method is considered relatively new, but quite effective to avoid surgical intervention. In addition, the UAE procedure is minimally invasive and does not require large incisions.

Embolization is performed by an X-ray surgeon in an X-ray operating room equipped with special angiographic equipment.

FUS ablation. The FUS-ablation method involves exposure of the myomatous node to ultrasound radiation. Like UAE, this method is considered minimally invasive and short-term in terms of implementation. However, FUS ablation is practically ineffective in treating large fibroids, so it is almost never used in such cases.

Alternative medicine

Traditional medicine can be used in the treatment of fibroids only as a secondary therapy. In addition, their effectiveness is sufficient only at the initial stages of the disease, i.e. it is unlikely that it will be possible to cure large fibroids with their help.

Alternative medicine cannot be considered as the only therapeutic method and, if there are indications for surgical intervention, cannot prevent it.

There are several categories of herbs, each with a different effect:

  • plants with an antitumor effect: white mistletoe, European zyuznik, celandine, tartar, upland uterus, etc.;
  • herbs with a hemostatic effect: nettle, barberry, shepherd's purse, yarrow;
  • herbs with immunomodulatory and general stimulating effects: Manchu aralia, eleutherococcus, pink radiola, penny teapot;
  • plants with analgesic effects: hops, pharmacy chamomile;
  • help restore and regulate the menstrual cycle: tansy, sleep-grass.

Medicinal plants for the treatment of fibroids are taken in the form of tinctures and decoctions. When brewing herbs, you must strictly follow the instructions on the package if they were purchased at a pharmacy. Herbs can be combined to make up fees. For example, you can mix equal amounts of nettle, celandine, St. John's wort, string, peppermint, motherwort, hawthorn, rosehip and valerian, pour boiling water over the collection (2 tablespoons of herbs - 250 ml of water), then leave for two hours. The broth should be taken every day, 50 ml in the morning and before bedtime. This remedy has a destructive effect on tumor cells, and also helps to strengthen the immune and nervous systems.

Reception of almost all herbal decoctions and infusions for the treatment of fibroids should last at least two months, after which a break of two months is required. Before starting therapy with folk remedies, you must consult with your doctor, because plants, like drugs, also have certain contraindications. Therefore, self-medication may not only not improve the situation, but also exacerbate the problem.

Prevention of uterine fibroids

Despite the fact that there is no definite list of reasons provoking the development of fibroids, a number of preventive measures are known, the observance of which reduces the likelihood of tumor formation.

Any woman should worry about her health from her youth. The key preventative recommendations are as follows:

  • at least once every six months it is necessary to visit a gynecologist, even in the absence of any complaints, since myoma is quite insidious and often proceeds in the absence of symptoms;
  • avoid stress;
  • not to overcool so as not to provoke the development of inflammation of the pelvic organs;
  • avoid being in the open sun, visiting tanning salons;
  • use contraception to prevent unwanted pregnancies;
  • at the age of 20 to 36 years, give birth to at least one child, breastfeed him for at least four months;
  • have a full regular sex life.

An important role in the prevention of uterine fibroids, like other pathologies, belongs to a healthy lifestyle with regular, moderate physical activity, balanced nutrition and good rest. To saturate the body with the necessary microelements, it is necessary to systematically take vitamin and mineral complexes. With the help of such seemingly banal measures, it is possible to preserve women's health for a long time and prevent the development of all kinds of neoplasms.

With our help, you can find first-class specialists using the latest organ-preserving techniques in the treatment of large uterine fibroids. Our company cooperates with the best clinics in Russia and abroad. We organize treatment in the clinics with which we cooperate. The list of clinics can be found here:. We provide ongoing online consulting support. If necessary, you can contact.

Bibliography

  • Sidorova I.S. Uterine fibroids (modern aspects of etiology, pathogenesis, classification and prevention). In the book: Myoma of the uterus. Ed. I.S. Sidorova. M: MIA 2003; 5-66.
  • Androutopoulos G., Dekavalas G. Recent advances in the treatment of uterine fibroids. Translation from English. N. D. Firsova (2018).
  • Savitsky G.A., Ivanova R.D., Svechnikova F.A. - 1983. - T. 4. - S. 13-16.

Blood clotting disorders.

Submucous myoma on the pedicle, but at the same time it should be single. In the presence of multiple submucous myomas, one of which will be pedunculated, embolization can be performed.

Allergic reaction to contrast agents that will be used for embolization.

In addition, subserous nodes larger than 10 cm, the blood flow inside which is weakened, can become a relative contraindication.

Mechanism of action


Before the procedure is performed, a woman needs to go through a small preparatory stage. It boils down to the fact that on the day of hospitalization, you should refuse to eat. The groin and thigh should be free of hair, for which it is worth using a razor. It is possible to apply elastic bandages on both legs just before the procedure.

The patient is brought into the office and placed on the angiographic table. The abdomen and thigh are treated with antiseptic solutions. Through a puncture (its size does not exceed 1.5 mm), which is performed in the area of ​​the inguinal fold, a tube-catheter (its diameter is not more than 1.2 mm) is inserted into the femoral artery. Local anesthesia is used to relieve pain because the procedure is not too painful. Most often, either novocaine or lidocaine is used for this. Under X-ray control, the doctor inserts a catheter into the uterine artery, up to the point where it begins to branch out and feed the fibroids.

An arteriogram is done to make sure the catheter is positioned correctly and to confirm the fibroid. That is, a special contrast agent is injected into the catheter, which can be seen with an X-ray. After making sure that everything is done correctly, the surgeon begins the introduction of emboli into the artery. Their role is played by either the smallest particles of a gelatinous sponge, or plastic balls made of polyvinyl alcohol or polyurethane foam.

After the emboli reach the narrow vessels, they stop there, blocking them. Therefore, the blood can no longer flow to the tumor tissues and its nutrition is disrupted.

To completely deprive myoma of nutrition, a similar procedure is performed on the second femoral artery. Then the surgeon performs an arteriogram again, the purpose of which is to exclude the slightest possibility of feeding the tumor.

The puncture site is closed with a sterile patch. In addition, a pressure bandage is applied to the thigh. After 12 hours, it is removed and the embolization is considered complete. Then the woman will have to go through a recovery period.

During the procedure, a woman may experience a sensation of warmth in the legs and in the lower abdomen. The average embolization time is 15 minutes. Although the duration depends on the depth of the nodes, on their number and can be up to half an hour.

Results of uterine artery embolization

The result of the embolization is the resorption of the fibroids. It continues to actively decrease in size during the first half of the year. Although in the future there is a tendency to decrease it. As statistics show, 12 months later, after the embolization, the size of the tumor becomes 4 times smaller. At the same time, the uterus itself acquires normal volumes.

Sometimes the result of embolization can be the exit of tumor nodes through natural pathways. This is especially often observed when they are close to the uterine cavity. Such expulsion of fibroids is considered the most favorable outcome of the procedure, since the fastest recovery of all damaged structures occurs.

The woman's pain disappears, the menstrual cycle normalizes, and the volume of discharge decreases. Moreover, these are early quality characteristics of the procedure performed.

The fibroid itself is replaced by connective tissues.

Benefits of Uterine Artery Embolization

This procedure for getting rid of the tumor has undoubted advantages over other methods of treatment.

They boil down to the fact that:

    There is no risk of disease recurrence. This is due to the fact that during embolization, the arteries of all nodes are clogged, regardless of their size. That is, even the smallest fibroids will stop receiving nutrition and die. Statistics indicate that 98% of patients who have undergone embolization do not require further treatment at all. With any surgical intervention, it is impossible to achieve such indicators.

    After the procedure, there will be no visible scars or scars on the woman's body.

    In the process of execution, the introduction of general anesthesia is not required. The procedure is practically painless. This means that the body will not be subject to additional stress and will not need to recover from global anesthesia.

    After embolization, the patient does not need to be in the hospital for a long time. Doctors recommend staying under supervision for two more days. However, many women leave the clinic several hours later on the same day.

    The technique is applicable to those women who have contraindications for surgical intervention.

    A woman does not lose the opportunity to have children in the future.

That is why the procedure is becoming more and more popular every year and more and more clinics in the country offer to perform it.


When the procedure is complete, the woman will need to return to the ward. The puncture site is cooled with ice. Sometimes it may be necessary to install a dropper. After a couple of hours, the woman will begin to experience unpleasant pulling sensations, sometimes quite painful. The place of their localization is the lower abdomen. They are due to the fact that the fibroid begins to experience seizures. Such sensations will last for several hours and, if necessary, will be stopped by painkillers.

At the puncture site, where the catheter was inserted, you can observe it, which passes over time. During the first 12 hours, a woman will not be able to bend her right limb; if a pressure bandage was applied, it will be removed after two hours.

It is also possible during the psotembolization period. Typically, the thermometer does not show a reading above 37.5 degrees. Sometimes the accompanying symptoms are dizziness, weakness, nausea. You should not be afraid of this, since such companions of the early rehabilitation period quickly pass and do not threaten the patient's health.

After a couple of days, the woman goes home, but she will need to refrain from physical activity for a week.

    The amount of fluid you drink should be increased, which is the prevention of vascular occlusion.

    Sometimes it is possible to take acetylsalicylic acid, as a means that can thin the blood.

    You cannot visit the bath, sauna, steam room, bathhouse or swimming pool in the first week after the operation.

    Sexual rest must be maintained during the first 10 days after the procedure.

    In the next three months, it is forbidden to use tampons during menstruation. For hygienic purposes, only pads can be used.

Thus, the post-embolization period passes and takes no more than 10 days.

Side effects and complications

Although the procedure is considered reasonably safe, there is still a risk of side effects. However, they are much lower than after surgery and develop in isolated cases.

Among the most common complications, the following can be noted:

    The appearance of a hematoma in the area of ​​the puncture. As a rule, it dissolves itself after a week.

    Menstrual irregularities, which occurs in 3% of cases. Sometimes amenorrhea may develop. But these phenomena are temporary and after 3 months, and sometimes even earlier, they disappear.

    Infection is possible only in 1% of cases. If inflammation develops, then it is eliminated by taking antibacterial drugs. Cases of performing a hysterectomy to eliminate the infectious process are extremely rare.

    Even less often, particles used for embolization enter the vascular pool. This complication is a threat to the woman's life and requires surgical intervention.

    If submucous myoma has undergone treatment, then there is a risk of new nodes. As a rule, their birth is possible in 20% of cases.

    Perforation of the uterine arteries is a rare but possible complication of the procedure.

    A woman should know that over the next year she should not plan a pregnancy, as this threatens a high risk of miscarriage.

A woman should be aware of all possible complications and consequences of the procedure by the attending physician. This must also be done because surgery may be required before the embolization procedure is completed.

FUS ablation of uterine fibroids


FUS ablation is a non-invasive procedure in which fibroids are treated using focused ultrasound. All the doctor's actions are carried out under the control of a magnetic resonance imaging scanner.

The ultrasound waves act precisely on the tumor. At the same time, the woman is inside the tomograph. Before starting the procedure, the doctor scans the uterus and precisely determines the place that will need to be treated. After that, the area of ​​the fibroid is heated under the influence of a beam of ultrasonic waves and destruction of its tissues occurs.

In the Russian Federation, this method has been approved for use for the treatment of fibroids since 2004 and is a relatively young procedure. However, this does not affect its effectiveness in any way.

Preparation for FUS-ablation of uterine fibroids

As for the preparation for the procedure, it is important to clarify the absence of contraindications and exclude pregnancy. There is no ban on eating or drinking. However, you should refrain from consuming those products that lead to increased gas production. It is advisable to put on compression stockings on your legs; this must be done immediately before the procedure.

FUS-ablation of uterine fibroids

The operation can last up to several hours, the time of each exposure is equal to 20 seconds. Most often, a woman spends up to 4 hours in a doctor's office. At the same time, she is conscious. She lies on her stomach, underneath is a special helium pad. The doctor is in the next room and observes what is happening through the glass and on the monitor. To provide a sedative and analgesic effect, a woman is given special medications through a catheter. In addition to the feeling of warmth in the lower abdomen, the patient does not experience anything else during the procedure.

The waves pass through the tissues of the body and thermally affect the tumor tissue, heating it up to 85 ° C. The impact will continue until the entire tumor has been treated.

The completion of the procedure will be a control scan using MRI.

In order to prevent unforeseen situations, a woman always has a special button in her hand, by pressing which she can stop the procedure. But, as a rule, you don't have to use it. In addition to a slight burning sensation and a slight soreness in the lower back, a woman can not feel anything. If suddenly the patient complains of pain, then the procedure is immediately stopped, the energy and duration of exposure are changed. Thus, the session becomes comfortable again.

To be under the supervision of doctors, the patient will have only a few hours. If there are no complications, she goes home. The destruction of the myomatous node itself occurs gradually, but this process is inevitable.

Benefits and contraindications of FUS ablation

Despite the fact that this procedure is quite new, it has already gained popularity.

This happened due to the following advantages:

    Fuzz ablation can be used when the size of the fibroids is quite impressive, as well as with multiple nodules.

    No injuries, no scars, no scars remain on the woman's body.

    This is an absolutely bloodless procedure. The size of the nodes either decreases several times, or they completely dissolve.

    There is no risk of uterine necrosis and inflammation after the procedure.

    The uterus remains in the woman's body, which means that she has the ability to reproduce.

    The possibility of recurrence of the disease is minimized.

    The recovery period does not take long.

    No anesthesia is required during the procedure.

However, in some cases, FUS ablation cannot be performed. This is due to the following factors:

    The woman has metal implants or a pacemaker in her body.

    Inflammatory diseases of the pelvic organs in the acute period.

    Body weight exceeding 110 kg, and waist circumference is greater than the same figure.

    Embolization of the uterine arteries, which was performed earlier.

    Severe extragenital pathologies.

Therefore, it is so important that the woman undergoes a thorough examination before the procedure. It should be aimed at clarifying the number of nodes, their size and location. It is important that the node is at least 4 cm from the sacrum so that the sciatic nerves are not damaged. The maximum tumor volume should not exceed 500 cubic centimeters. The nodes themselves should not be more than five pieces. In addition, it will not be possible to perform the procedure if the neoplasm is of the type of submucous or subserous nodes with a pedicle. A contraindication is the location of nodes under multiple bowel loops. In all other cases, the procedure is not contraindicated and is an excellent alternative to surgical interventions.

Complications of FUS-ablation of uterine fibroids

Although the procedure is quite safe, the following complications may nevertheless occur:

    The appearance of minor thermal on the skin is possible (they occur in less than 5% of cases);

    The development of sciatic nerve neuralgia, however, this phenomenon is temporary and, after a short time, it passes;

    Due to the unskilled actions of the doctor, some myomatous tissues may remain untreated, which increases the risk of recurrence;

    Damage to the rectum is possible (less than 1% of cases).

In some cases, it is FUS ablation that is the only procedure that allows you to preserve the possibility of further reproduction.

Exercises for uterine fibroids according to the Bubnovsky method


There is another non-surgical way to get rid of uterine fibroids - this is the performance of specialized exercises according to a certain method. The course was developed and compiled by Doctor of Medical Sciences - S.N.Bubnovkiy. His exercise system is called kinesitherapy.

The main goal that can be achieved through exercise is the activation of deeply located muscles. They are located either next to, or adjacent to the spine and large joints. As a result, blood circulation increases, blood flow to organs improves, and they receive more nutrition. The technique also has a positive effect on cartilage tissue.

The professor connects the problem of the development of uterine fibroids precisely with the fact that the pelvic muscles of the floor and perineum do not experience the proper load. Insufficiency and weakness of the muscle mass of the press and lower back also has a negative effect on the disease. Their elaboration in order to have a positive effect on the treatment of fibroids is the main task pursued by modern kinesitherapy.

How did you manage to carry out such a relationship? It was discovered in the treatment of female patients at the Dr.Bubnovsky Center from. Often, when undergoing a full examination for osteochondrosis, a problem such as uterine fibroids was found. After the completion of the recovery course, aimed at getting rid of the woman's joint disease, often (not always) resorption of the fibroids located on the wall of the uterus occurred. Such observations made it possible to draw a parallel between tumor lysis and the positive effect of kinesitherapy on it.

When undergoing a therapeutic course aimed at getting rid of osteochondrosis, the pelvic floor muscles were necessarily involved. It turned out that this helps to eliminate pain, increase blood supply and nutrition to all organs and the disappearance of such a benign tumor as myoma.

In addition, the woman in the shortest possible time managed to get rid of pain, caused not only by osteochondrosis, but also by myoma. As you know, the tumor also causes patients to experience an unpleasant aching or acute feeling of pain in the lower abdomen.

The practice of specialists working at the Center of Professor Bubnovsky made it clear that women manage to overcome pain caused not only by the tumor that is present at the moment, but also after its removal. Most of the patients noticed that the discomfort that did not leave them after the surgical intervention completely disappeared. Most often, positive dynamics is observed after undergoing a course of kinesitherapy for the treatment of the lumbar regions, in which there is an intervertebral hernia. This led to the conclusion that the developed technique works successfully even where other methods of treatment remain powerless. Kinesitherapy beats pain, and this has been proven experimentally.

The specialists working in the clinic noticed that if the tumor is deprived of the possibility of existence in conditions comfortable for its growth and development, then it begins to dissolve. One of the disposing factors for the formation and increase of fibroids in volume is the passive muscular uterine layer. Having begun its active study, it will be possible to activate the body's forces to combat pathology. Physiologists find a rational explanation for this fact. They believe that resorption of the tumor occurs as a result of the activation of phagocytosis, which is positively influenced by the active development of the deep muscle layer.

The carried out analytical work allowed the specialists of the Center of Professor Bubnovsky to single out a separate direction of kinesitherapy. However, this program is only for the prevention of fibroids. There is no need to rely on this complex in advanced cases.

The set of exercises is carried out using exclusive simulators and under the strict supervision of specialists working at the Center.

Women who want to get rid of uterine fibroids without resorting to surgery have a lot to choose from. All three non-surgical methods are available and allow you to effectively and quickly solve the existing problem.

However, it should be borne in mind that uterine artery embolization and FUS ablation can be done in any specialized clinic. While kinesitherapy is available for passage only at the Centers of Professor Bubnovsky and you should only apply there.


Education: Diploma in Obstetrics and Gynecology was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013 completed postgraduate studies at N.N. N.I. Pirogova.

Quite often, the fair sex has to deal with diseases that affect their reproductive organs. As a rule, such pathologies occur between the ages of twenty and thirty-five years. However, this does not mean that in a later period and after menopause, a woman is completely protected from ailments. In this article, you will learn all about uterine fibroids and their treatment. Many of the fairer sex are afraid to go to the doctor because of a possible surgical intervention. Next, it will be described whether it is possible for uterine fibroids to be treated without surgery.

Myomatous nodes

A uterine fibroid is a benign tumor. Only in very rare cases can it degenerate into an oncological process. In fact, the reproductive organ has several layers. From above it is lined with connective tissue. After it comes the muscle layer, which tends to contract. Next is the mucous membrane, which bleeds every month.

Most often they are formed from the middle layer of the genital organ. However, they can grow inside the uterus or go out into the abdominal cavity. In the second case, they prefer to correct them surgically. Often patients have a question: "Is it possible to treat uterine fibroids without surgery?" Doctors say that such a correction is quite possible.

So, let's look at how to treat uterine fibroids without surgery.

Use of 19-norsteroid derivatives

Before treating uterine fibroids without surgery with such drugs, it is necessary to undergo a preliminary examination. It often includes a study of hormonal levels, ultrasound diagnostics and magnetic resonance imaging.

The essence of this type of correction is that drugs (Norkolut, Orgametril, Nemestran, and so on) help to reduce the size of the genital organ. Myoma, accordingly, becomes smaller. The disadvantage of such treatment is its duration. The above funds are often prescribed for a period of six months or more. In this case, regular monitoring of the condition of the nodes should be carried out. The drugs are most often prescribed from the fifth to the fifteenth day of the menstrual cycle. In the event of menopause, an individual regimen is selected. With a prolonged lack of effect, estrogen therapy can be connected.

Use of antigonadotropins

Treatment of uterine fibroids without surgery (drug treatment) may include a course of taking drugs such as Gestrion, Danazol, Zoladex, Buserelin, etc. The disadvantage of such a correction is its relatively expensive cost. In this case, therapy is prescribed for a period of six months.

The essence of this method is that under the influence of the above drugs, a woman often has an artificial menopause. The endometrium stops growing and bleeding stops. In most cases, myomatous nodes are reduced by about half. A woman can note that all the symptoms of the pathology have disappeared. However, after stopping therapy and restoring menstrual function, uterine myoma can increase its growth and soon acquire a much larger size than before treatment. Often this therapy is used before surgery. In this case, it can be very effective.

Oral contraceptives

If uterine fibroids are treated without surgery, the following drugs can be prescribed: "Janine", "Diane-35", "Novinet", etc. All these medications are hormonal oral contraceptives. This method of correction is not suitable for those women who want to conceive a child. Many doctors do not recognize the effectiveness of these drugs in the treatment of uterine fibroids. However, there is a group of specialists who believe that with the help of such a correction, tumor growth can be stopped.

The essence of such treatment is that there is a change in hormonal levels and inhibition of the ovaries. As a result, the muscle and mucous layers of the uterus are transformed. The woman notes that her periods have become less profuse, and the disturbing symptoms have practically disappeared.

Effects on blood vessels

How without surgery can be carried out using special equipment. This method is called "arterial emobilization". This method appeared in the eighties of the twentieth century. However, during this period it was used to stop bleeding. Later, experts noticed that therapy can also affect myomatous nodes.

The essence of the procedure is as follows. The catheter is inserted into the patient. Under the control of devices (ultrasound machine or tomograph), the hose is moved upward, reaching the uterine vessels. After this, a special solution or other blocker is introduced. The vessel is blocked, and the blood flow that feeds the myomatous node stops. The patient can leave the walls of the hospital almost immediately after the manipulation. The procedure helps to dry out the tumor areas. As a result, they are not removed, but simply shrink to microscopic sizes and become nodules.

Fuzz ablation (focused ultrasound)

Talking about how to treat uterine fibroids without surgery, it is necessary to talk about one more method. It is worth noting that it has a lot of contraindications. So, manipulation is not performed in patients of childbearing age. There is also a high risk of a short-term effect after the procedure. In some cases, myomatous nodes not only return to their size, but become much larger than they were before treatment.

The essence of the procedure is that the area of ​​the tumor is exposed to ultrasonic waves. At the same time, careful monitoring of the course of the operation is carried out. Most often, magnetic resonance imaging or computed tomography is used for this.

Use to heal herbs

When symptoms are mild and not contraindicated, it may be very effective to take herbal decoctions. Many women talk about the effectiveness of this method. It turns out to be most useful for those patients in whom the size of the tumor does not exceed a few millimeters.

Take the following dried plants in equal proportions: chamomile, hawthorn, motherwort, St. John's wort, immortelle, calendula. Pour the mixture into a thermos and add five hundred milliliters of boiling water. Then close the lid of the device and leave it in this state for twelve hours. After that, strain the broth and take half a glass before meals up to three times a day. The course of such a correction can last up to one month.

Application of rhizomes

How to treat uterine fibroids without surgery? Reviews of women suggest that the most common burdock is a wonderful remedy in the fight against ailment. To prepare a healing remedy, you need to take the root of the plant, grind it and dry it. After that, pour one teaspoon of the composition into a thermos and pour three glasses of boiling water there. Let the solution stand for eight hours. After that, take the prepared substance, two hundred milliliters, four times a day. The course of treatment is one month. After that, you need to take a short break, and then repeat the procedure.

Burdock fights well with uterine bleeding of various origins. It normalizes the cycle and helps to reduce myomatous nodes. Remember that you will get the effect of the treatment only if you regularly use the composition.

Flowers against uterine fibroids

Many women say that the aloe flower helped them cope with the problem. You need to prepare a healing composition as follows. Take a teaspoon of honey and heat it up. It is advisable to use a liquid substance. Then add the aloe juice. If you do not have this plant at home, then you can purchase the composition at the nearest pharmacy network. Mix the solution thoroughly and apply it to a regular swab.

You need to insert it into the vagina for one to two hours. It is desirable to repeat the manipulation up to five times a day. Prepare a new mixture before each use.

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