The myomas appear in 1 of every 5 women, being the most frequent pelvic tumor in the women.
The myomas usually appear in adult women of more than 30 years, as his growth depends on the estrogen, the myomas will keep on growing while the hormonal cycles exist.
In the physical examination to the palpación the gynecologist will be able to observe a bigger counterfoil of the normal thing and of irregular form, but if the woman is obese or for other reasons they can make a mistake with a pregnancy, or tumors of other areas (ovarian tumors, inflammation of the horns of Falopio).
It usually do an ultrasound scan transvaginal or a pelvic ultrasound scan to confirm the diagnosis of uterine myoma. If it is confirmed then a uterine endoscopia is realized with capture of biopsy.
In many cases only a periodic control is realized to see the evolution of the myoma as for size and symptoms.
Then it can change depending on many variables like the age, intensity of symptoms, pregnancy, if she wants to remain a pregnant woman, etc...
As the first option talks each other with contraceptive pills. Oral route collaborates to iron to compensate the losses for the abundant rules.
Symptomatic treatment of the menstrual pains with antinflamatorios.
In some cases injections of Triptorelina use acetate that inhibits the pituitary secretion of LH and FSH, what he leads to an esteroidogénesis reduction, causing a fall of the levels of estradiolsérico (woman), with what the estrogen diminishes and with it the size of the uterine myomas. A situation similar to the menopause is created.
This treatment can create side effects on having given a situation similar to the menopause (breathlessness, vaginal dryness and loss of the bony thickness).
When the hormonal treatment is suspended the myoma grows again then is used temporarily until the menopause comes or up to a planned surgery.
If surgery is realized it is possible to realize:
By means of a histeroscopiaintrauterino, for myomas intrauterinos superficial.
The embolización of uterine artery, cuts the blood supply and the tumor stops having irrigation diminishing, his effects are not known in a futúro I embarrass in every case.
The Miomectomía or partial eradication of the counterfoil, is used in women in reproduction age.
The entire Hysterectomy, it is the entire eradication of the counterfoil.
DENOMINATION 
