Myoma Treatment
What is Myoma Treatment? Symptoms, Types and Surgery
myomaIt is the name given to generally benign tumors that develop from the muscle layer of the uterus. in medicineuterine fibroid,leiomyomaor myomaAlso called. Myomas can be seen in different parts of the uterus, in different sizes and in multiple numbers.
"Not every myoma requires surgery. The treatment decision should be individualized according to the size of the myoma, its location, whether it causes any complaints, and the patient's pregnancy plan."
Article Summary
The issue of Myoma Treatment should be addressed by evaluating the person's complaints, examination findings and needs together. In this article, the basic points about Myoma Treatment, the diagnosis-treatment process and things to consider are summarized.
What Will You Find in This Article?
- What is Myoma Treatment? Symptoms, Types and Surgery:This section explains basic information on the subject, the evaluation process and points to consider.
- What is Uterine Myoma?:This section explains basic information on the subject, the evaluation process and points to consider.
- What are the Symptoms of Uterine Myoma?:This section explains basic information on the subject, the evaluation process and points to consider.
- What Causes Myoma?:This section explains basic information on the subject, the evaluation process and points to consider.
What is Uterine Myoma?
Uterine myomas are benign mass formations arising from the muscle and connective tissue in the uterine wall. There may be a single myoma or there may be many myomas in the uterus. Their size may be millimetric or large enough to significantly enlarge the uterus.
When planning gynecological surgery, complaints, examination findings, imaging results and the patient's pregnancy expectation should be evaluated together [1][3].
What are the Symptoms of Uterine Myoma?
Symptoms of uterine fibroids may include:
Minimally invasive approaches may not be suitable for every patient; The decision to operate should be made according to the type of disease, its extent, and the goals of surgery [1][2].
- Heavy menstrual bleeding,
- Prolongation of menstrual period,
- Breakthrough bleeding or irregular bleeding,
- Anemia and fatigue,
- Groin or lower back pain,
- Swelling or feeling of pressure in the abdomen,
- Frequent urination or pressure on the bladder,
- Constipation or feeling of pressure in the intestines,
- Pain during sexual intercourse,
- Difficulty conceiving,
- Recurrent miscarriages.
What Causes Myoma?
Factors that may play a role in the development of myoma include:
Preoperative preparation should take into account the risk of bleeding, risk of infection, medications used, and anesthesia evaluation [2][3].
- Family history of myoma,
- Reproductive age and hormonal effects,
- Estrogen and progesterone sensitivity,
- Its incidence increases with age,
- Hormonal changes during pregnancy,
- Some fibroids shrink as hormone levels drop after menopause.
What are the Types of Myomas According to Their Location?
Symptoms of fibroids often vary depending on location. While myomas close to the uterus cause more bleeding and fertility problems, myomas growing outside the uterus can put pressure on surrounding organs.
Postoperative follow-up; It should be planned in terms of pain, fever, bleeding, wound healing and the process of returning to daily life [1].
- Submucosal Myoma:These are myomas that grow into the inner cavity of the uterus. It may be associated with heavy menstrual bleeding, breakthrough bleeding, anemia, difficulty in pregnancy or risk of miscarriage.
- Intramural Myoma:It develops within the muscular layer of the uterus. It is one of the most common types of myoma. When large, it can cause bleeding, pain, pressure, or fertility problems.
- Subserous Myoma:It grows towards the outer surface of the uterus. Generally, it may cause pressure on the bladder or intestines, abdominal swelling, and a feeling of pelvic pressure rather than bleeding.
- Stem Myoma:It may be connected to the uterus with a thin stalk. If the handle rotates, it may cause sudden pain.
- Cervical Myoma:They are rarer myomas that develop in the cervical area.
How to Treat Myoma?
myoma treatmentIt is determined according to the size, number, location of the myoma, the patient's age, complaints, whether there is anemia, and the pregnancy plan.
The main options for myoma treatment are:
- Follow-up:Regular ultrasound monitoring may be sufficient for small myomas that do not cause symptoms.
- Drug Treatment:Medicines can be used to reduce complaints such as pain, heavy bleeding or anemia.
- Hormonal Treatments:Some hormonal treatments may be preferred to reduce menstrual bleeding or provide temporary shrinkage.
- Hysteroscopic Myomectomy:It is the vaginal removal of submucous myomas extending into the inner cavity of the uterus.
- Laparoscopic Myomectomy:It is the removal of myomas through small incisions in the abdomen in suitable patients.
- Open Myomectomy:For large, multiple or difficult to locate myomas, open abdominal surgery can be performed.
- Hysterectomy:It is the removal of the uterus in suitable patients who do not plan to have children. It ensures that fibroids never recur.
- Interventional Methods:Methods such as uterine artery embolization or focused ultrasound can be evaluated in selected patients.
When is Myoma Surgery Required?
Most fibroids can be followed; However, in some cases, surgical treatment may be required. The decision for surgery is not made solely based on the centimeter size of the myoma. It is evaluated together whether the myoma disrupts the internal cavity of the uterus, whether it bleeds, whether it causes pressure symptoms and whether it affects fertility.
Myoma surgery may be considered in the following situations:
- Heavy menstrual bleeding and anemia,
- Continuation of complaints despite drug treatment,
- Presence of submucous myoma disrupting the internal cavity of the uterus,
- Suspicion of fibroids associated with difficulty conceiving or recurrent miscarriages
- Significant pressure on the bladder or intestines,
- Rapid growth of myoma or doubt in diagnosis,
- Pain and pressure complaints that disrupt daily life,
- The necessity of correcting the uterine anatomy before planning pregnancy.
"The main goal of myoma surgery is to reduce the patient's complaints while preserving the uterus and fertility potential, if possible. Therefore, the decision for myomectomy should be made individually."
What is Myomectomy?
myomectomyIt is the process of removing only the myomas while preserving the uterus. It can be preferred especially in patients who want to have children or who want to protect their uterus. Myomectomy can be performed by open, laparoscopic or hysteroscopic methods.
What Should Be Considered After Myoma Treatment?
Things to consider after myoma treatment vary depending on the method applied. In patients receiving drug therapy, the amount of bleeding, anemia status and myoma size are monitored with regular check-ups. The recovery process after surgical treatment varies depending on whether the surgery is open, laparoscopic or hysteroscopic.
- Check-up appointments recommended by the physician should not be interrupted.
- Postoperative wound cleaning and medication use should be done according to recommendations.
- The time period given by the doctor for heavy lifting, intense exercise and sexual intercourse should be followed.
- If fever, foul-smelling discharge, severe abdominal pain or heavy bleeding occurs, a physician should be consulted.
- The waiting period recommended by the physician should be taken into consideration when planning pregnancy after myomectomy.
- In some patients with an incision in the uterine wall, future delivery may be planned as cesarean section.
Does Myoma Recur?
After myomectomy, existing myomas are removed; However, since the uterus is protected, new myomas may develop in the following years. Therefore, regular gynecological follow-up is important after myoma treatment. Hysterectomy, that is, removal of the uterus, is the method that definitely prevents the recurrence of fibroids; however, it is not suitable for patients with fertility plans.
Myoma and Pregnancy
Myomas do not always prevent pregnancy. However, especially submucous myomas that disrupt the internal cavity of the uterus, large intramural myomas or myomas that change the shape of the uterus may affect the formation of pregnancy or the continuation of pregnancy.
During pregnancy, myomas can grow due to hormonal effects, cause pain or, rarely, make the pregnancy process difficult. In some patients, the possibility of miscarriage, premature birth, placenta problems, poor posture of the baby or cesarean section may increase. However, these risks vary depending on the location, number and size of the myoma. In patients planning pregnancy, whether myoma affects fertility should be evaluated individually.
What is the Difference Between Myoma and Cyst?
Myoma and cyst are two separate conditions that are common in the female reproductive system but originate from different tissues. Myomas develop from the muscle layer of the uterus. Cysts are fluid-containing sacs that mostly form in the ovaries.
Symptoms can sometimes be similar: groin pain, menstrual irregularity, feeling of pressure or bloating may occur. However, the diagnosis and treatment approach is different. Therefore, gynecological examination and ultrasound evaluation are required for correct diagnosis.
How to Diagnose Myoma?
The diagnosis of myoma is usually made by gynecological examination and pelvic ultrasound. Ultrasound is used to evaluate the location, number, size and relationship of myomas to the internal cavity of the uterus. When necessary, MRI imaging, hysteroscopy or laboratory tests may be requested.
In patients with heavy menstrual bleeding, blood tests can be performed both to evaluate myoma and to check for anemia. Hysteroscopy can be used for both diagnosis and treatment in myomas affecting the inner cavity of the uterus.
Frequently Asked Questions
No. Myomas that are asymptomatic, small and not risky can be monitored regularly. The decision for surgery is made based on the complaints, the location and size of the myoma, and the pregnancy plan.
Yes. Submucous myomas, especially those close to the inner cavity of the uterus, can cause heavy, prolonged or irregular bleeding. This may lead to anemia.
Not every myoma prevents pregnancy. However, submucous myomas or large intramural myomas that disrupt the internal cavity of the uterus may affect pregnancy formation and continuation of pregnancy.
Medications can reduce myoma-related symptoms such as bleeding and pain, or provide temporary shrinkage in some myomas. However, most medications do not completely destroy the myoma. In cases of persistent and significant complaints, surgical options may be considered.
Yes, it can recur. Myomectomy removes existing fibroids, but since the uterus is preserved, new myomas may develop in the following years. Therefore, regular follow-up is important.
Myoma Treatment Prices 2026
Myoma treatment prices; The number, size and location of myomas may vary depending on whether the treatment method is medication, hysteroscopy, laparoscopy, open surgery or hysterectomy, hospital conditions, type of anesthesia and pathology examination.
The most accurate information about current myoma treatment prices in 2026 can be given after examination and ultrasound evaluation. Because each patient's myoma type, complaint, fertility plan and treatment needs are different.
Conclusion
Myomas are mostly benign formations that develop from the muscle layer of the uterus. Not every myoma requires treatment; However, treatment can be planned in cases associated with heavy bleeding, anemia, pain, feeling of pressure, difficulty in becoming pregnant or miscarriages. The choice of treatment should be individualized according to the location, size, number of myomas and the patient's pregnancy plan.
You can request an appointment and information on nazlikorkmaz.com to get an evaluation about myoma, heavy menstrual bleeding, groin pain, myomectomy or pregnancy plan.