How Does Necrosis of the Uterine Fibroid Develops
Uterine fibroids is one of the most widely spread gynecological pathologies. They are dangerous because of the malignization risk but that is not the only complication that may happen.
<p>The fibroids can also get necrotized. Why does this happen and what <a href="https://www.vivaeve.com/">fibroids treatment</a> option is better?</p> <p>This complication is connected with a fibroid nutrition disorder and a tumor <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797856/">vascular dysfunction</a> that bring even more harm to a female's body than the fibroid itself. Sometimes the reason is fibroid torsion; in this case, the process develops much faster. Swelling, aseptic inflammation, tissue degeneration and spontaneous bleedings require immediate treatment.</p> <p><strong>Main Reasons of Necrosis Development</strong></p> <ul> <li>Fibroid torsion.</li> <li>Thrombosis (in tumors of the<a href="https://www.healthline.com/health/intramural-fibroid"> intramural </a>type).</li> <li>Ischemia or blood stagnation.</li> <li>Pregnancy or labor, causing pressure and traumatization of the tumor.</li> <li>Hard physical work in the postpartum period.</li> <li>Medication that causes constrictions of the uterine muscles.</li> </ul> <p>The risk of necrosis increases with the size of the tumor. The bigger it grows, the more it squeezes the vessels.</p> <p><strong>Types of Fibroid Necrosis</strong><br />The process of necrosis may go several ways. They are classified according to the morphologic symptoms of the necrotizing tumor.</p> <ol> <li>Red: Often occurs during pregnancy or in the postpartum period. The tumor gets a brownish red color and a soft structure. Varicose issues and thrombosis, typical for these periods in a woman’s life, contribute to this type of necrosis development.</li> <li>Dry: Certain parts of the tumor get pruned. The necrotized part of the tumor often develops cavernous formations with the dead tissue inside.</li> <li>Wet: The tissues that were hardened before get soft; the cysts appears on the surface. The risk of infection and sepsis development is especially high in this case.</li> </ol> <p><strong>Symptoms of Fibroid Necrosis</strong><br />Their intensity is based on the severity of the necrosis development.</p> <ul> <li>In case of fibroid torsion, you can feel nausea, fever, abdominal pain, chill and dryness in mouth.</li> <li>Vascular dysfunction causes pain, tachycardia, and bladder dysfunction.</li> </ul> <p>The necrotic fibroid is necessary to treat because if neglected it can develop into peritonitis.</p> <p><strong>Treatment of Necrotic Fibroid</strong><br />The treatment will depend on the individual issues of the patient. Intensive symptoms require hospitalization and immediate surgery. If a woman is of a childbearing age, myomectomy is a more preferable option, if in menopause – the procedure can be more radical, up to a full amputation of the uterus.</p> <p>If ischemia has developed, a special infusion therapy is required. It helps to stabilize water and electrolyte balance, reducing the intoxication to get a patient prepared for the surgical intervention. </p> <p> </p>