Myomas

Myomas are benign tumors of the uterus and the most common benign tumors of the female genital tract. They are often associated with infertility.

Myomas…

  • are often associated with sarcomas (malignant). Both have nothing to do with each other. However, despite modern diagnostic methods, sarcomas cannot usually be distinguished from myomas.
  • are hormone-dependent.
  • affect up to 70% of women of childbearing age during their lifetime.
  • are mostly frequently diagnosed in women between the age of 35 and 50.
  • in the European Union (EU) and North America alone, 24 million (EU) and 20 million (North America) women have been diagnosed with myomas.
  • are probably partly genetic, as they are more common in African American women than in Caucasian women.
  • are symptomatic in about 30 – 50 % of the affected women.
  • cause about 1/3 of the affected women to report sick regularly.
  • are economically relevant. They are the reason for around 175,000 inpatient hospital stays in Germany every year.
  • are the most common cause of gynecological operations, especially hysterectomies (removal of the uterus).
  • but can also be asymptomatic and should then be “left in peace”

Uterus myomatosus

What are fibroids?

The term "myoma" was first used by the German pathologist Rudolf Virchow. Uterine fibroids are benign tumours of the uterus. They consist of connective tissue, blood vessels and smooth muscle. Intramural or submucosal fibroids can be an obstacle to fertility.

What kind of complaints do myomas cause?

Often fibroids do not cause any symptoms and are often diagnosed as an incidental finding during an ultrasound examination or a CT scan.

Diagnosis of fibroids

Non-symptomatic fibroids are often discovered as an incidental finding, e.g. during a gynaecological check-up. If symptoms are present, the doctor can specifically look for possible fibroids.

Involuntary childlessness and myomas

Due to the demographic development in Germany, the topic of "uterus myomatosus" also affects many patients who wish to have children, as the desire to have children is increasingly becoming an issue of women over the age of 30.

Therapy of fibroids

It is always advisable to consider drug therapies before using invasive methods such as surgery (especially hysterectomy) or radiological procedures.

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