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Miomas uterinos - Symptom

Nombres alternativos

Fibroides; Fibromioma; Leiomioma; Mioma

Síntomas:

Los síntomas más comunes de los miomas uterinos son:

  • Sangrado entre períodos.
  • Sangrado menstrual abundante (menorragia), a veces con el paso de coágulos de sangre.
  • Períodos menstruales que pueden durar más de lo normal.
  • Necesidad de orinar con mayor frecuencia.
  • Calambres pélvicos o dolor con los períodos.
  • Sensación de llenura o presión en la parte baja del abdomen.
  • Dolor durante la relación sexual.

Nota: a menudo no hay ningún síntoma. El médico puede encontrarlos durante una exploración física u otro examen. Los miomas a menudo se encogen y no provocan síntomas en mujeres que han pasado por la menopausia.

Pruebas y exámenes:

El médico llevará a cabo un examen pélvico, el cual puede mostrar que usted tiene un cambio en la forma del útero (matriz).

Puede ser difícil diagnosticar los miomas, especialmente si usted es muy obesa.

Se puede realizar una ecografía para confirmar el diagnóstico de miomas. Algunas veces, se utiliza una resonancia magnética de la pelvis.

Es posible que sea necesario realizar una biopsia endometrial (biopsia del revestimiento del útero) o una laparoscopia para descartar cáncer.

  • Reviewed last on: 7/25/2011
  • David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine.

Referencias

Katz VL. Benign gynecologic lesions: Vulva, vagina, cervix, uterus, oviduct, ovary. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 18.

Rodriguez MI, Warden M, Darney PD. Intrauterine progestins, progesterone antagonists, and receptor modulators: a review of gynecologic applications. Am J Obstet Gynecol. 2010 May;202(5):420-8. Epub 2009 Dec 23. Review.

Moss J, Cooper K, Khaund A, et al. Randomised comparison of uterine artery embolisation (UAE) with surgical treatment in patients with symptomatic uterine fibroids (REST trial): 5-year results. BJOG. 2011 Jul;118(8):936-944.

Peddada SD, Laughlin SK, Miner K, et al. Growth of uterine leiomyomata among premenopausal black and white women. Proc Natl Acad Sci USA. 2008 Dec 16;105(50):19887-92. Epub 2008 Dec 1.

Van Voorhis B. A 41-year-old woman with menorrhagia, anemia, and fibroids: review of treatment of uterine fibroids. JAMA. 2009;301:82-93.

American College of Obstetricians and Gynecologists. ACOG practice bulletin. Alternatives to hysterectomy in the management of leiomyomas. Obstet Gynecol. 2008;112:387-400.

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