Differential diagnosis of uterine fibroids

Currently, the number of pathologies of female reproductive organs has increased significantly, which leads to such grave consequences as a habitual miscarriage in pregnancy and even infertility.

Today, among all other diseases, women often have uterine myoma. Diagnosis of this disease along with the collection of anamnesis is represented by various laboratory and instrumental methods.

Early diagnosis of female diseases allows for successful treatment of modern pathologies. Differential diagnosis of uterine fibroids, especially complicated by bleeding, is carried out with such conditions as interrupted pregnancy, ovarian tumor, endometrial cancer, internal endometriosis. In addition, it is necessary to distinguish bleeding of the uterus, caused by its dysfunction, chorionepithelioma and bladder skidding.

The beginning of abortion is manifested by the following features:

- uterus of soft consistency,

- myometrium is intensively toned,

- there is an insignificant opening of the uterine neck,

- bleeding uninvolved.

Conducted differential diagnosis of uterine fibroids with dysfunctional bleeding reveals such features of the latter as a slight increase in the uterus. Its surface is not tuberous, as in myoma, but even, unchanged.

When combined with uterine fibroids and pregnancy, there are signs indicating both conditions. In this case, the ultrasound examination visualizes the fetal egg, and in the study of blood serum and urine, chorionic gonadotropin is detected. Differential diagnosis of uterine fibroids in this case is not complicated.

Myoma of the uterus is characterized by a cyclic nature of bleeding, possibly the development of metrorrhagia during the anovulatory phase of the menstrual cycle.

Various neoplasms of the ovaries (for example, follicles), which are estrogen-producing, often lead to hyperestrogenism and are characterized by bleeding of a non-cyclic nature. The most pronounced such manifestations in dysfunctional uterine bleeding. Estrogen-producing tumors lead to a slight increase in the uterus, but its surface is even. Additional examination leads to the detection in the ovary region of a mobile formation of a dense consistency of an oval or spherical shape. Differential diagnosis of uterine myomas is carried out on the basis of clinical features of the disease and the results of instrumental studies.

To clarify the diagnosis, it is often necessary to use additional methods. So, highly informative is laparoscopy of uterine fibroids, which allows to confirm the diagnosis. Radiography, sonography and other studies also provide reliable information and allow the doctor to determine the diagnosis and course of treatment.

Thus, with hysterosalpingography of internal endometriosis, it is possible to reveal the lawful shadows, which indicates the penetration of contrast material into the mouth of the endometrial glands from the uterine cavity. Distinctive features of cancers of the reproductive organs are a slight increase in the uterus in size and abundant bleeding. Confirmation of the diagnosis is the data of diagnostic curettage.

When combined myomatous changes in the uterus with other diseases, there are manifestations characteristic of both pathologies.

Thus, differential diagnosis of uterine fibroids is carried out with a large number of diseases and pathological conditions of the female sexual system. Diagnosis, like treatment, plays an important role on the path to reproductive health.