Differential diagnosis of uterine fibroids

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

Today, among all other diseases in womenmost often occurs uterine fibroids. Diagnosis of this disease along with the collection of anamnesis is represented by various laboratory and instrumental methods.

Early diagnosis of female diseases allowsto conduct 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 onset of abortion is manifested by the following features:

- uterus of soft consistency,

- The myometrium is intensively toned,

- there is a slight opening of the uterine neck,

- bleeding uninvolved.

Conducted differential diagnosis of fibroidsThe uterus 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 aresigns indicating both states. In this case, the ultrasound examines 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) that 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 fibroids in this case is carried out on the basis of clinical features of the disease and the results of instrumental studies.

To clarify the diagnosis is often necessaryapplication of additional methods. So, highly informative is the 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, in the hysterosalpingography of the internalendometriosis it is possible to reveal lawful shadows that speaks about penetration of a contrast substance in a mouth of endometrial glands from a cavity of a uterus. Distinctive features of cancers of 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 fibroidsThe uterus is performed with a large number of diseases and pathological conditions of the female's reproductive system. Diagnosis, like treatment, plays an important role on the path to reproductive health.