Intramural Leiomyoma of Uterus – Symptoms, Diagnosis, and Treatment Options

 Intramural leiomyoma of the uterus, also known as an intramural fibroid, is among the most common types of uterine fibroids that women experience. These noncancerous tumors develop within the muscular wall of the uterus and can vary in size from very small nodules to larger growths that change the shape of the uterus. While some women may not experience any symptoms, others may deal with significant discomfort that affects their daily life and reproductive health.

Causes and Risk Factors


 The exact cause of intramural leiomyoma of the uterus is not completely understood, but hormones such as estrogen and progesterone play a major role in fibroid growth. Women of reproductive age are at higher risk since hormone levels are more active during these years. Other risk factors include family history of fibroids, obesity, and early onset of menstruation.

Symptoms of Intramural Fibroids


 Symptoms depend on the size and number of fibroids. Some women may remain asymptomatic, while others may notice:

  • Heavy or prolonged menstrual bleeding

  • Pelvic pain or pressure

  • Frequent urination due to pressure on the bladder

  • Constipation or bloating

  • Lower back pain

  • Fertility challenges or complications during pregnancy

Diagnosis


Intramural leiomyoma of the uterus is diagnosed through pelvic exams and imaging tests such as ultrasound or MRI. These methods help doctors determine the location, size, and number of fibroids, which are essential details for creating an effective treatment plan.

Treatment Options


 The treatment for intramural fibroids depends on the severity of symptoms, the size of the fibroids, and fertility goals. Some of the most common treatments include:

  • Uterine Fibroid Embolization (UFE): A minimally invasive procedure that blocks blood flow to the fibroids, causing them to shrink. UFE is highly effective and allows faster recovery compared to surgery, while also preserving the uterus.

  • Medications: Hormonal therapies may help control symptoms like heavy bleeding, though they do not eliminate fibroids.

  • Myomectomy: A surgical procedure that removes fibroids while preserving the uterus, making it suitable for women who wish to maintain fertility.

  • Hysterectomy: A surgical procedure to remove the uterus, recommended in severe cases where other treatments are not effective.

Conclusion


 Intramural leiomyoma of the uterus is a common condition that can have a significant impact on women’s health. With treatment options ranging from non-surgical procedures like UFE to surgical interventions, women can find solutions that match their lifestyle and fertility goals. Consulting a fibroid specialist ensures the right treatment plan for long-term relief and improved quality of life.

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