{"id":1721,"date":"2021-06-22T14:26:45","date_gmt":"2021-06-22T11:26:45","guid":{"rendered":"https:\/\/ikalogiannidis.gr\/?page_id=1721"},"modified":"2021-07-13T14:10:33","modified_gmt":"2021-07-13T11:10:33","slug":"uterine-myomas","status":"publish","type":"page","link":"https:\/\/ikalogiannidis.gr\/en\/uterine-myomas\/","title":{"rendered":"Uterine Myomas"},"content":{"rendered":"\t\t
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\n\t\t\t\t\t\t\t\t\tEpidemiology<\/strong>

\nThe uterine leiomyomas or myomas are the more frequent benign tumors of the female genital system (Figure 1 & 2).<\/strong> Almost 40% of the female population is diagnosed with uterine myomas, while 2\/3 of those are presented during the reproductive age. It is also interesting that 20% of the hysterectomies worldwide are performed because of uterine leiomyomas.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Figure 1<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Figure 2<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tSymptoms<\/strong>\n

\nAlmost the half of the women with uterine leiomyomas is presented with pelvic pain, and tenderness. However, some of them are diagnosed with anemia because of pathologic hemorrhage from the genital tract. The rest of the cases are asymptomatic and the diagnosis becomes after transvaginal or transabdominal ultrasound (TVUS & TAUS) of the pelvis and of the genital tract. In some cases the diagnosis of myomas introduces during the exploration of sub-fertility couple. Symptoms and signs of the woman are depended mainly from the size, the number and the position and the myomas. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Figure 3<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Figure 4<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tTreatment<\/strong>\n

Total hysterectomy with\/without adnexectomy (fallopian tubes and ovaries) is a radical approach for patients with gross uterine myomas, heavy bleeding and for women who not desire fertility preservation (Figure 3).<\/strong> The enucleation is the most common conservative surgical therapeutic approach of leiomyomas. The enucleation is fertility sparing operation and it is the therapeutic option for younger aged patients (Figure 4).<\/strong> The former treatments (hysterectomy or enucleation) can be done via laparotomy or laparoscopy (Figure 5).<\/strong>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Figure 5<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Figure 6<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tConservative medical approach is also offered of patients with uterine myomas. Medication which is used for the treatment of myomas is mainly the GnRH-analog and the aromatase inhibitors. Both of them down-regulate the production of the estrogen, which is the critical hormone of the myomas\u2019 development. However, the use of the medical treatment for uterine myomas is temporary, especially for patient in reproductive age. The medication is used to postpone the surgical treatment because of patient\u2019s medical pathology or severe anemia (heavy uterine bleeding because of myomas), which must be improved before the surgical approach.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u03a3\u03c5\u03bc\u03c0\u03ad\u03c1\u03b1\u03c3\u03bc\u03b1 <\/strong><\/p>

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Share:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\n \"Kalogiannidis\n \n \n \n <\/div>\n
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IOANNIS \u0391. KALOGIANNIDIS MD, PhD<\/h2> <\/div>\n
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\n\nAssociate Professor<\/strong>
\nObstetrics Gynecology –
Gynecologic Oncology\n\n<\/div>\n<\/div><\/div>
\n \n Resume<\/span>\n <\/a>\n <\/div>\n <\/div>\n <\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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SEE ALSO<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\n \"gynecologist-testpap\"\n <\/div>\n \n
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\n\n Test PAP\n \n <\/h3>\n
\n PAP smear or test PAP is the collection of cell population from the cervix and the endocervical canal to identify cervical pathology, actually premalignant and malignant diseases. <\/div>\n <\/div>\n\n
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\n \n Read More <\/a>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\n \"papilloma-virus-hpv\"\n <\/div>\n \n
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\n\n HPV-DNA testing\n \n <\/h3>\n
\n Human Papilloma Virus (HPV) is related to cervical cancer in 99% of cases. Most often high risk subtypes concerning the malignant diseases of the female genital tract are the types 16 and 18. <\/div>\n <\/div>\n\n
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\n \n Read More <\/a>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\n Colposcopy\n \n <\/h3>\n
\n Colposcopy is the method for the further diagnostic approach of patients with cervical pathology, which was diagnosed using PAP smear or HPV-DNA testing. <\/div>\n <\/div>\n\n
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\n \n Read More <\/a>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Epidemiology The uterine leiomyomas or myomas are the more frequent benign tumors of the female genital system (Figure 1 & 2). Almost 40% of the female population is diagnosed with uterine myomas, while 2\/3 of those are presented during the reproductive age. It is also interesting that 20% of the hysterectomies worldwide are performed because […]<\/p>\n","protected":false},"author":1,"featured_media":2503,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1721","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nUterine Myomas - \u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ikalogiannidis.gr\/en\/uterine-myomas\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Uterine Myomas - \u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7\" \/>\n<meta property=\"og:description\" content=\"Epidemiology The uterine leiomyomas or myomas are the more frequent benign tumors of the female genital system (Figure 1 & 2). Almost 40% of the female population is diagnosed with uterine myomas, while 2\/3 of those are presented during the reproductive age. 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\u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ikalogiannidis.gr\/en\/uterine-myomas\/","og_locale":"en_US","og_type":"article","og_title":"Uterine Myomas - \u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7","og_description":"Epidemiology The uterine leiomyomas or myomas are the more frequent benign tumors of the female genital system (Figure 1 & 2). Almost 40% of the female population is diagnosed with uterine myomas, while 2\/3 of those are presented during the reproductive age. 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