Uterine fibroids - after radical surgery. The consequences of radical surgical treatment of uterine fibroids
Attention lately to the organ preservation treatment of uterine fibroids due to:
The desire of many women to realize their reproductive function after the age of 30 years. Removal of the uterus accompanied by development of significant systemic disorders in women.
There is evidence of negative effects of the radical intervention of the state of the neuro-endocrine and autonomic systems. After a hysterectomy in women of reproductive age in the early postoperative period there is a decrease of functional activity of the ovaries, increasing their volume and reduced echogenicity at ultrasound examination, the formation of hypo estrogenic state due to the fall in estradiol levels.
Six months after surgery to remove uterine anatomical and functional state of the ovaries gradually returning to normal. This is confirmed by the restoration of blood flow intraorganic, improve echographic indices, the advent of high-grade follicles. As explained by the development of collaterals and the resumption of adequate blood supply to the ovaries. The level of estradiol in the blood is close to normal. Patients begin to dominate the ovulatory menstrual cycles with complete luteal phase.
Organ-saving treatment for reproductive function
After the hysterectomy, the long-term, ovarian function begins to deteriorate progressively, which becomes most pronounced after 5 years after surgery. Later, especially after ovariectomy, develops growing gipoestrogeniya. Clinically, the young women of menopausal symptoms are manifest, which is particularly pronounced after a total hysterectomy. The third part of these patients at the time concerned, among other things, and urinary disorders (urinary incontinence, pollakiuria, and others), often combined with the formation of cystocele, and prolapse of the vaginal walls.
Removal of the uterus adversely affects sexual function of women, this often manifests vaginal dryness, decreased libido, pain during intercourse, the disappearance of an orgasm. Data are expressed frustration after total hysterectomy than after supravaginal hysterectomy, because of the negative psychological reaction of patients to the removal of the uterus with the cervix.
You can change the vaginal microbiota as Gardnerella, non-specific vaginitis.
Probably between the decrease in estradiol levels and the emergence of cardiovascular symptoms, there is some correlation, having a place in the development of metabolic disorders.
After a hysterectomy, says obesity
Women who at a young age moved hysterectomy, often marked obesity, hypertension, atherosclerotic changes. Removal of the uterus leads to increased coagulation properties and reduce the capacity of the blood anticoagulation.
Health and quality of life for women after hysterectomy are directly dependent on the age at which the operation was carried out. Treatment of young patients with uterine cancer, whenever possible, should be carried out by methods of organ.