Currently, the number of pathologies of female reproductive organs has increased significantly, which leads to such serious consequences as the usual miscarriage during pregnancy and even infertility.
Today, among all other diseases in women, uterine fibroids are most often found. Diagnosis of this disease along with the collection of anamnesis is presented by various laboratory and instrumental methods.
Early diagnosis of female diseases allows the successful treatment of modern pathologies. Differential diagnosis of uterine fibroids, especially complicated by bleeding, is carried out with conditions such as interrupted pregnancy, ovarian tumor, endometrial cancer, internal endometriosis. In addition, it is necessary to distinguish between uterine bleeding caused by its dysfunction, chorionepithelioma and cystic skidding.
The beginning abortion is manifested by the following features:
- uterus of soft consistency,
- the myometrium is intensely toned,
- there is a slight opening of the uterine neck,
- bleeding is not plentiful.
The differential diagnosis of uterine fibroids with dysfunctional bleeding is carried out reveals such features of the latter as a slight increase in the uterus. Its surface is not tuberous, as in myoma, but smooth, unchanged.
With a combination of uterine fibroids and pregnancy, there are signs indicating both conditions. In this case, during an ultrasound, a fetal egg is visualized, and in the study of blood serum and urine, chorionic gonadotropin is detected. Differential diagnosis of uterine fibroids in this case is not difficult.
Uterine fibroids are characterized by the cyclical nature of bleeding, the development of metrorrhagia during the anovulatory phase of the menstrual cycle is possible .
Various ovarian neoplasms (for example, folliculomas), which are estrogen-producing, often lead to hyperestrogenism and are characterized by non-cyclic bleeding. Such manifestations are most pronounced with dysfunctional uterine bleeding. Estrogen-producing tumors lead to a slight increase in the uterus, but its surface is even. An additional examination leads to the discovery in the ovary region of a movable formation of a dense texture of an oval or spherical shape. Differential diagnosis of uterine fibroids is carried out on the basis of the clinical features of the disease and the results of instrumental studies.
To clarify the diagnosis, it is often necessary to use additional methods. So, laparoscopy of uterine fibroids is highly informative, which allows you 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.
So, with hysterosalpingography of internal endometriosis , contour shadows can be detected, which indicates the penetration of contrast medium 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 size of the uterus and heavy bleeding. The diagnosis is confirmed by diagnostic curettage.
With a combination of myomatous changes in the uterus with other diseases, manifestations characteristic of both pathologies are observed.
Thus, the differential diagnosis of uterine fibroids is carried out with a large number of diseases and pathological conditions of the female reproductive system. Diagnosis, like treatment, plays an important role in restoring reproductive health.