Myoma and endometriosis


Uterine fibroids and endometriosis (adenomyosis) belong to the group of hormone-dependent gynecological diseases. Both pathologies occur against the background of excessive estrogen synthesis and are quite often detected simultaneously. Both diseases are accompanied by uterine bleeding, pelvic pain, and menstrual disorders. Adenomyosis and uterine fibroids can cause infertility, as well as cause multiple miscarriages in early pregnancy.

The methods of treatment of fibroids and endometriosis are very similar, which is explained by the general etiology of the diseases. Tactics of treatment will depend on the form of the pathology, the severity of the patient's condition and the presence of concomitant gynecological problems. With timely access to a doctor and adequate therapy, a woman has every chance to preserve reproductive health and significantly improve the quality of life.

Myoma and endometriosis: what are the differences

Myoma and endometriosis are not the same thing at all. Yes, diseases have common causes, similar clinical symptoms, and even diagnostic methods are the same, but treatment approaches differ significantly. It is impossible to say unequivocally what is worse: myoma or endometriosis. Both pathologies can significantly disrupt the normal course of life, cause infertility and other equally serious complications.

Uterine myoma is a hormone-sensitive, benign tumor of the myometrium (muscle layer). Another name is leiomyoma or fibromyoma. Pathology is found in 80% of all women (according to autopsy - post-mortem autopsy).

There are the following types of endometrioid fibroids:

  • Submucous - germinating in the submucosal layer,
  • Interstitial - localized only in the muscle layer,
  • Subserous - reaching the outer shell,
  • Intraligamentary - located between the ligaments of the uterus.

Submucous fibroids are formed under the mucous membrane of the uterus. Interstitial - localized in the anterior or posterior wall, and subserous - on the outer side of the body of the uterus.

Endometriosis is a genetically determined disease in which endometrial sites are located outside the uterine lining. According to statistics, pathology is detected in 10% of women.

The following types of endometriosis are distinguished:

  • Genital - foci are localized only in the genitals,
  • Extragenital - endometriotic heterotopies are found outside the pelvis.

Genital endometriosis is divided into two forms:

  • External - foci in the appendages, in the vagina, on the cervix,
  • Internal (adenomyosis) - the proliferation of pathological lesions in the uterus.

Adenomyosis is also known as endometriosis of the uterine body and is very similar to myoma in the clinical picture.

Distinctive features of the diseases are presented in the table:

What is endometriosis?

Endometrium is a mucous layer on the inner surface of the uterus containing a large number of blood vessels. The composition of the endometrium is very complex, its epithelial component has ciliated and secretory, argyrophilic, fibroblast-like cells, macrophages, labrocytes, T-lymphocytes and single B-lymphocytes. In the endometrium, conditions are created for the onset of pregnancy, its vessels expand and then form part of the placenta, which provides nutrients to the fetus. Endometrium is a tissue sensitive to hormones, it changes depending on the menstrual cycle - it thickens, begins to be richly supplied with blood, the number of glands increases. If pregnancy does not occur, menstruation begins and the functional part of the endometrium is rejected.

Since the endometrium is sensitive to hormones, an imbalance of sex hormones leads to the development of the disease, to endometrial hyperplasia. The endometrial layer becomes thicker, due to the effects of excess estrogen and progesterone deficiency. As a result of hormonal disruption, reduced immunity, stress, an excessive growth of tissue cells, identical to the endometrium, is triggered. Identical endometrium tissue begins to grow beyond the limits of the normal layer of the mucous membrane of the uterus - endometriosis develops. The disease is characterized by copious and prolonged menstruation, before and after which there may be spotting, brownish discharge. The onset of menstruation is painful, often the disease is accompanied by anemia, which develops due to the large loss of blood during long periods. The patient constantly experiences fatigue, weakness, dizziness, pain in the pelvic area.

Endometriosis is the internal and external genital, extragenital. In case of genital lesions, foci spread to the female genitals - the uterus (adenomyosis), the cervix, the ovaries. Extragenital endometriosis extends beyond the uterus, affects the organs of the abdominal cavity, lungs, other tissues and organs, leads to regular bleeding in all organs affected by overgrown endometrium. The beginning of menstruation becomes a push. In endometriosis, the egg cell often does not mature in the ovary, the tissue around the lesion becomes inflamed, the fallopian tubes are disturbed, and the properties of the mucous layer of the uterus change.

The disease is most often found in women in the premenopausal period, but there are cases of diagnosis in girls in adolescence. The symptom of the disease became constant pain in the pelvic region. Endometriosis is a disease of women of childbearing age, which is formed under the influence of the hormonal system and other factors. In the period of menopause, the disease retreats, after the cessation of menstruation, only 2% of women are diagnosed with endometriosis. The causes of the disease are the following factors:

  • Hereditary predisposition
  • The transformation of various tissues into the similarity of the endometrium under the influence of unknown factors.
  • The reason for the development of extragenital endometriosis is the spread of endometrial cells through the lymphatic and blood vessels.
  • Endometrial cell contact during menstruation in the abdominal cavity.
  • The development of the disease begins with cells of the mucous membrane of the reproductive organ, ingrown into the walls of the uterus, ovaries, and fallopian tubes.
  • Lack of pregnancy, late pregnancy - risk factors.

Manifestations of the disease depend on the prevalence of the process, location, shape of the lesions. The foci of the disease may look like cystic formations, have the appearance of a node or infiltration. Cystic formation can be filled with a viscous brown liquid or bloody contents. The most frequent and pronounced symptom is pain.

Myoma in combination with endometriosis

Endometriosis is often diagnosed in combination with uterine myoma. Uterine fibroids are also hormonally sensitive. In the tissues of fibroids are very many hormonal receptors, according to their content, it is close to the endometrium. With hormonal imbalance and due to a combination of various factors, the development of uterine fibroids begins in combination with endometriosis. Uterine fibroids and internal endometriosis create conditions for the development of infertility in women. Myomatous nodes and overgrown endometrium significantly reduce the chance of attachment of the ovum in the uterus, threatening to terminate the pregnancy. The contractile ability of the uterus muscles affected by endometriosis and myomas is disturbed, the menstrual bleeding develops, the menstrual cycle is disturbed. If such signs appear, you should make an appointment and undergo a diagnosis.

What is uterine myoma

Internal uterine myoma (intermuscular) is a tumor-like formation that develops in the middle layer of the reproductive organ. Internal fibroids can be intramural (when located inside the uterus wall), submucous (grows toward the endometrium), subserous (grows toward the abdominal cavity).

Myoma and internal endometriosis

Internal (genital) endometriosis affects the uterus, fallopian tubes and appendages. Myoma in combination with internal endometriosis is rarely manifested by severe symptoms at the initial stage of development. The reason for not knowing about the disease, women come to the reception - this is infertility. During the examination, fibroids and endometriosis are diagnosed. Over time, signs of the disease appear:

  • Pain during intercourse.
  • Abundant and painful menstruation.
  • Discharge between menstruation.
  • Violation of the menstrual cycle.
  • Pain during stool.
  • Frequent urination during menstruation.
  • Anemia.
  • Dizziness, weakness.
  • Reduced sexual desire.
  • Headaches.
  • Infertility.

Endometriosis of the cervix and cervical fibroids

Endometriosis of the cervix is ​​characterized by secretions before and after menstruation. With this kind of disease, seldom there is a pain symptom, endometriosis of the cervix in most cases does not cause infertility. Pathology of the cervix is ​​diagnosed during cystoscopy, laparoscopy, rectoromanoscopy and colposcopy. The combination of endometriosis of the cervix and fibroids of the cervix complicates the course of the disease, can cause infertility.

Preparations for fibroids and endometriosis

Treatment of endometriosis is the appointment of hormonal and non-hormonal therapy, in the surgical removal of foci of the disease. Prevention plays a big role. Studies have shown that various factors affect the appearance of endometriosis:

  • Abortions.
  • Smoking.
  • Uncontrolled intake of contraceptive drugs.
  • Traumatic, difficult childbirth.
  • Infectious diseases of the genital organs.
  • Diseases of the endocrine system.
  • Chronic stress.

Drug treatment of the disease can be done by stopping the menstrual function. To do this, use drugs "GnRH agonists". The drug is administered intramuscularly, the course ranges from three to six months. During treatment, the menstrual function stops, the foci of the disease are degraded due to the termination of hormonal attacks. Temporary cessation of menstrual function favorably affects the state of myomas - they decrease. The negative side of this treatment is that when the menstrual function is resumed, the disease often recurs. Also, treatment of endometriosis is carried out using male hormone derivatives, hormonal contraceptives. Treatment of the disease is performed surgically - the surgeon removes the foci of endometriosis from the ovary, restores the patency of the fallopian tubes. Surgical treatment is recommended for women with severe endometriosis. After the operation, the patient is given additional drug therapy.

Uterine fibroids, multiple fibroids, which are most common, are treated with laparoscopy, hysteroscopic myomectomy, EMA, and hormonal therapy. EMA - uterine artery embolization, refers to organ-preserving techniques, a non-invasive method for the treatment of fibroids. Embolization of the uterine arteries takes place without general anesthesia, there is no blood loss, the procedure takes little time, shows high efficiency in the treatment of fibroids of different sizes. For effective treatment of fibroids, one should responsibly consider the choice of a clinic for the treatment of fibroids, the attending physician. EMA is performed by endovascular surgeons, the effectiveness of the procedure depends on the experience and skill of the doctor.


Nodular myoma is a benign non-cancer neoplasm in the organ, on its wall or neck. Differs in a place of localization, the sizes, histologic structure and other signs. More information about this disease and its features can be found in the article "Uterine fibroids".

Endometriosis is a disease of the internal submucous layer of the uterine cavity - endometrium. At the same time, the endometrium expands, and accumulations of its cells appear in the myometrium.

Recently, endometriosis and uterine fibroids are increasingly occurring together. This is especially true for young women of reproductive age - from 20 to 35 years. This is due to the fact that both these diseases have the same cause. Namely, hormonal imbalance. As a result of such a violation, an active proliferation of cells in the tissues of the uterus occurs.

The proliferation of endometrial cells leads to their introduction into the myometrium. The proliferation of other types of cells (connective, fibrous, muscle) leads to the formation of a characteristic node.

Endometriosis of the uterus and fibroids develop when estrogen levels rise. Often such violations are observed in the postpartum period, and sometimes after abortion.

Causes of joint flow

Uterine fibroids in combination with endometriosis develop for a variety of reasons. But indirectly hormones almost always affect these diseases. For example, for this reason they occur together after childbirth. There may also be the following reasons:

  • Hormonal disruptions due to miscarriage, prolonged stress, metabolic disorders, diabetes, obesity, physical inactivity,
  • Chronic ongoing or acute inflammatory processes in the reproductive system. Also, in case of myoma and endometriosis, non-cured finally infectious and inflammatory diseases in the latent stage are often found,
  • Artificial or natural termination of pregnancy
  • Frequent pregnancies (regardless of whether the childbirth or gestation has been interrupted)
  • Uterus surgery,
  • An important role is played by genetic predisposition to hormonal disruptions, endometriosis or myoma,
  • Poor ecology and improper, poor quality or unbalanced nutrition. Having bad habits and unhealthy lifestyle.

Diseases develop for quite a long time hidden. For this reason, sometimes even attentive patients can run them quite strongly.

Myoma in combination with endometriosis may be asymptomatic for a long time. Often, the first signs of the disease develop when myoma has grown strongly. Due to this feature, these diseases are most often diagnosed by chance. However, in some cases, non-specific symptoms may occur:

  • Pain in the lower abdomen and lower back. May be acute or pulling, depending on the location of the fibroids,
  • An increase in the lower abdomen. Occurs when the tumor has reached a large size,
  • Disorders of the menstrual cycle. Long monthly or significant delays
  • Copious bleeding during menstruation. For some types of myomas, non-cycle bleeding
  • Sometimes increased abdominal pain during sexual contact,
  • Exacerbation of pain symptoms or the occurrence of pain with constipation,
  • Sometimes there are changes in urination. They can be speeded up or painful.

Symptoms and signs of disease are not specific. They can relate to many gynecological ailments. For this reason, differential diagnosis sometimes takes some time.


Treatment of uterine fibroids and changes in the endometrium are possible only with careful diagnosis. An important role is played by accurate diagnosis. The following methods are used for this:

  1. Ultrasound of the uterus and pelvic organs allows you to diagnose both diseases,
  2. CT and / or MRI are the most informative ways to study organs,
  3. Examination of the cervix using mirrors (ineffective method),
  4. Colposcopic examination, visual examination of the uterus using a special apparatus,
  5. Palpation of the uterus allows to establish the presence of large myomas,
  6. Laparoscopic sampling of myoma material for histology,
  7. Scraping the organ to detect endometrial cells.

Peripheral blood is collected as additional tests. It is examined for the level of sex hormones. Also of importance is the collection of anamnesis and the determination of the presence of characteristic symptoms.


Both of these diseases can have unpleasant consequences, both separately and during joint course. The hardest such consequence is infertility. Disturbed endometrial structure prevents the embryo from attaching to the organ wall. In addition, endometriosis often causes a violation of the structure of the myometrium - the muscular layer of the uterus. As a result, hypertonus develops, which can cause miscarriage and hypoxia.

Myoma, when it reaches a large size, can mechanically prevent sperm from entering the egg. Both of these diseases are the most common cause of infertility at a young age.

In addition, large fibroids can squeeze other organs and cause their dysfunction. When localized on the anterior wall of the uterus, it presses on the bladder. As a result, there are increased urge to urinate. When placed on the back wall, it presses against the intestines, causing constipation.

If the disease is accompanied by significant bleeding, then sustained anemia develops. In addition, the blood circulation in the organs of the small pelvis is impaired (due to hypertonicity and compression of the vessels with myoma). At disturbance of outflow of a menstrual blood the cavity filled with it can be formed. Such a cavity is removed only surgically.

In 2% of cases, benign fibroids degenerate into a malignant tumor. Эндометриоз повышает такую вероятность.

Treatment is carried out by surgical methods or drugs. The operation is carried out mainly with large myomas. Does the patient need surgery? Only a doctor can answer this question. Intervention is possible both with preservation of the reproductive function, and without it. More information about how to carry out radical treatment is described in the article “Surgery to remove uterine fibroids.”

The treatment of fibroids and endometrial changes is conservatively conducted with hormonal drugs. Progesterone derivatives are used. These are drugs such as Zoladex, Diferelin, Buserilin, Decapeptil, etc. In fact, they cause a temporary menopause. As a result, the active division of cells stops. Myoma ceases to grow, and endometriosis develops. In some cases, the neoplasm may even decrease.

Uterine fibroids against endometriosis

Myoma is a neoplasm that forms on the inside or outside of the reproductive organ, and endometriosis is a pathology in which excessive growth of the endometrium occurs. Patients have painful sensations and abundant vaginal discharge. After visiting a doctor and examining a woman, she finds out that it is uterine fibroids in combination with endometriosis.

Diseases often develop simultaneously. This is due primarily to the fact that the reason for their appearance becomes a violation of hormonal levels.

Such factors as bad ecology, unhealthy lifestyle and weakened immunity contribute to the beginning of the pathological process.

Types, etiology and symptoms

Myomas, depending on their localization, are divided into several varieties:

  • neck,
  • interstitial
  • submucous,
  • subserous.

With the development of pathology, the genital organ increases in size according to the same principle as during pregnancy. Often in the process of examination revealed several tumors.

Endometriosis is usually divided into external and internal. With the growth of endometrium in the inner layers, a diagnosis of uterine adenomyosis is made. It becomes rounded and increases in size. In the case of penetration of infection into the cavity of the body with adenomyosis, endometritis develops - an inflammatory process in endometrial tissues. For this reason, the condition deteriorates significantly.

Features of the development of the external form of the disease lies in the fact that various organs of the urogenital system are affected. Endometrium grows far beyond the uterus.

Nodular fibroids in combination with endometriosis may be asymptomatic. A woman does not experience discomfort for a long time, her usual way of life is not disturbed. Despite this, there are a number of characteristic symptoms, with the appearance of which one can suspect the development of these pathologies:

  • pronounced pain in the pelvic region and abdomen, aggravated before the arrival of the regulator, and after their completion subsides,
  • bleeding outside menstruation period,
  • failure of the menstruation cycle,
  • apathy,
  • pain in the process of defecation and urination,
  • violations of the gastrointestinal tract.

The main symptoms of the disease - severe pain during intimacy, menstruation and pain when viewed on a gynecological chair.


The main cause of uterine fibroids and endometriosis is a hormonal disorder. Pathogenic cells begin to form due to excessive estrogen concentration. There are a number of factors contributing to the beginning of this process:

  • depressed immune system
  • frequent abortive activities,
  • heredity,
  • exposure to stress
  • unfavorable ecology
  • having bad habits
  • inflammatory processes.

Methods of diagnosis

As soon as the first signs of uterine fibroids in combination with endometriosis, you should seek medical help. In order to identify these pathologies, various research methods will be used. Diagnosis of endometriosis and fibroids includes the following activities:

Thanks to these tactics, it is possible not only to identify diseases, but also to determine the degree of their development. Only after receiving all the necessary information, the doctor prescribes treatment.

What could be the forecast

With early diagnosis of endometriosis and fibroids, the normalization of sex hormone levels and competent therapy, the prognosis is favorable. With cured diseases, reproductive function is fully restored, the woman is able to become pregnant. In severe forms of pathology and complete removal of the uterus, infertility is diagnosed.

Types of treatment

The doctor chooses the methods of therapy only after a full examination. Treatment of fibroids and endometriosis can be carried out by surgery and with the help of medicines. With the formation of tumors and the growth of the endometrium, diagnosed at an early stage of development, conservative methods are prescribed. Prescribed hormones and vitamins for myoma, which is accompanied by endometriosis. Additionally, folk remedies are also used.

If there is no result, they resort to surgery and excise the affected areas. In a running form, a decision can be made on the complete elimination of the genital organ.

Myoma with signs of internal endometriosis

Hormonal failure, which occurs in uterine myoma, cannot but affect the endometrium. But uterine fibroids with internal endometriosis is not the only form of a “response” to hormonal imbalance of the ovaries. There is such a violation, when the endometrium, the peaceful tissue in the normal, in which the embryo and fetus grows, under the influence of hormonal bias in the ovaries, acquires aggressive properties and is introduced into the muscular wall of the uterus, making canals reaching sometimes to the outer lining of the uterus. And this is the same endometrium as in the uterus, “obedient” to ovarian hormones (which are violated). With menstruation, this displaced endometrium menstruates, causing in patients an increase in blood loss during menstruation and out-of-cycle blood discharge.

Fibroids with internal endometriosis can develop rapidly. From the endometrial canals in the walls of the uterus, the growing endometrium can be carried with abundant menstrual blood into the cervical canal and vagina, and during the so-called retrograde menstruation - through the tubes into the small pelvis. There, aggressive endometrial cells can take root and form external genital endometriosis.

Gynecologists are familiar with the frequency of detection of uterine body fibroids in patients in combination with endometriosis, which in recent years has grown to 65–84%! This is due not only to the fact that the immune system is not able to reject the wrong cells in time, that such cells do not die in time, but also to the fact that endometrial cells have the possibility of penetration, growth into the muscle layer of the uterus! And adenomyosis, or fibroids with signs of endometriosis, is a form of damage to the uterus itself.

Symptoms of endometriosis with signs of uterine fibroids

Very often, signs of uterine fibroids in combination with endometriosis can more accurately and quickly diagnose such diseases. The presence of uterine fibroids in combination with internal endometriosis, both inside and outside on the pelvic organs, the peritoneal cover can "help" to identify asymptomatic fibroids, as it causes a certain clinical picture. Signs of endometriosis and uterine fibroids are, first of all, pain during sexual activity, examination by a gynecologist, very painful periods.

Pay attention to these symptoms of fibroids and endometriosis, which are difficult not to notice:

  • pain in the lower abdomen (which may increase before menstruation and subside after it ends),
  • intermenstrual blood discharge,
  • menstrual disorders (in particular, an increase in the duration of menstruation, an increase in the number of blood lost),
  • feeling sick, weakness,
  • pain when urinating and / or urinating,
  • constipation, frequent or difficult urination,
  • painful intercourse, examination by a gynecologist.

If you have found at least some of the above symptoms of endometriosis and uterine fibroids, you should consult a doctor and be examined. Ultrasound diagnosis will reveal even the most minor seals, which immediately require treatment and which must be monitored. Once a year prophylactically desirable to do an ultrasound.

Myoma and endometriosis appear from a single germ. Below you can compare the risk factors for the development of these two diseases. In many ways, they are similar, but there are certain differences, because in addition to hormonal disorders, hereditary predisposition, environmental deterioration, and former abortions or surgical operations on the uterus and appendages - diagnostic curettage, removal of appendix, ovarian cysts, ectopic pregnancy, etc. .

The main reasons why fibroids appear in combination with internal endometriosis, and their differences in the table below.


To restore reproductive health, surgical surgery is most often used. Medicines in this case act as additional funds. In endometriosis with uterine myoma, diagnosed at an early stage, therapy can be carried out exclusively with the help of drugs.

Often, the following non-hormonal drugs are used in the treatment process:

  • Indinol Beneficial effect on the state of hormonal levels and destroys excess cells,
  • Epigallat. It is recommended in combination with Indinol, enhancing its effect. A positive effect on the entire urogenital system, stopping the growth of tumors and preventing the reproduction of pathogenic bacteria.

Hormonal drugs are also prescribed. In uterine myoma, which is accompanied by endometriosis, Duphaston and Kleira are effective. Drugs in this group contribute to the reduction of estrogen levels, normalization of the cycle and the suppression of pain in the period of regulation.

In some cases, side effects such as dizziness, bleeding and puffiness are noted.

Also, after receiving Duphaston discharge may take an unusual character. Therefore, we recommend reading the additional information on this issue in order to distinguish the norm from the pathology in time.

Surgical intervention

As a rule, the treatment of these diseases is performed surgically. The method of conducting is selected taking into account the extent of the lesion, the form of the pathology and the stage of its development, the state of health and the age of the woman.

The indications for surgery to remove an endometriotic lesion and neoplasms are as follows:

  • large sized myomas
  • intrauterine bleeding,
  • a significant decrease in performance
  • intensive growth of neoplasms
  • necrosis of the affected tissues
  • the presence of malignant processes
  • pronounced pain syndrome
  • defeat pathogenic cells of the endometrium of neighboring tissues.

With timely initiated therapy, surgical intervention is carried out with preservation of organs. In a running form, it may be decided to remove the uterus.


In cases of fibroids detected simultaneously with endometriosis, folk remedies that have a positive effect on the state of the reproductive system can be used. Most often, they prefer flax oil. It is taken twice a day, one tablespoon.

Effective in the fight against pathologies are also medicinal herbs. Used in the treatment of shepherd's bag. About 50 g of these inflorescences are poured with boiling water and boiled in a water bath for at least a quarter of an hour. Then the liquid is 40 minutes infused and filtered. Take three times a day, 50 ml.


In the case of choosing a conservative method of treating pathologies and constant monitoring of the state of uterine tissue and the intensity of the growth of the endometrium, a woman needs to follow a number of important rules. There are certain contraindications that should necessarily be excluded:

  • self-medication or complete rejection of therapy,
  • the use of drugs that stimulate the production of progesterone,
  • pregnancy,
  • prolonged exposure to sunlight
  • massage,
  • sauna visit
  • excessive exercise
  • addiction.


Often the development of endometriosis and fibroids is due to non-compliance with simple rules. In order to prevent, you need to eliminate all risk factors and perform simple actions:

  • regularly undergo examination by a gynecologist. With a timely detection of the disease, the treatment process is much easier, and the risk of complications is minimized,
  • even minor changes in health status are a reason for going to a doctor,
  • promptly start therapy of any chronic and infectious diseases, under no circumstances let them drift away,
  • avoid intimate intimacy
  • follow the basic rules of personal hygiene.

Often myoma is accompanied by endometriosis. It is not always possible to diagnose these pathologies at an early stage of development, since they may be asymptomatic. For this reason, difficulties arise in the process of therapy. Doctors are forced to resort to surgery, in which the lesions are completely excised. If the treatment is not started in time, the reproductive organ is removed, and in the future the woman will never be able to become pregnant.

Endometriosis and uterine myoma

Uterine fibroids and endometriosis are the result of a violation of the secretion of hormones.

Fibroids are malignant neoplasms both inside and outside the organ, and endometriosis is the spread of altered cells through uterine tissues to places not characteristic of them.

As a result, characteristic pains appear, pathologies are rapidly developing. The abundance of blood discharge increases dramatically.

The regularity of the appearance of uterine nodular fibroids in combination with endometriosis has recently increased dramatically. This is due to poor ecology, weak immunity and unhealthy lifestyle.

The main reason for the occurrence of pathologies is an imbalance of hormones. An excess of female hormones, estrogen, entails the development of pathogenic cells.

As a result, malignant growths and growth of differentiated epithelial cells are formed in the uterus. Cysts can also form on the ovaries or in the cervix.

But there are other risk factors for occurrence:

  1. Weak immunity, vitamin deficiency - are risk factors. In this case, endometriosis is rapidly developing in the myometrium of the organ, and the lobes connect with the tumor cells and grow together like a myoma.
  2. Frequent abortions, scraping and infection during childbirth also cause inflammation of the uterine organ with the further development of pathology.
  3. The genetic factor, heredity especially increase the risk of malignant tumors.
  4. Constant long-term stress, fatigue and malaise reduce immunity and increase the chance of inflammation.
  5. Ecological deterioration, toxic factors, unhealthy lifestyle, the presence of bad habits. All these factors also affect the immune system and the general condition of the body.
  6. Abuse of mud baths and insolation.

Uterine fibroids, together with internal endometriosis, occur most often due to an excess of estrogen, as well as in conjunction with inflammatory processes in the organ.

Due to these risk factors, the chance of getting sick becomes even higher, so you need to lead a healthy lifestyle, give up bad habits and improve immunity.

Most often, signs of pathology - uterine fibroids in combination with endometriosis - are masked as other diseases, but there are a number of symptoms that are most likely to occur with this particular ailment, namely:

  1. Strong pain in the lower abdomen, in the pelvic region. Most often, they increase before menstruation, and decrease - after.
  2. Bloody vaginal discharge outside of menstruation.
  3. Disrupted cycle of menstruation with myoma and endometriosis - long periods, too abundant discharge.
  4. Lethargy, constant fatigue.
  5. Pain when urinating and defecating.
  6. Disorders of the digestive tract.
  7. The main signs - severe pain during intercourse, menstruation and gynecological examination.

Most often, with these signs, the girls do not immediately go for help, but take painkillers. But therein lies the danger.

After all, the sooner the disease is diagnosed and treatment is started, the faster the recovery will be, and the consequences will be less.

Therefore, when detecting at least a few signs, an urgent need to consult a doctor for help.

Medicinal herbs

Like many other diseases, myomas can be treated with herbs and other folk remedies. But this method of treatment should be discussed with your doctor to avoid complications.

For herbal treatments, decoctions and tinctures of viburnum, nettle, shepherd's purse and water pepper are used. Juices of parsley, celery, beets, carrots also help.

Are considered effective ways to treat the disease with the help of blue and gray clay, namely a compress of them.

It is worth remembering that this is not a basic treatment, but only a supplement. Iodine also helps a lot - to restore the endocrine system.

Characteristics of both diseases

Endometrial adenomyosis in combination with uterine myoma in the early stages of development does not show any symptoms or discomfort. In most cases, they are diagnosed during examination, which are solved in cases of suspected infertility.To determine the risk of the simultaneous development of these diseases, it is necessary to understand what they are.

By myoma means benign formations formed from the muscle fibers of the uterus. The primary cause of tumor formation is hormonal imbalance. The most commonly diagnosed nodular myoma is an education consisting of several cones of different sizes. Locations of tumors can be different - in the uterine cavity or on its neck, falling into the abdominal cavity. Gynecologists distinguish several types of myomas that are not dangerous to the fetus during pregnancy. They may not show pronounced symptoms for a long time.

Causes of uterine fibroids in combination with endometriosis

Both pathologies are often diagnosed in patients. After all, the root causes of their development are the same:

  1. Hormonal failure observed during pregnancy, menopause, or endocrinological diseases. It is against the background of the disruption in the production of biologically active substances by the body that various gynecological diseases develop (including uterine fibroids and endometriosis).
  2. Inflammatory processes, most often observed due to the violation of the integrity of the epithelium of the walls of the uterus (postpartum period, abortion).
  3. Immunodeficiency. This is one of the reasons for the rapid spread of internal endometriosis. Pathogenic cells penetrate the tissues of the uterus, forming nodes in them and continuing to grow as myomatics.
  4. Genetic predisposition of the patient. If a woman has been diagnosed with myoma in the family, there is a high probability that she will have the same diagnosis. The development of endometriosis is less dependent on genetic predisposition.
  5. Constant stress and fatigue provoke a decrease in immunity. Therefore, in women with irregular work schedules, the likelihood that uterine fibroids and endometriosis are diagnosed together increases.

The formation, growth and spread of pathogenic cells are influenced by the degree of environmental pollution. A high concentration of toxic substances in the air, water, causes a violation of reproductive function and the emergence of various types of tumors.

These pathologies may develop asymptomatically in the body. The main signs of uterine fibroids in combination with endometriosis are:

  1. Violation of menstruation.
  2. Long and abundant menstrual cycle.
  3. Pain in the lower abdomen of the aching nature, which increases before menstruation.
  4. Abdominal pain increases during sexual contact with a partner, it becomes like a contraction.
  5. Pain increases with constipation - attempts in an attempt to empty the intestines.
  6. Sometimes there are disorders of the urinary system - frequent urge to the toilet, the process of emptying the bladder is accompanied by painful, uncomfortable sensations.
  7. Reproductive dysfunction.
  8. If uterine fibroids have reached a large size, uterine bleeding occurs.

These symptoms may not appear at the same time. But signs of uterine fibroids in combination with endometriosis are the reason to undergo a comprehensive examination by a doctor.

Diagnostic measures

In most cases, both pathologies are diagnosed during a routine gynecological examination. To confirm the preliminary diagnosis, the patient is prescribed an additional examination:

  1. Ultrasound diagnosis.
  2. Hysteroscopy.
  3. Hysterosalpingography diagnostics.
  4. Laparoscopic study.

Some of these procedures are performed using a contrast agent injected through the patient’s abdominal cavity. These diagnostic measures can detect pathogenic cells of both pathologies.

Treatment methods

Doctors after diagnosing these two pathologies prescribe therapy. Treatment methods may vary. Two methods of therapy are most often used:

  1. Conservative treatment. It is used to treat fibroids of small sizes. Sometimes traditional medicines are combined with traditional medicine recipes. Also often used hormonal drugs for the treatment of uterine fibroids and endometriosis. Medicines based on biologically active substances contribute to the reduction of tissue lesions.
  2. Surgical intervention. This method of treatment is used in those cases if the results of drug therapy were unsatisfactory. Another operation is assigned to patients in whom the size of pathogenic formations is too large and cannot be cured by alternative methods.

Today, the treatment of uterine fibroids and endometriosis is carried out using minimally invasive methods. For example, laparoscopy, a procedure for diagnosing pathologies, is often used to remove nodes.

Do I need surgery, what and when?

Surgery is the most effective method of treating these pathologies. It is used if drugs for the treatment of uterine fibroids and endometriosis have been unsuccessful. There are several ways to remove pathogenic tissue and formations. The most popular today are laparoscopy and hysteroresectoscopy. These methods of surgery allow you to remove the formation without performing punctures or incisions of soft tissue. There are a number of clinical indications for which surgery is necessary:

  1. When diagnosing formations of large sizes.
  2. If uterine fibroids cause heavy and frequent bleeding.
  3. If there is a rapid tissue hyperplasia.
  4. Myoma tissue begins to die off.
  5. With a strong pain syndrome.
  6. If myomatic or endometrial formations have passed into malignant tumors.

In extreme cases, doctors recommend a full-scale operation, during which the uterus is completely removed. Such intervention is used for particularly advanced forms of pathologies.

Home ways

Uterine fibroids and endometriosis are not diseases of the new generation. These pathologies have been known for a long time. Traditional medicine offers many effective recipes for the treatment of these diseases. But they can not be used independently. Treatment of folk remedies should be agreed with your doctor. And sometimes gynecologists themselves recommend taking decoctions of medicinal plants in the early stages of pathologies. In addition to herbal medicine, the following are used for treatment:

  1. Therapeutic clay.
  2. Leeches.
  3. Bee products.

Before you start applying the recipes of traditional medicine, you must pass a test of the body's sensitivity to biologically active components. This is done to exclude the possibility of the development of allergic reactions to alternative treatments.

What is uterine fibroids and why it can develop simultaneously with endometriosis

Endometriosis is a disease consisting in the growth of pathogenic endometrial cells both inside and outside the uterus. The growth of pathogenic endometrium can trigger various diseases. The most frequent consequence of the development of endometriosis is the impossibility of conceiving and carrying pregnancy and further infertility. In addition, endometriosis can contribute to the fact that an endocervical cyst can appear on the surface of the ovary or cervix. Such a neoplasm as a cyst of the cervix or ovary is a vesicular body filled with a fluid of various etiologies, the rupture of which can cause abundant bleeding and infection of the abdominal organs with infiltrate.

Uterine fibroids is a disease expressed in the formation of tumors from the muscle tissue of the uterus. The location of the lesions may be different. Myoma tumors can be located in the uterus and cervix, but also outside, protruding into the abdominal cavity. Some types of fibroids are not dangerous for carrying pregnancy and may not bother the patient for a long time.

With a negative progression of the disease, a degeneration of tumors into malignant tumors is observed, which threatens not only infertility, but also complete removal of the organ.

Endometriosis can provoke inflammation of internal organs.

The combination of these diseases in one patient is not uncommon, because both of these diseases can be triggered by the same factors:

  1. Hormonal imbalance in the body of a woman greatly affects the reproductive function and can provoke the growth and development of complex gynecological diseases. Violation of the ovary and as a consequence of excessive secretion of the hormone estrogen provokes the growth of pathogenic cells. This development causes the formation of tumors and the proliferation of altered endometrial cells of the uterus. Hormonal failure can cause the development of such a tumor as a cyst, with localization on the surface of the ovary or cervix.
  2. The presence of inflammatory processes of various etiologies. The presence of inflammation in the uterus after childbirth or abortion. Mechanical damage to the cervix and its walls, causing organ inflammation.
  3. The presence of immunodeficiency is one of the causes of the progression of endometriosis and the proliferation of pathogenic endometrial cells into the muscle layers of the uterus, where they are actively accepted by the neoplasm cells and continue to grow as fibroids.
  4. Genetic predisposition. The presence of uterine fibroids in the patient's body is greatly affected by the fact that there were women in the family who suffered from the presence of tumors. Endometriosis also has a genetic predisposition, but to a much lesser extent, the main factor for its development is hormonal imbalance.
  5. Stress and fatigue.
  6. An important factor in the formation of pathogenic cells is the impact of the environment. The influence of toxic factors can also be the basis for the development of reproductive disorders and the development of pathogenic neoplasms (ovarian cyst, cervical cyst, myoma and endometriosis) in the organs involved in it.

Environmental pollution can cause female diseases.


In most cases, endometriosis and uterine fibroids are asymptomatic, the presence of a combination of such diseases does not cause the patient discomfort and does not violate her usual lifestyle. But if symptoms occur:

  • Sharp pains. The appearance of pain in the presence of a combination of endometriosis and uterine fibroids begins abruptly. First of all, the patient pays attention to the presence of sharp and cramping pains during the first day of menstruation. As the disease develops, the pain becomes a constant companion of the woman and disrupts the quality of life. Mostly pain syndrome is concentrated in the lumbar region and lower abdomen. These pains are caused by either the proliferation of pathogenic endometrial cells outside the uterus and disruption of the internal organs, or an increase in myomatous nodes, the increase of which puts pressure on the intestines and bladder, and can also cause abundant vaginal bleeding. At the onset of the second day of monthly pain subside, but may manifest itself after a cycle during sexual intercourse. During intercourse, discharge or bleeding may occur, accompanied by sharp pain. At the initial stage, the drug duphaston may be prescribed to reduce the nature of the pain and alleviate the painful menstrual syndrome.
  • Reproductive dysfunction. Infertility. These two diseases can be diagnosed completely by chance, during a primary gynecological examination, when the patient visits a doctor with difficulties of conception or with signs of infertility. The development of endometriosis can provoke the development of other diseases, such as an endocervical cyst on the surface of the cervical canal of the cervix, and a cyst on the surface of the ovary.
  • Changes in the nature of menstruation. Discharges during menstruation radically change their character and are more like bleeding. Such an abundance of secretions can lead to anemia, and bleeding can be triggered not only by the presence of pathologies but also by rupture of the tumor nodes. In the period between menstrual flow, there is a slight bleeding or thinning brown color.
  • Violation of the organs of the excretory system. With the growth of the endometrium or tumors, there is a squeezing of closely located organs, due to which their habitual function is disturbed. Possible changes on the part of the intestine: the appearance of constipation, the emergence of pain during an act of defecation. Urination may be delayed, accompanied by sharp pain, and there is a place to be bleeding due to the rupture of soft tissues.

Myoma may be the cause of unsuccessful attempts to get pregnant

Treatment and diagnosis of pathologies

To diagnose these two pathologies, the same methods are used:

  • Hysteroscopy. This method is used for detailed endoscopic examination of the uterine cavity and its cervix for the presence of foci of endometriosis and fibroids. The study is conducted using an endoscopic tube, with a special optical magnifier. This method allows the physician to assess the condition of the organ and to identify whether surgery is necessary, or whether it is sufficient to use drug therapy.
  • Radiographic study. It helps to identify structural features of organs and lesions localization sites.
  • Laparoscopy. Such a method is applied not only when an urgent operation is needed, but also for a diagnostic study with subsequent taking of a puncture.

X-ray will help to accurately determine the location of fibroids

For the treatment of a combination of these two types of diseases, two methods are used:

  • Conservative. This method is a hormonal therapy in combination with traditional medicine. The use of hormone therapy gives good results and helps to significantly reduce the foci of organ damage. For the treatment of endometriosis and the control of progesterone hormone production, the drug duphaston is used. Duphaston is a drug that contains small doses of the hormone progesterone, and helps restore normal ovarian function. The use of the drug Duphaston stops the growth of pathogenic endometrium in the uterus and beyond, so that surgery is not required. If there is such a pathology as an ovarian cyst or cervical cyst, single or multiple, then duphaston can also stop its growth. Ovarian cyst or cervical cyst in this case does not require surgery.
  • Surgical intervention. If the treatment with the drug Duphaston does not give results and the cyst on the ovary or cyst along the surface of the cervix in combination with endometriosis and myoma does not decrease in size. Or if there is a bleeding caused by myoma. In this case, surgical intervention is indicated to remove foci of endometriosis and uterine fibroids.

Surgical removal of tumors occurs with the use of minimally invasive agents. Laparoscopy, which was previously used for diagnosis, is now also used to remove tumors. The only drawback with the use of this type of operation is intrauterine bleeding. The operation takes place in several stages:

  • The first step is to remove the uterus node or nodes.
  • Then, using a laparoscope, the foci of endometriosis-affected tissue are also removed.

After the operation, the doctor prescribes hormone therapy in the required order (the drug duphaston is most often used) to rule out possible recurrences of the disease. The use of the drug Duphaston regulates the production of progesterone and normalizes the hormonal background in the woman's body.

Duphaston is successfully used in the postoperative period, to create favorable conditions for the onset of pregnancy.

What is uterine fibroids?

Uterine fibroids is a disease characterized by localized proliferation of uterine muscle tissue. This pathology can be attributed to precancerous diseases, since the tumor may degenerate, as a result of which cancer cells appear in it.

If a woman gave birth, then almost always the tumor is malignant, which requires surgical treatment.

Fibroids can occur in women of absolutely any age, which makes the disease particularly dangerous, since it can affect the reproductive function of women. In addition, fibroids can be hidden in small sizes, which leads to difficult diagnosis.

In fact, fibroid is a benign tumor that is formed from muscle tissue. Such factors can lead to its appearance:

  • Disruption of hormonal balance.
  • Injuries and surgery.
  • Frequent inflammatory diseases of the endometrium.
  • Chronic sexually transmitted infections.
  • Autoimmune processes.
  • Hereditary factor.

The mechanism of development of the disease is that cells, at a certain part of the endometrium, under the influence of negative factors, lose their ability to control division. As a result of this, there is a proliferation of muscle tissue, which is the bulk of the fibroids.

Ordinary fibroids and fibroids, which differ in quality composition, are distinguished. In fibromyomas, connective tissue is present, which forms a rigid capsule. A feature of fibroids is that it is highly likely to lead to the development of a malignant tumor.

Чаще всего, миомы возникают у женщин, которые имеют излишний вес. This is due to the fact that overweight is a sign of hormonal imbalance. An excess of estrogen is one of the essential changes in a woman's body with myoma.

Symptoms of the disease

The main symptoms that women complain of with uterine myoma are:

  • Uterine bleeding that is associated with the menstrual cycle. They most often arise as dysfunctional uterine bleeding, which leads to abundant blood loss. Sometimes, such blood loss requires emergency medical care.
  • The phenomena of partial fecal obstruction. Due to the fact that the tumor exerts pressure on the rectum and sigmoid colon, there may appear signs of a violation of the fecal patency. In case of large fibroids, signs of acute fecal obstruction may appear, which requires urgent surgical treatment.
  • Periodic abdominal pain. In the early stages is characterized by the appearance of pain in the lower abdomen, which are periodically pulling. This is due to overstretching of the tumor capsule. In later periods, pain can become permanent, especially when its size exceeds the size of the fetus, corresponding to 9 months of pregnancy.
  • Infertility. The presence of neoplastic processes in the uterus can cause a violation of reproductive function. Infertility develops both in the initial stages of the appearance of a tumor (which is extremely rare) and in the later stages (which almost always accompanies this disease).

Uterine fibroids are considered to be a disease in which you can take a wait-and-see attitude, as it can take a reverse development during pregnancy, or treat it promptly when the growth of fibroids is significantly accelerated in a short period of time. Accelerated growth of fibroids is an absolute sign of its malignancy.

It is worth noting that uterine fibroids and endometriosis of the uterus may have similar manifestations.

Treatment of the disease

The most effective treatment for uterine fibroids is surgery, which is performed to remove a tumor. When a tumor is detected at a young age, when the woman has not yet given birth, doctors often take a wait-and-see attitude. If the woman gave birth, but the tumor was not eliminated - an operation is indicated.

Surgical treatment may consist of removal of the tumor, and with the removal of the uterus, in case of suspicion of a malignant process. In this case, the woman can no longer have children.

Sometimes, hormones are used to eliminate the tumor, which normalize the level of hormones and prevent its further development.

The main methods of disease prevention

In order to avoid the development of endometriosis, you need to comply with a number of preventive measures that apply to both the woman and the expectant mother:

  • Eliminate bad habits.
  • To undergo examination at the gynecologist in time.
  • Follow the rules of personal protection during sexual intercourse.
  • In time to treat inflammatory diseases of the uterus and its appendages.