It has a multifactorial etiology and occurs during reproductive period. The main symptoms related to uterine fibroids are menstrual changes and pelvic organ compression. Further if they are attached to a pedicle, in some cases they can project into the cervical canal and appears on the vagina.
A year-old, mixed-ethnicity woman arrived at our Unit with a complaint of a mass extruding from the vaginal orifice that was associated with bleeding and pain for a couple hour. The patient had brought the mass in a container. She denied any history of menstrual delay as well as use of medications. At the time of admission, the patient appeared calm without severe pain, but with abdominal tenderness.
Speculum examination showed a closed cervix with a moderate amount of bleeding. The uterus was of a fibroelastic consistency and tender on examination. After the examination of the patient, the team dissected the extruded structure, thinking that it was a clot; however, it was found to be very hard. It was a long mass that was difficult to diagnose Figure 1.
Therefore, we subjected it to anatomopathological analysis which indicated that it was a myomatous lesion measuring 3. Microscopy revealed well-delimited nodular formation, formed by multidirectional bundles of spindle cells, and oval nuclei without atypia.
It was diagnosed as a leiomyoma Figure 2. The patient was treated with broad-spectrum antibiotic. Patient follow-up at 1 and 3 months was clinically and ecographically normal Figure 3. This is the first case of a perimenopause patient who had degeneration and complete spontaneous expulsion of a myoma, with no history of embolization or use of medication. According to our knowledge, there is no record of such a case in the literature. Usually the fibroid remains prolapsed and attached to the uterus, and even after degeneration, fibroids are not completely eliminated, as observed in the nascent fibroids.
Among the few published cases reports of spontaneous expulsion of fibroids, some occurred during the pregnancy-puerperium cycle, but most were seen following magnetic resonance-guided focused ultrasound, use of drugs, or uterine artery embolization.
Degeneration could occur due to excessive fibroid growth leading to a decrease in blood supply and this excessive growth could also compress the irrigating arteries of the fibroids. In addition, the degeneration may have been triggered due to hormonal imbalance, because in perimenopause there is a reduction in levels of the hormone estradiol and progesterone associated with the irregularity of the menstrual periods. In the postpartum period, myomatous degeneration could occur due to reduced blood flow.
Lack of menstrual cycling may also be implicated in the mechanism of fibroids degeneration. Uterine fibroids are common. They can cause heavier bleeding and breakthrough bleeding between periods.
In some cases, fibroid tissue is passed. With this infographic, learn how fibroids disproportionately affect Black women in prevalence, symptom severity, and more.
Learn more about the latest advancements in research and treatment options for uterine fibroids. If your period is so heavy that you quickly soak through pads or tampons, there are things you can do to find relief. Find out what home remedies and…. Fibroids can cause pain in some women.
The pain may come and go, or it may be constant. It may be in your pelvic region but it can sometimes appear in…. Health Conditions Discover Plan Connect. Signs of Fibroid Tissue Discharge. Fibroids and discharge Passing fibroids Symptoms Treatment Are fibroids common?
Risk factors Takeaway Uterine fibroids and treatment for fibroids can cause changes to regular vaginal discharge. A change in vaginal discharge — especially a strong foul smell — is a sign of infection. In some cases, though, the size and location of the fibroid can interfere with the implantation of the embryo. Fibroids cost the U. Marsh hopes to change this by bringing awareness and getting this condition out in the open. We need to set a higher bar for ourselves.
Women should feel empowered to ask questions, to get answers, and to stop suffering in silence. Women's Health. Aimee Bergquist. August 18, PM.
One of those is fibroids. Common symptoms include: Pelvic pain and heavy menstrual bleeding, which can lead to anemia or the need for a blood transfusion. Other red flags include: Bleeding between periods and having more than one period in a month. Erica Elizabeth Marsh M. Health Topics. Health Tools. Uterine Fibroids. Reviewed: November 16, Medically Reviewed. What Are Uterine Fibroids?
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