Changes in Uterine fibroid

Uterine fibroid undergoes secondary changes like
• Atrophy.
• Calcareous degeneration.
• Red degeneration.
• Sarcomatous change.

Atrophy: Occurs after menopause and delivery. The fibroid gradually reduces in size due to diminished blood supply.

Calcareous degeneration: Along the course of blood vessels which supply to the fibroids have calcium and phosphate of lime deposition from periphery. It is seen in old women who have long standing myoma.

Red degeneration: The most emergency complication of uterine fibroid is red degeneration. The myoma becomes tense and tender with purple rd color and a fishy odor. It is found due to thrombosis of the small blood vessels which supply to the myoma. The exact phenomenon is not described yet.

Sarcomatous change: It is rare change of uterine fibroid. 0.5% of myoma undergoes Sarcomatous change. It is rare for the malignant transformation of uterine fibroid in women under the age of 40 years.

Uterine fibroid

Uterine fibroid or myoma is the most common problem now in women in the reproductive stage. Most commonly women below the age of 30years face the problem and the incidence of myoma reduces when age increases. There are also rare case incidences of myoma before puberty and after menopause.
Thus Uterine fibroid grow due to the excessive Estrogen hormone, which undergoes cycle during the menstrual cycle. It is also seen during pregnancy period.

The common symptoms due to uterine fibroid are:
• Menstrual irregularity- like menorrahagia, polymenorrhoea, meteraggia. There would be excessive flow of menstrual bleeding, the cycle would be irregular.
• Infertility- Uterine fibroid itself does not produce infertility. The fibroid prevents the entry of sperm into uterine cavity, and some kind would block the fallopian tubes prevent the egg to enter the right place for fertilization.
• Abdominal pain- It occurs when the degeneration of fibroid advances and the pain would be acute when the peduculated fibroid got twisted.



Uterine fibroid based on the place of origin they are named as
• Sub mucous.
• Intramural
• Sub serous
• Interstitial
• Peritoneal- It occurs rarely. Sometimes fibroid present very near to the peritoneal region get detached and would get attached to the nearby organ forming ‘parasitic fibroid’.




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