SAY ni DOK | Ano nga ba ang sakit na myoma at paano ba ito maagapan?
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00:00 A common disease that affects women, we will talk about it this morning, but before that, let's watch this first.
00:09 Myoma or also known as fibroids, is a condition that women often experience.
00:16 It is a non-cancerous tumor that forms in the uterus of a woman.
00:22 For many years, it has been one of the topics that has been constantly being highlighted in the field of health.
00:30 As a woman, it is inevitable to worry when it is spreading in the mind.
00:36 It not only causes physical discomfort, but it can also affect the daily life and health of a woman.
00:45 So let's find out what are the effects and symptoms of myoma here in SineDoc.
00:53 And to give us additional information about the myoma, we will have the opportunity to give it to Dr. Cristina Maladeo Miravalles.
01:03 Good morning to you, Doc.
01:05 Good morning.
01:07 Good morning.
01:09 Sir Audrey and Ma'am Diane.
01:12 Okay, Doctor, for those who are not familiar with the myoma, can you explain to us what is this, Doc?
01:20 And what is the possible cause of this in the health of a woman?
01:25 So, myoma is a tumor in the uterus.
01:32 We call it myoma, myo means muscle, and oma means tumor.
01:39 This is a benign growth of the uterus, of the muscle.
01:43 It depends on how big it is, it can have symptoms.
01:48 But if it is small, it usually has no symptoms.
01:52 It can also cause a breakdown.
01:56 Yes, Doc.
02:00 What was I saying?
02:01 Yes, go ahead, Doc.
02:03 Please continue.
02:04 So, sorry. It can cause breakdown, and sometimes infertility.
02:10 So, for those myomas that are large in size, it can cause pressure symptoms.
02:17 Sometimes, if it is too large, it can block the path of digestion or urination.
02:27 Doc, what is the cause or sign of a woman having a myoma?
02:34 As of now, we don't know what the cause is, but what experts have found is that it is common in women who are in the reproductive age.
02:47 It means that in the reproductive age, these are the ones who regulate.
02:50 The cause may be the exposure to the hormones of women, such as estrogen and progesterone.
02:57 Because when a woman has menopause, so there is no estrogen and progesterone, the myoma shrinks.
03:03 It does not mean that it will disappear, but it shrinks when it has menopause.
03:08 Okay, Doctor.
03:09 For our fellow women who are watching us this morning,
03:14 what are the symptoms or signs that a woman should watch for that may indicate that she has a myoma?
03:24 If she has a lump that is not hard, not soft, it may be a sign of myoma.
03:35 Or sometimes, she has pressure symptoms.
03:38 It means that she has difficulty in urinating or urinating.
03:42 Sometimes, because of her size, it can get in the way of her urinary tract and her kidneys grow.
03:49 For other myomas, depending on the location, it can cause the formation of abnormal uterine bleeding.
03:59 It can also cause infertility because it may get in the way of the passageway of eggs and sperm.
04:08 It can cause infertility.
04:11 It can also cause difficulty in labor if it is a woman because it may get in the way of the passageway of a child.
04:22 Okay.
04:23 Are there different types of myomas, Doctor?
04:25 And what are the differences between these?
04:29 Okay.
04:30 The types of myomas depend on the location.
04:34 We have what we call submucous, intramural, subserous, pedunculated, and parasitic.
04:40 Submucous myomas are the myomas that are inside the cavity of the uterus.
04:46 This is what usually causes abnormal uterine bleeding.
04:53 We have what we call intramural myomas.
04:57 This is only inside the muscle of the uterus.
05:00 Depending on its size, it can have symptoms.
05:04 We also have what we call subserous, or subserous, and pedunculated that can cause pain or pressure symptoms, especially if it is large.
05:16 We have what we call parasitic.
05:18 This means that the parasitic myoma does not trace its blood supply, but it invades other organs.
05:26 And it gets blood supply from other organs.
05:31 Okay, Doctor, are there dietary changes that can be done to lower the risk of myoma?
05:39 There's a theory that women who are fond of red meat have a common myoma.
05:52 So, with regard to dietary changes, we can avoid red meat and more of vegetables.
05:59 In terms of plans to get a myoma test, do we need to undergo treatment for myoma before getting a test?
06:07 Or can a person get a test even if they have this disease?
06:12 A person with myoma can get a test.
06:17 But it depends on the size and location of the myoma.
06:21 If it's small, a woman can get a test, especially if it's not in a place near the path, near the fallopian tube.
06:30 If the myoma is large, it can cause preterm labor if a woman gets a test.
06:37 If the myoma is large, it can contract or spread quickly.
06:41 If the placenta implants in the myoma, the child may lack blood supply.
06:49 And the child may become small if a woman has a myoma, especially if it's large.
06:55 Okay, Doc, what are the treatment options for myoma?
07:01 And is surgery needed for this kind of disease?
07:06 Unfortunately, this medicine is no longer available in the market because of liver failure.
07:15 We call it ulipristal.
07:17 It was first available in the Philippines, but it was recalled because it was known to cause liver failure.
07:24 So our only options now are surgery.
07:28 If you've heard of HIFU, high-intensity focused ultrasound,
07:33 it dissolves the myoma through high-intensity ultrasound.
07:37 Others, before getting an operation, give GnRH agonist to reduce the myoma.
07:45 But if the patient doesn't continue the surgery and stops the GnRH agonist,
07:50 it will suddenly return to its previous size.
07:53 So the usual management of myoma is surgery if it's large.
07:59 But if it's small, we don't move it.
08:03 Well, we learned a lot this morning from Dr. about the myoma.
08:08 It's important for us to understand this disease, especially us women.
08:14 Thank you very much for your free telemedicine this morning about the myoma,
08:19 Dr. Cristina Maladeo Miravalles.
08:22 Thank you very much.
08:23 Thank you.
08:25 Thank you also to both of you, Sir Audrey and Ma'am Diane.