{"id":655755,"date":"2014-11-06T00:00:00","date_gmt":"2014-11-06T00:00:00","guid":{"rendered":"https:\/\/stg-hemmetsjournal-stage.kinsta.cloud\/hemmetsjournal\/artiklar\/experterna\/20141105\/hur-far-jag-bort-myomen\/"},"modified":"2016-05-15T19:08:31","modified_gmt":"2016-05-15T19:08:31","slug":"hur-far-jag-bort-myomen","status":"publish","type":"post","link":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/artiklar\/experterna\/20141106\/hur-far-jag-bort-myomen\/","title":{"rendered":"Hur f\u00e5r jag bort myomen?"},"content":{"rendered":"<div>\n<div>\n<p>Jag \u00e4r 46 \u00e5r och har f\u00e5tt veta att jag har myom \u2013 muskelknutor. Har haft mens i tre veckor och mycket l\u00e5gt blodv\u00e4rde. L\u00e4karen ville att jag skulle s\u00e4tta in en spiral f\u00f6r att stoppa bl\u00f6dning. Men jag \u00f6nskar fortfarande att bli gravid s\u00e5 jag vill inte s\u00e4tta in spiral. Finns det andra m\u00f6jligheter att ta bort muskelknutor? Jag vet att chansen att bli gravid i min \u00e5lder \u00e4r liten, men s\u00e5 l\u00e4nge jag har \u00e4gglossning och mens \u00e4r det ju inte k\u00f6rt. Jag har besv\u00e4r av mina muskelknutor och vill inte bl\u00f6da s\u00e5 h\u00e4r mycket.<\/p>\n<\/p><\/div>\n<\/div>\n<div><strong>Gynekolog Kristina Billberg svarar:<\/strong><\/p>\n<div>\n<p>De tv\u00e5 behandlingarna f\u00f6r muskelknutor som samtidigt skulle bevara din fertilitet \u00e4r operation eller embolisering.<\/p>\n<p>Om man har en eller h\u00f6gst tv\u00e5 muskelknutor och dessa sitter i muskelv\u00e4ggen utan att n\u00e5 in till livmoderh\u00e5ligheten finns det en m\u00f6jlighet att g\u00f6ra en operation och ta bort muskelknutorna f\u00f6r att sedan ha en chans att kunna bli gravid.<\/p>\n<p>Om man har m\u00e5nga muskelknutor som sitter spridda i livmodermuskulaturen g\u00e5r de inte att operera bort. G\u00e5r muskelknutorna in till livmoderh\u00e5ligheten blir denna vid en operation s\u00e5 p\u00e5verkad att det sedan inte \u00e4r m\u00f6jligt att bli gravid.<\/p>\n<p>Embolisering inneb\u00e4r att man via r\u00f6ntgengenomlysning g\u00e5r in med en tunn kateter i det k\u00e4rl som st\u00e5r f\u00f6r blodf\u00f6rs\u00f6rjningen till muskelknutan och pluggar igen detta. Muskelknutan f\u00f6rtvinar d\u00e5 av brist p\u00e5 blodf\u00f6rs\u00f6rjning.<\/p>\n<p>Detta \u00e4r ocks\u00e5 bara m\u00f6jligt att g\u00f6ra om man har en eller h\u00f6gst tv\u00e5 muskelknutor och dessa ska helst inte vara f\u00f6r stora och helst inte n\u00e5 in till livmoderh\u00e5ligheten.<\/p>\n<p>Jag tycker du ska v\u00e4nda dig till din gynekolog f\u00f6r att diskutera operation eller embolisering. Det \u00e4r dock v\u00e4ldigt tveksamt om man ska ge sig p\u00e5 n\u00e5gon av dessa ingrepp bara f\u00f6r att \u00f6ka dina m\u00f6jligheter att bli gravid. Du har \u00e4ven vid optimala f\u00f6rh\u00e5llanden f\u00f6r operation eller embolisering en v\u00e4ldigt liten chans att sedan bli gravid med tanke p\u00e5 din \u00e5lder.<\/p>\n<p>Kanske kan du f\u00e5 klara besked p\u00e5 att dina muskelknutor inte g\u00e5r att behandla med bevarad fertilitet. Efter detta kanske det k\u00e4nns l\u00e4ttare att rikta in sig helt och h\u00e5llet p\u00e5 att behandla muskelknutorna, s\u00e5 att dina bl\u00f6dningar minskar eller f\u00f6rsvinner helt och ditt blodv\u00e4rde kan bli normalt igen. Man har d\u00e5 flera andra metoder att v\u00e4lja mellan, som till exempel hormonspiral eller gulkroppshormoner i tablettform.<\/p>\n<p>Skulle inte dina bl\u00f6dningar trots dessa behandlingar bli acceptabla och man inte har fertiliteten att ta h\u00e4nsyn till kanske man i slut\u00e4ndan rekommenderar att helt enkelt operera bort hela livmodern. F\u00f6r kvinnor med l\u00e5ngvarig bl\u00f6dningsproblematik kan det vara en stor l\u00e4ttnad att \u00e4ntligen k\u00e4nna sig helt trygga i att med s\u00e4kerhet veta att de inte kommer att f\u00e5 bl\u00f6dningar igen.<\/p>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Jag \u00e4r 46 \u00e5r och har f\u00e5tt veta att jag har myom \u2013 muskelknutor. Har haft mens i tre veckor och mycket l\u00e5gt blodv\u00e4rde. L\u00e4karen&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ep_exclude_from_search":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[136],"tags":[142],"class_list":["post-655755","post","type-post","status-publish","format-standard","hentry","category-experterna","tag-gynekologen"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-14 07:09:41","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/655755","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/comments?post=655755"}],"version-history":[{"count":0,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/655755\/revisions"}],"wp:attachment":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/media?parent=655755"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/categories?post=655755"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/tags?post=655755"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}