UTERINE FIBROIDS TREATMENT
Uterine Fibroids Treatment is one of the common health issues in women. Uterine Fibroids are abnormal growth that is developed in or on a woman’s uterus. Fibroids range in size from seedlings, undetectable by the human eye, to bulky masses that can distort and enlarge the uterus. They can be single or multiple, in extreme cases expanding the uterus so much that it reaches the rib cage. The growths are typically benign (noncancerous). Uterine fibroids are noncancerous growths in the uterus that often appear during childbearing years. Uterine fibroids aren’t associated with risk of uterine cancer.
TYPES OF UTERINE FIBROIDS
Different fibroids develop in different locations in and on the uterus.
- Submucosal fibroids.Fibroids that grow into the inner cavity of the uterus (submucosal fibroids) are not as common as other types but are more likely to cause prolonged, heavy menstrual bleeding and sometimes trouble conceiving.
- Subserosal fibroids.Subserosal fibroids form on the outside of your uterus, which is called the serosa. They may grow large enough to make your womb appear bigger on one side.
- Intramural fibroids. Fibroids grow within the muscular uterine wall (intramural fibroids). These are the most common type of fibroid found in people. Large in size they can distort the shape of the uterus and cause prolonged, heavy periods, as well as pain and pressure.
CAUSES OF UTERINE FIBROIDS
It is unclear why fibroids develop but there are several factors which may influence the formation of fibroids. Few are listed below:
- Hormones: The ovaries produce hormones called Estrogen and progesterone. These hormones cause the uterine lining to regenerate during each menstrual cycle and may stimulate the growth of fibroids.
- Family History: It may develop as a result of genetic factor. It may transfer from one generation to the other. There is also some evidence that fibroids run in families.
- Pregnancy: Pregnancy increases the production of estrogen and progesterone in a woman’s body. Fibroids may develop and grow rapidly while pregnant.
RISK FACTORS OF UTERINE FIBROIDS TREATMENT
Women are at greater risk for developing fibroids if they have one or more of the following risk factors:
- Family history.Having a family member with fibroids.
- For very heavy women, the risk is two to three times greater than average.
- Fibroids become more common during the 30s and 40s through menopause. After menopause, fibroids usually shrink.
- Eating habits.Eating a lot of red meat (e.g., beef) and ham is linked with a higher risk of fibroids.
- Ethnic origin.African-American women are more likely to develop fibroids than white women.
SIGNS AND SYMPTOMS OF UTERINE FIBROIDS
Symptoms of fibroids depend on the location, size and number of the tumor(s). Symptoms of fibroids may include:
- Heavy menstrual bleeding
- Pelvic Pain
- Menstruation that lasts longer than usual pain during intercourse
- Swelling or enlargement of the abdomen
- Frequent urination
- Difficulty in urinating
- Backache or leg pains
DIAGNOSIS OF UTERINE FIBROIDS
The following tests are required to confirm the fibroids presence:
- An abdominal, transvaginal or pelvic ultrasound can help identify the number, size, location and shape of most fibroids. If traditional ultrasound doesn’t provide enough information, your doctor may order other imaging studies, such as:
- Magnetic resonance imaging (MRI).In certain fibroids cases MRI Pelvis needs to be done for exact size, shape, location of fibroids.
- Hysterosonography also called a saline infusion sonogram, uses sterile saline to expand the uterine cavity, making it easier to get images of the uterine cavity and endometrium.
- Hysterosalpingography involves injection of dye into the uterus and fallopian tubes which is then X-Rayed to identify the anatomy of these structures.
- Hysteroscopy is done in an operation theatre. It looks the uterus by passing a small, fiber optic telescope called a hysteroscope with camera through your cervix into your uterus. Your doctor then injects saline into your uterus, expanding the uterine cavity and allowing your doctor to examine the walls of your uterus and the also openings of your fallopian tubes.
- Laparoscopy:The doctor inserts a long, thin scope into a tiny incision made in or near the navel. The scope consist of bright light and a camera. This helps the doctor to view the uterus and other organs on a monitor during the procedure. Pictures also can be made.
UTERINE FIBROIDS TREATMENT
Medications for uterine fibroids treatment target hormones that regulate your menstrual cycle, treating symptoms such as heavy menstrual bleeding and pelvic pressure. They don’t help in elimination of fibroids, but may shrink them.
If mild symptoms over-the-counter drugs such as ibuprofen or acetaminophen can be used.
Very large or multiple growths (myomectomy) are treated by surgical method.
Minimally invasive procedures
- This is a laparoscopic procedure, an electric current or laser destroys the fibroids and shrinks the blood vessels that feed them. A similar procedure called cryomyolysis freezes the fibroids. Myolysis is not used often. This form of Uterine Fibroids Treatment is very common.
- Uterine Fibroids Treatment can be done through key hole or natural orifice surgery i.e. Laparoscopically or Hysteroscopically. Certain procedures can destroy uterine fibroids without actually removing them through surgery. High-energy, high-frequency sound waves will be directed at the fibroids to destroy them.
- Uterine artery embolization. Small particles (embolic agents) are injected into the arteries supplying the uterus, cutting off blood flow to fibroids, causing them to shrink and die. This technique can be effective in shrinking fibroids and relieving the symptoms they cause. Complications may occur if the blood supply to the ovaries or other organs is compromised.
- Laparoscopic myomectomy. In a myomectomy, Surgeon removes the fibroids, leaving the uterus in place. The fibroid is removed from the body with a powered motor (MORCLLTOR) and sent for biopsy examination to the pathologist.Duration of stay in hospital is 2-3 days. Procedure is carried out under general anaesthesia.
- Endometrial ablation and resection of submucosal fibroids.This treatment, performed with a specialized instrument inserted into the uterus, uses heat, microwave energy, hot water or electric current to destroy the lining of uterus, either ending menstruation or reducing menstrual flow. Typically, endometrial ablation is effective in stopping abnormal bleeding. Submucosal fibroids can be removed at the time of hysteroscopy for endometrial ablation, but this doesn’t affect fibroids outside the interior lining of the uterus.
- Hysteroscopic myomectomy.This procedure may be an option if the fibroids are contained inside the uterus (submucosal). This is carried out by introducing an instrument called the Resectoscope(operative hysteroscope)by opening out the mouth of the wom(cervix)without a cut. The resectoscope has an electric loop which operates in a fluid media which distends the womb and shaves off the fibroid bit by bit. Duration of stay in the hospital is Daycare /24 hours. Procedure is carried out under general anaesthesia.
ADVANTAGES OF LAPAROSCOPIC MYOMECTOMY/ HYSTERECTOMY
- Small incision
- Fast recovery
- Less pain
- Quicker return to work
- Less probability of infection
- Less blood loss
- Less chance of adhesion formation on later stages
For Further information on UTERINE FIBROIDS TREATMENT
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