Uterine Fibroids
Uterine Fibroids
Uterine Fibroids
or quite large - Genetics and hormones may play a role - Grow slowly during the reproductive years, may enlarge during pregnancy - Women with fibroids will have difficult conceiving or will have miscarriages - Risk Factors: Age, Family history, Obesity, High blood pressure - Growth rate depends on hormonal levels
Fibroids
1) Intramural Fibroids -Most common -Lies within the muscle wall of the uterus -Expand and causes the uterus to be larger -Symptoms: heavy menstrual bleeding, pelvic pain, back pain, frequent urination and pressure in the pelvic region.
2) Submucosal Fibroids - Grow from the uterine wall into the uterine cavity - Symptoms: Pain, Abnormal bleeding and Infertility. 3) Subserosal Fibroids - Grow from the uterine wall into the outside of the uterus - Push on the bladder, bowel and intestine - Symptoms: Bloating, Abdominal pressure, Cramping and Pain
4) Pedunculated Fibroids - Grow on stalks out from the uterus or into the uterine cavity - Twisting of stalks will result in pain, nausea, fever and
1) Oral Treatment Options - Oral Contraceptives: Manage heavy bleeding caused by fibroids - IUD: Ease heaving bleeding that accompanies some fibroids - GnRH agonists: Shrink fibroids by blocking oestrogen and progesterone production - Antifibrolytic medicines: Slow menstrual bleeding by allow blood to clot 2) Minimally Invasive Treatment Options -Uterine Artery Embolization: Radiological procedure that involves placing a small catheter (a thin tube) into an artery in the leg and guiding it via X-rays to the arteries in the
3) Surgical Options -Hysterectomy: Removal of the entire uterus o Abdominal hysterectomy o Vaginal hysterectomy oLaparoscopically hysterectomy -Myomectomy: Removal of the fibroids, leaving an intact uterus. More complications than hysterectomy -Myolysis : Involves using an electric current or laser to shrink the fibroids and shrinks the blood vessels that feed them.