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Overview of Uterine Fibroids
Uterine fibroids are non-cancerous, tumor-like growths in the uterus. These common growths, also known as myomas, leiomyomas, or fibromas, typically occur in women during their childbearing years and may develop along the uterine cavity wall.
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Get A Second OpinionWhat are Uterine Fibroids?
Uterine Fibroids are tumour-like growths in the uterus. They are non-cancerous and very rarely develop into cancer. They are very common and occur in women during the childbearing years. Fibroids may grow along the wall of the uterine cavity.
Uterine fibroids are also known as myomas or leiomyomas. Fibromas is another term used to refer to fibroids in the uterus.
Uterine Fibroids Symptoms
Uterine fibroids often grow without causing symptoms. Many women with fibroids are asymptomatic. However, when symptoms do occur, they may include:
- Heavy menstrual bleeding
- Menstrual periods lasting 7 days or more
- Bloating in the lower abdominal area
- Pressure or pain in the pelvic region
- Frequent urination
- Constipation
These symptoms are common indicators of uterine fibroids but may also be caused by other conditions.
Causes of Fibroids
The exact cause of fibroids is unknown. However, several factors are believed to contribute to their development:
- Hormones: Fibroids are influenced by the hormones estrogen and progesterone. Increased hormone levels during pregnancy can cause fibroids to grow, but they often return to their normal size after pregnancy.
- Genetics: There is a belief that fibroids could be hereditary, though conclusive evidence is lacking.
Due to the uncertainty surrounding the causes of fibroids, preventative measures are limited.
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Book an AppointmentTreatment Options for Uterine Fibroids
There are several types of treatments for uterine fibroids:
- Gn-RH Agonists: Medications that reduce hormone levels, shrinking fibroids.
- Myomectomy: A surgical procedure to remove fibroids, which can be performed through hysteroscopy or laparoscopy.
- Hysterectomy: The removal of the uterus, offering a permanent solution to prevent fibroids.
- Non-invasive Procedure: An ultrasound transducer is used to destroy fibroids without surgery.
- Uterine Artery Embolization: Blocks blood flow to fibroids, causing them to shrink.
Side Effects of Uterine Fibroids on Pregnancy
Typically, fibroids do not impact a woman's ability to conceive or carry a pregnancy to term. However, in some cases, fibroids can lead to complications:
- Preterm Births or Miscarriages: Large fibroids that continue to grow during pregnancy may increase the risk.
- Delivery Complications: Fibroids can cause abnormal fetal positioning, potentially necessitating a caesarean section.
Uterine Fibroids - Prognosis
Many women have undetected fibroids without any health issues. Medical attention is usually sought when symptoms like heavy bleeding, longer periods, spotting between periods, or painful cramps occur.
In rare cases, if fibroids affect pregnancy or prevent conception due to their location in the uterus, treatment is recommended.
Frequently Asked Questions
Usually, fibroids in uterus do not cause infertility or prevent pregnancy. Submucosal fibroids may hamper conception, especially if they are larger than 6cm. In rare instances, fibroids have been known to block the fallopian tubes and prevent pregnancy.
Some fibroids appear and disappear on their own. When a woman enters menopause, fibroids tend to shrink in size or even go away by themselves. Some fibroids require treatment.
Large fibroids may cause pain or pressure and require treatment. Some fibroids may continue to grow if not treated and cause heavy bleeding, cramps, and abdominal pressure.
A large percentage of women tend to develop fibroids, especially in their 40’s. The reason for this occurrence still confounds researchers.
Most uterine fibroids are benign (non-cancerous) and do not increase the risk of uterine cancer. However, they can cause discomfort and other symptoms.
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