Fibroids what do they look like




















Where can fibroids grow? Doctors put them into three groups based on where they grow: Submucosal sub-myoo-KOH-zuhl fibroids grow into the uterine cavity. Subserosal sub-suh-ROH-zuhl fibroids grow on the outside of the uterus. What are symptoms of fibroids? Most fibroids do not cause any symptoms, but some women with fibroids can have: Heavy bleeding which can be heavy enough to cause anemia or painful periods Feeling of fullness in the pelvic area lower stomach area Enlargement of the lower abdomen Frequent urination Pain during sex Lower back pain Complications during pregnancy and labor, including a six-time greater risk of cesarean section Reproductive problems, such as infertility , which is very rare.

What causes fibroids? These factors could be: Hormonal affected by estrogen and progesterone levels Genetic runs in families Because no one knows for sure what causes fibroids, we also don't know what causes them to grow or shrink. Can fibroids turn into cancer? What if I become pregnant and have fibroids? The most common problems seen in women with fibroids are: Cesarean section.

The risk of needing a c-section is six times greater for women with fibroids. Baby is breech. The baby is not positioned well for vaginal delivery. Labor fails to progress. Placental abruption. The placenta breaks away from the wall of the uterus before delivery. When this happens, the fetus does not get enough oxygen.

Preterm delivery. How do I know for sure that I have fibroids? These tests might include: Ultrasound — Uses sound waves to produce the picture. The ultrasound probe can be placed on the abdomen or it can be placed inside the vagina to make the picture.

A sonohysterogram involves injecting water into the uterus and making ultrasound pictures. There are two types of surgery to do this: Laparoscopy lap-ar-OSS-koh-pee — The doctor inserts a long, thin scope into a tiny incision made in or near the navel.

The scope has a bright light and a camera. This allows the doctor to view the uterus and other organs on a monitor during the procedure. Pictures also can be made. Hysteroscopy hiss-tur-OSS-koh-pee — The doctor passes a long, thin scope with a light through the vagina and cervix into the uterus. No incision is needed. The doctor can look inside the uterus for fibroids and other problems, such as polyps. A camera also can be used with the scope.

What questions should I ask my doctor if I have fibroids? How many fibroids do I have? What size is my fibroid s? Where is my fibroid s located outer surface, inner surface, or in the wall of the uterus? Can I expect the fibroid s to grow larger? How rapidly have they grown if they were known about already? How will I know if the fibroid s is growing larger? What problems can the fibroid s cause?

What tests or imaging studies are best for keeping track of the growth of my fibroids? What are my treatment options if my fibroid s becomes a problem? What are your views on treating fibroids with a hysterectomy versus other types of treatments?

How are fibroids treated? Some of these things include: Whether or not you are having symptoms from the fibroids If you might want to become pregnant in the future The size of the fibroids The location of the fibroids Your age and how close to menopause you might be If you have fibroids but do not have any symptoms, you may not need treatment. Medications If you have fibroids and have mild symptoms, your doctor may suggest taking medication. Surgery If you have fibroids with moderate or severe symptoms, surgery may be the best way to treat them.

Here are the options: Myomectomy meye-oh-MEK-tuh-mee — Surgery to remove fibroids without taking out the healthy tissue of the uterus.

It is best for women who wish to have children after treatment for their fibroids or who wish to keep their uterus for other reasons. You can become pregnant after myomectomy.

But if your fibroids were imbedded deeply in the uterus, you might need a cesarean section to deliver. Myomectomy can be performed in many ways. It can be major surgery involving cutting into the abdomen or performed with laparoscopy or hysteroscopy. The type of surgery that can be done depends on the type, size, and location of the fibroids.

After myomectomy new fibroids can grow and cause trouble later. All of the possible risks of surgery are true for myomectomy. The risks depend on how extensive the surgery is. Hysterectomy hiss-tur-EK-tuh-mee — Surgery to remove the uterus. This surgery is the only sure way to cure uterine fibroids. Fibroids are the most common reason that hysterectomy is performed.

This surgery is used when a woman's fibroids are large, if she has heavy bleeding, is either near or past menopause, or does not want children. If the fibroids are large, a woman may need a hysterectomy that involves cutting into the abdomen to remove the uterus.

If the fibroids are smaller, the doctor may be able to reach the uterus through the vagina, instead of making a cut in the abdomen. In some cases hysterectomy can be performed through the laparoscope.

Removal of the ovaries and the cervix at the time of hysterectomy is usually optional. GnRH agonists can cause menopause-like symptoms, including hot flashes, a tendency to sweat more, vaginal dryness, and, in some cases, a higher risk of osteoporosis. GnRH agonists are for short-term use only. A doctor may give a person these medications before surgery to shrink fibroids. A newer therapy using GnRH antagonists is another possible treatment option.

Nonsteroidal anti-inflammatory drugs , such as ibuprofen, can reduce fibroid pain, but they do not reduce bleeding. Ibuprofen is available to purchase online. Oral contraceptives help regulate the ovulation cycle, and they may help reduce the amount of pain or bleeding during periods.

Low dose hormonal birth control does not make fibroids grow. People can also use a progesterone intrauterine device, such as Mirena, or progesterone-like injections, such as Depo-Provera. Severe fibroids may not respond to more conservative treatment options. In these cases, surgery may be the best treatment option.

A hysterectomy is the partial or total removal of the uterus. This method can treat extremely large fibroids or excessive bleeding. Total hysterectomy can prevent the return of fibroids. If a surgeon also removes the ovaries and fallopian tubes, side effects can include reduced libido and early menopause. This is the removal of fibroids from the muscular wall of the uterus.

It can help people who still want to have children. Those with large fibroids or fibroids located in particular parts of the uterus may not benefit from this type of surgery. Removing the uterine lining may help if fibroids are near the inner surface of the uterus. Endometrial ablation may be an effective alternative to a hysterectomy for some people with fibroids.

Cutting off the blood supply to the area shrinks the fibroid. Guided by fluoroscopic X-ray imaging, the doctor will inject a chemical through a catheter into the arteries supplying blood to any fibroids.

That said, the resolution of symptoms is highly variable depending on the location and size of fibroids. This is not an appropriate treatment method for all types of fibroid. Maintaining a moderate weight by getting regular exercise and eating a healthful diet may help moderate estrogen levels, which may help reduce fibroids. Significant blood loss may also lead to anemia. Large fibroids can lead to swelling and discomfort in the lower abdomen or cause constipation or painful bowel movements.

Some people might develop urinary tract infections as a result of fibroids. Some people may also experience pregnancy problems. Preterm birth, labor problems, and pregnancy loss may occur, as estrogen levels rise significantly during pregnancy. There is not enough evidence to conclude that myomas reduce the likelihood of becoming pregnant with or without fertility treatment. That said, there is fair evidence to suggest that hysteroscopic myomectomy for submucosal fibroids improves clinical pregnancy rates.

Uterine fibroids are almost always benign. Cancerous fibroids, known as leiomyosarcomas, are rare. Myomectomy — Can be used to remove all types of fibroids, regardless of where they are located. Doctors can use three different approaches when performing a myomectomy. Hysterectomy — This most common surgical treatment for fibroids removes the uterus as well as all fibroids.

It is often recommended to remove very large fibroids or for women who have extremely heavy bleeding and who are about to enter menopause or who are post-menopausal.

A hysterectomy can be partial, full or radical, and it will eliminate your ability to have children. Before choosing any uterine fibroids treatment, you should talk to your doctor so you fully understand the benefits and risks of minimally invasive versus each surgical treatment option.

Depending on your individual circumstances, where your fibroids are located and how large they are, a UFE specialist can help determine if you are a good candidate for minimally invasive, uterine fibroid embolization. Siskin1, Meridith Englander, Brian F. American Journal of Toentgenology, 3. While it may be scary, abnormal bleeding is a common gynecologic condition. However, if you are bleeding due to fibroids, Uterine fibroids, also called leiomyomas lie-o-my-O-muhs or myomas, are muscular tumors that grow in the uterine wall.



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