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Uterine Fibroid

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    Overview

    Uterine fibroids are benign growths that often occur throughout a woman’s reproductive years. Lesions, or myomas, are benign uterine fibroids that seldom develop malignantly.

    Fibroids range in size from microscopic seedlings to enormous clumpy masses that may distort and stretch the uterus. Fibroids may be single or many. Multiple fibroids may cause the uterus to grow to the rib cage, causing weight gain.

    Most women will develop uterine fibroids at some time in their lives. Due to the lack of symptoms, uterine fibroids may go unnoticed for years. If not managed or treated on time, it can result in complications. 

    Keep reading to learn more about fibroids.

    Everything You Need To Know About Uterine Fibroid

    What are Uterine Fibroids?

    The uterus is a pear-shaped organ in your pelvis that is located on its side. Your uterus is about the size of a lemon when it is healthy. It is where a baby develops and grows when a woman is pregnant. Fibroids in the uterus are tumors that develop from the uterine muscle and connective tissue. Most of the time, these growths are not malignant (benign).

    Causes

    The aetiology of uterine fibroids is unknown, although the following variables have been found in research and clinical practice:

    • Genetic changes: Many fibroids have gene alterations that aren’t seen in normal uterine muscle cells, such as uterine cancer.
    • Hormones: In addition to boosting uterine lining development during menstruation, estrogen and progesterone seem to speed up the creation of fibroids. Compared to uterine muscle cells, fibroids have higher estrogen and progesterone receptors. Hormone reduction causes fibroids to shrink after menopause.
    • Other growth factors: Insulin-like growth factors and other substances that aid in tissue maintenance may impact fibroid development.
    • Extracellular matrix (ECM): ECM is the substance that binds cells together like cement. Fibroids have an increased amount of ECM, which causes them to become fibrous. ECM also serves as a repository for growth factors and induces cellular alterations.

    Symptoms

    Aside from frequent monitoring by your healthcare professional, most fibroids don’t produce any symptoms and need treatment. Fibroids are described as asymptomatic when they cause no symptoms. Having larger fibroids may result in a wide range of symptoms, including the following:

    • Excessive or uncomfortable menstrual bleeding (menstruation)
    • Bleeding in the intervals between your menstrual cycles
    • Feeling bloated or full in the lower abdomen
    • Urinating regularly (when a fibroid presses on your bladder, it’s possible to have this problem)
    • Having pain when having a sexual relationship
    • Back discomfort that won’t go away
    • Constipation
    • Chronic discharge from the cervix
    • An unwillingness or inability to pee or to empty your bladder
    • The appearance of being pregnant is exacerbated by increased belly distension (enlargement)
    • Because your body’s hormone levels decrease after menopause, uterine fibroids’ symptoms normally settle or disappear

    Treatments

    To deal with fibroids, you may use a variety of methods. The optimal therapy for you will be determined by whether or not you are experiencing symptoms, whether or not you wish to get pregnant, as well as your age and the location of your fibroids.

    • Watchful waiting: However, your doctor may advise you to wait and see if you develop any more serious symptoms. Fibroids are benign tumors that don’t spread. After menopause, they may potentially decrease or disappear completely.
    • Medications: Fibroid medications work by alleviating the symptoms you’re experiencing. Fibroids won’t go on their own, but some drugs may help them shrink. Aside from pain and bleeding, they may assist with other symptoms as well.
    • Oral birth control can reduce bleeding: When it comes to pain relief, non-steroidal anti-inflammatory drugs like ibuprofen and acetaminophen might be of assistance. If you have anaemia as a consequence of heavy bleeding, vitamins, and iron supplements may help you feel more energized.

    Other medications include:

    1. Oriahnn: Elagolix (a GnRH antagonist), estrogen, and progestin are used in this treatment for excessive menstrual bleeding since it is the first FDA-approved non-surgical, oral drug alternative for this condition. Taking the drug helps to cut down on bleeding by half.
    2. Gonadotropin-releasing hormone (GnRH): By inhibiting estrogen and progesterone, this temporarily induces menopause in women. Fibroids may shrink as a result of this treatment. Before you undergo surgery, your doctor may decide to use this method.

    Surgery

    Surgery may be required if your symptoms are severe or moderate. There are several possibilities, including:

    1. Myomectomy: This procedure removes fibroids while sparing surrounding healthy tissue. If you want to try to get pregnant in the future, this may be your best choice. A myomectomy may be performed in a variety of techniques, ranging from open surgical treatment to laparoscopy.
    2. Endometrial ablation: The lining of your uterus may be removed or destroyed by a surgeon using a laser, wire loops, hot water, electricity, microwaves, or freezing. This small surgery may be performed as an outpatient procedure. After that, your periods will likely end and you won’t be able to get pregnant again.
    3. Hysterectomy: With this procedure, your uterus is entirely removed. Fibroids can only be cured completely with this method. It’s a severe operation, but your doctor can do it through laparoscopy or even an incision through the abdomen.

    Conclusion

    Uterine fibroids are a common condition that affects many women at some time in their life. Some fibroids may be so little that they display no symptoms. Fibroids may cause several unpleasant symptoms. If you’re in pain, schedule an appointment with our doctor. Fibroids may be treated, and the symptoms often improve.

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