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Treatment Uterine Fibroid

Uterine fibroids (singular Uterine Fibroma) (leiomyomata, singular leiomyoma) are benign tumors which grow from the muscle layers of the uterus. They are the most common benign neoplasm in females, and may affect about 25% of white and 50% of black women during the reproductive years.Uterine fibroids (leiomyomas) are common noncancerous (benign) tumors of the uterus. They grow from the muscular wall of the uterus and are made up of muscle and fibrous tissue.

Fibroids are muscular tumors that grow in the wall of the uterus (womb). Another medical term for fibroids is "leiomyoma" (leye-oh-meye-OH-muh) or just "myoma". Fibroids are almost always benign (not cancerous). Fibroids can grow as a single tumor, or there can be many of them in the uterus.

Causes of Uterine Fibroid
Uterine fibroids develop from the smooth muscular tissue of the uterus (myometrium). A single cell reproduces repeatedly, eventually creating a pale, firm, rubbery mass distinct from neighboring tissue.African-Americans are 2-3 times more likely to present with symptomatic uterine fibroids and typically will do so at a younger age than the rest of the population of women with uterine fibroids.

Average age range for fibroids to become symptomatic is 35-50.Fibroids can be tiny and cause no problems, but they can also grow to weigh several pounds. They grow slowly. Some women with many fibroids may have an inherited tendency toward developing them.

Fibroids may also cause pain or a feeling of pressure or heaviness in the lower pelvic area (the area between the hip bones), the back or the legs. Some women have pain during sexual intercourse. Others have a constant feeling that they need to urinate.

Signs and symptoms
Subserosal fibroids. Fibroids that project to the outside of the uterus (subserosal fibroids) can sometimes press on your bladder, causing you to experience urinary symptoms. If fibroids bulge from the back of your uterus, they occasionally can press either on your rectum, causing constipation, or on your spinal nerves, causing backache.Irregular or unpredictable bleeding

lower-abdominal pressure, often described as an achy or heavy feeling or associated with the need to urinate more frequently

Treatment of Uterine Fibroid
Watchful waiting
If you're like most women with uterine fibroids, you have no signs or symptoms. In your case, watchful waiting (expectant management) could be the best course. Fibroids aren't cancerous. They rarely interfere with pregnancy. They usually grow slowly and tend to shrink after menopause when levels of reproductive hormones dropUterine artery embolization is a new procedure aimed at preventing the need for major surgery. The method stops the blood supply that makes fibroids grow.  The long-term effects of this procedure are still unknown, and the safety of pregnancy after this procedure is questionable.

A laparotomic myomectomy (also known as an open or abdominal myomectomy) is the most invasive surgical procedure to remove fibroids. The physician makes an incision in the abdominal wall and removes the fibroid from the uterus. A particularly extensive laparotomic procedure may necessitate that any future births be conducted by Caesarean section.


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