Dr. Archana Changedia

Even minor degree of thyroid impairment in pregnancy can lead to lower IQ in offspring. Hence hypothyroidism should be adequately treated.

A fibroid tumour is made up of muscle cells that have escaped and come together to create a knot or a mass in the uterus. These tumours can occur due to a family history and are usually known to occur for women patients nearing menopause. One of the most common symptoms is unusually heavy menstrual cycles. Let us walk you through the rest of the details.

• Types: Fibroid tumours can be of three types, mainly depending on the location. While submucosal fibroids can be found just under the lining of the uterus, intramural fibroids can be found between the muscles that lie on the walls of the uterus. Finally, the third type - subserosal fibroids - go beyond the uterine wall to enter the pelvic cavity. 
• Symptoms: Usually, there are no symptoms of these kinds of fibroids. There may be heavy bleeding during the monthly menstrual cycle, as well as swelling and pain in the abdomen. Also, prolonged bleeding is common when these kinds of tumours are present in the body. 
• Cause: Fibroid tumours are mostly caused due to an overgrowth of the cells beyond the muscular walls that line the uterus. In such cases, the growth is further fuelled by hormones like estrogen and progesterone. These hormones are usually at their highest level in the body, during the childbearing years of a woman. During menopause, these tumours are known to shrink before they eventually vanish. It is very rare to find malignancy in such tumours. 
• Risk: Are you at risk? Well, that depends on your age, family medical history, weight and in some cases, even the ethnicity. These tumours are mostly found in women who are between the age of 30 to 40 years and continues through menopause. Obesity is also a major reason that gives rise to this condition. Further, women of colour are known to develop this more easily while a family history can also increase your chances of the same.
• Tests and Diagnosis: A pelvic exam and an ultrasound as well as a history of your menstrual cycle will help the doctor in determining whether or not you are suffering from this condition.
• Treatment: Non steroid, anti-inflammatory drugs can help in bringing down the swelling and pain, especially in cases where there is heavy menstrual bleeding. Birth control pills and patches with hormones can also help in such cases. Further, progesterone shots and iron supplements may be prescribed. Very severe cases may require surgery for removal with a myomectomy.

Remember to visit your doctor in case you see any nagging symptoms of fibroid tumours.