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Heavy Periods Tips

5 Causes Of Menstrual Disorders And Their Treatments!

Dr. Naimesh Patel 94% (10 ratings)
MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Ahmedabad
5 Causes Of Menstrual Disorders And Their Treatments!

Menstrual disorders are caused by a variety of factors and affect every woman in a different manner. In most cases, it manifests itself in the form of fluctuations in menstrual flow and irregularity in the monthly cycle. Certain disorders are not too severe and can be easily alleviated. Others are more complicated and require the immediate attention of a gynecologist.

As mentioned, there are different specific causes of different kinds of disorders resulting from a range of factors such as hormone levels, functioning of the central nervous system, health of the uterus, etc.

Some of the most common causes of menstrual disorders are as follows:

- Hormonal imbalance

Fluctuating hormone levels in the body have a direct impact on the menstrual cycle. These fluctuations can be caused by dysfunction in the pituitary gland, thyroid gland or adrenal gland. It can also be a result of malfunction in either or both ovaries and the secretion of hormones originating there.

- Anatomic problems

One fourth menstrual disorders are caused by problems of the anatomy. These include various gynecological issues like the presence of uterine fibroids and polyps, reduced uterine contractile strength, adenomyosis (intrusion of uterine tissue into the muscular wall of the uterus), a uterus with an excessively large surface area, and endometrial cancer.

- Clotting irregularities

Abnormality in clotting is a cause of heavy menstrual bleeding in women. It leads to exceeding blood loss from minor cuts and gashes and makes one easily prone to bruising. This may also include medical conditions such as thrombocytopenia (platelet dysfunction) and Von Willebrand disease.

- Medications and supplements

There is a wide range of medications and nutritional or hormonal supplements which often cause menstrual disorders in women and lead to fluctuations in the menstrual cycle. These include medicines such as aspirin, ibuprofen, estrogen pills, Vitamin E supplements etc.

- Miscellaneous factors

These are comparatively rare and require a greater degree of medical attention. It includes conditions such as cervical cancer, ovarian tumors, liver and kidney diseases, uterine infections, extreme psychological stress, obesity, etc. Incidents such as miscarriages and unsuspected pregnancies are also known to cause abnormal menstrual bleeding. 

Here are the treatment options for menstrual disorders:

Every women faces menstrual disorders at least once in their lifetime. There are various treatments for the same depending on the type of irregularity and certaain lifestyle factors.

Treatment for menstrual disorders, such as absent periods, infrequent periods and irregular periods, include:

1. Oral contraceptives
2. Cyclic progestin
3. Treatments for an underlying disorder that is causing the menstrual problem

The treatment for menstrual irregularities, such as heavy or prolonged menstrual bleeding, include:

1. Insertion of a hormone-releasing intrauterine device
2. Use of various medications (such as those containing progestin or tranexamic acid) or nonsteroidal anti-inflammatory medications

If the problem is structural or medical management had done ne benefit, then the following treatments may be considered:

1. Surgical removal of polyps or uterine fibroids
2. Uterine artery embolization, a procedure to block blood flow to the uterus
3. Endometrial ablation, a procedure to cauterize (remove or close off by burning) blood vessels in the endometrial lining of the uterus
4. Hysterectomy

Treatment for dysmenorrhea, also known as painful periods, include:

1. Applying a heating pad to the abdomen
2. Taking nonsteroidal anti-inflammatory medications
3. Taking contraceptives, including injectable hormone therapy or birth control pills, using varied or less common treatment regimens

1 person found this helpful

4 Causes Of Vaginal Bleeding During Pregnancy!

Dr. Pannam Sharma 88% (10 ratings)
MBBS, Diploma in Obstetrics & Gynaecology
Gynaecologist, Delhi
4 Causes Of Vaginal Bleeding During Pregnancy!

Bleeding during pregnancy is relatively common and doesn’t always mean there is a problem. It can be daunting and scary. However contrary to common beliefs, bleeding need not be a necessary harmful to a pregnant woman. However, it is important to take bleeding seriously at any stage of the pregnancy.

What are the possible causes of vaginal bleeding during pregnancy?

Causes of vaginal bleeding during early pregnancy include

  1. Implantation bleeding: It is a harmless light bleeding that often occurs around the time your period would have been due. It occurs when the developing embryo implants itself in the wall of the womb.
  2. Cervical changes: Cervical changes due to pregnancy may sometimes cause bleeding specifically after sex.
  3. Miscarriage: During early pregnancy vaginal bleeding can be a sign of miscarriage. About 1 in 5 pregnancies miscarry and usually, the cause is in the fetus and not the mother or the partner. At the same time, it is important to note that many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies.
  4. Ectopic pregnancy: An ectopic pregnancy is when fertilized egg implants outside the womb, for example in the fallopian tube. It can cause bleeding and is dangerous.

Early detection and appropriate management is a must in this case, so as to prevent any life-threatening complication. Other less common causes are molar pregnancy (a mass that forms inside the uterus that does not result in a baby) and problems with the cervix such as a cervical growth or cervical or vaginal infections. Vaginal bleeding might also occur during the later second or third trimester of the pregnancy.

Some of the commonly occurring includes

  1. Placenta praevia (low lying placenta): This is when the placenta is attached in the lower part of the womb, near to or covering the cervix. Bleeding from a low lying placenta can be very heavy and put you and your baby at risk
  2. Placental abruption: It is a serious condition in which the placenta starts to come away from the womb wall.
  3. Vasa praevia: A rare condition where baby’s blood vessels run through the membranes covering the cervix. When your water breaks, these vessels are torn and cause vaginal bleeding.

Vaginal bleeding towards the end of the pregnancy is normal. Often bleeding mixed with mucous (which is called show) can be a sign of the starting of the labor. 

When to visit a doctor?

It is important to keep the doctor informed about any bleeding that may have occurred at any stage of the pregnancy. A woman should carefully note details such as the type of bleeding, its texture, whether it included any tissue or clots, other symptoms such as pain and dizziness To work out what is the causing the bleeding, you may need to have a vaginal or pelvic examination, an ultrasound scan or blood tests and according to the cause and how many weeks pregnant you are it would be advised whether you need to be admitted to hospital or not and further treatment would be planned and advised.

Menstrual Disorders - Know What Causes It!

Dr. Neelima Padmanaban 86% (35 ratings)
MBBS, DGO, DNB
Gynaecologist, Bangalore
Menstrual Disorders - Know What Causes It!

Menstrual disorders are caused by a variety of factors and affect every woman in a different manner. In most cases, it manifests itself in the form of fluctuations in menstrual flow and irregularity in the monthly cycle. Certain disorders are not too severe and can be easily alleviated. Others are more complicated and require the immediate attention of a gynecologist.

As mentioned, there are different specific causes of different kinds of disorders resulting from a range of factors such as hormone levels, functioning of the central nervous system, health of the uterus, etc.

Some of the most common causes of menstrual disorders are as follows:

- Hormonal imbalance

Fluctuating hormone levels in the body have a direct impact on the menstrual cycle. These fluctuations can be caused by dysfunction in the pituitary gland, thyroid gland or adrenal gland. It can also be a result of malfunction in either or both ovaries and the secretion of hormones originating there.

- Anatomic problems

One fourth menstrual disorders are caused by problems of the anatomy. These include various gynecological issues like the presence of uterine fibroids and polyps, reduced uterine contractile strength, adenomyosis (intrusion of uterine tissue into the muscular wall of the uterus), a uterus with an excessively large surface area, and endometrial cancer.

- Clotting irregularities

Abnormality in clotting is a cause of heavy menstrual bleeding in women. It leads to exceeding blood loss from minor cuts and gashes and makes one easily prone to bruising. This may also include medical conditions such as thrombocytopenia (platelet dysfunction) and Von Willebrand disease.

- Medications and supplements

There is a wide range of medications and nutritional or hormonal supplements which often cause menstrual disorders in women and lead to fluctuations in the menstrual cycle. These include medicines such as aspirin, ibuprofen, estrogen pills, Vitamin E supplements etc.

- Miscellaneous factors

These are comparatively rare and require a greater degree of medical attention. It includes conditions such as cervical cancer, ovarian tumors, liver and kidney diseases, uterine infections, extreme psychological stress, obesity, etc. Incidents such as miscarriages and unsuspected pregnancies are also known to cause abnormal menstrual bleeding.  

 

3734 people found this helpful

Pcod/ Polycystic Ovarian Disease!

Dr. Suyash Bhandekar 87% (26 ratings)
MBBS, MS - Obstetrics & Gynaecology,DNB, DGO,DFPS,DFP, National Board Of Examination
Gynaecologist, Mumbai
Pcod/ Polycystic Ovarian Disease!

Polycystic ovary syndrome (pcos) is a hormonal disorder common among women of reproductive age. Women with pcos may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. 

Symptoms

Signs and symptoms of pcos vary. A diagnosis of pcos is made when you experience at least two of these signs:
Irregular periods. Infrequent, irregular or prolonged menstrual cycles are the most common sign of pcos. For example, you might have fewer than nine periods a year, more than 35 days between periods and abnormally heavy periods.
Excess androgen. Elevated levels of male hormone may result in physical signs, such as excess facial and body hair (hirsutism), and occasionally severe acne and male-pattern baldness.
Polycystic ovaries. Your ovaries might be enlarged and contain follicles that surround the eggs. As a result, the ovaries might fail to function regularly.

Causes

The exact cause of pcos isn't known. Factors that might play a role include:

Excess insulin
Heredity
Excess androgen
Low-grade inflammation (role of reactive oxygen species)
 

Complications

1) obesity
2) infertility
3) gestational diabetes or pregnancy-induced high blood pressure
4) miscarriage or premature birth
5) nonalcoholic steatohepatitis
6) metabolic syndrome comprising of high blood pressure, high blood sugars and impaired cholesterol levels leading to increase risk of cardiovascular disease
7) pre diabetes/ type 2 diabetes
8) sleep apnoea
9) depression, anxiety, eating disorders
10) abnormal uterine bleeding
11) cancer uterus

Diagnosis

There's no test to definitively diagnose pcos. Your doctor is likely to start with a discussion of your medical history, including your menstrual periods and weight changes. A physical exam will include checking for signs of excess hair growth, insulin resistance and acne. Other modalities include a pelvic examination, blood tests and an ultrasound

Treatment

Pcos treatment focuses on managing your individual concerns, such as infertility, irregular periods, hirsutism, acne or obesity. Specific treatment might involve lifestyle changes (weight reduction/ limit carbohydrates/ active exercises) or medication (depending upon the focus of concern).

2 people found this helpful

Menorrhagia During Puberty - Things To Know About It!

Dr. Bhagyashree Deshmukh 94% (59 ratings)
MD - Obstetrtics & Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Nagpur
Menorrhagia During Puberty - Things To Know About It!

A girl’s first period or Menarche marks her transition from a ‘girl’ to a ‘woman’. Most girls have their first period between the ages of 11 to 13 depending on their genetic structure, body weight, nutrition and maturity of the hypothalamic-pituitary-ovarian axis. Periods are usually irregular in the first two years and gradually settle into a pattern. Along with the duration of the periods, there may also be fluctuation in the amount of blood being lost. Puberty menorrhagia can be described as excessive vaginal bleeding during menstruation. This can occur up to the age of 19 years.

One of the characteristic symptoms of menorrhagia during puberty is having to change tampons or sanitary napkins every 2-3 hours. Periods that last more than 7 days can also be a sign of this condition. While the average amount of blood lost during menstruation is 30ml, adolescents suffering from this condition can lose up to 80ml of blood. Other symptoms include acne, pale skin, the growth of excessive facial or body hair and palpitations of the abdomen. These indicate an imbalance of hormones within the body.

In most cases, this condition is caused by anovulatory cycles. This can be described as a menstrual cycle in which an egg is not released by the ovaries. Anovulatory cycles may be triggered by sudden changes in hormone levels, drastic weight loss or weight gain, stress, extreme levels of exercising and an imbalanced diet. The use of hormonal contraceptives and infections may also cause excessive menstrual bleeding. Less common causes of this condition include endocrine disorders, systemic illnesses and structural lesions such as cervical polyps or fibroids.

While menorrhagia is common during puberty, if it continues for over three months, you must consult a doctor. Depending on the factors triggering this condition it can be treated with hormonal or non-hormonal medication or even a combination of the two. Treatment for this condition must be tailored to each patient while keeping in mind her age, family medical history and co-existing medical conditions. Hormonal treatment for excessive menstrual bleeding can take the form of oral contraceptives or progesterone tablets. Non-hormonal forms of treating this condition include iron supplements and medication to reduce blood flow. You should also eat more food that is rich in iron and vitamins while reducing intake of proteins and spicy foods. Home remedies for this condition include drinking a tea made with coriander seeds or adding cinnamon to your usual cup of tea.

Menorrhagia - Know More About It!

Dr. Poonam Agarwal 92% (38 ratings)
MBBS, DGO, DNB - Obstetrics & Gynecology
Gynaecologist, Delhi
Menorrhagia - Know More About It!

A girl’s first period or Menarche marks her transition from a ‘girl’ to a ‘woman’. Most girls have their first period between the ages of 11 to 13 depending on their genetic structure, body weight, nutrition and maturity of the hypothalamic-pituitary-ovarian axis. Periods are usually irregular in the first two years and gradually settle into a pattern. Along with the duration of the periods, there may also be fluctuation in the amount of blood being lost. Puberty menorrhagia can be described as excessive vaginal bleeding during menstruation. This can occur up to the age of 19 years.

One of the characteristic symptoms of menorrhagia during puberty is having to change tampons or sanitary napkins every 2-3 hours. Periods that last more than 7 days can also be a sign of this condition. While the average amount of blood lost during menstruation is 30ml, adolescents suffering from this condition can lose up to 80ml of blood. Other symptoms include acne, pale skin, the growth of excessive facial or body hair and palpitations of the abdomen. These indicate an imbalance of hormones within the body.

In most cases, this condition is caused by anovulatory cycles. This can be described as a menstrual cycle in which an egg is not released by the ovaries. Anovulatory cycles may be triggered by sudden changes in hormone levels, drastic weight loss or weight gain, stress, extreme levels of exercising and an imbalanced diet. Less common causes of this condition include endocrine disorders, systemic illnesses and structural lesions such as cervical polyps or fibroids.

While menorrhagia is common during puberty, if it continues for over three months, you must consult a doctor. Depending on the factors triggering this condition it can be treated with hormonal or non-hormonal medication or even a combination of the two. Treatment for this condition must be tailored to each patient while keeping in mind her age, family medical history and co-existing medical conditions. Hormonal treatment for excessive menstrual bleeding can take the form of oral contraceptives or progesterone tablets. Non-hormonal forms of treating this condition include iron supplements and medication to reduce blood flow. You should also eat more food that is rich in iron and vitamins. Home remedies for this condition include drinking a tea made with coriander seeds or adding cinnamon to your usual cup of tea.

4367 people found this helpful

Diagnosis And Treatment Of Abnormal Uterine Bleeding!

Dr. Archana Gupta 89% (10 ratings)
MBBS, Post Graduate Diploma In Sonography Obs - Gynae & Abdomen
Gynaecologist, Delhi
Diagnosis And Treatment Of Abnormal Uterine Bleeding!

Any kind of bleeding from the uterus, which is not normal, can be termed as abnormal uterine bleeding. This refers to bleeding between periods or before periods, bleeding after having sex, spotting, abnormally heavy bleeding or bleeding after attaining menopause. If you are suffering from any of these issues, you need to check with the doctor. 

Diagnosis
It is very important to diagnose abnormal uterine bleeding. There are several examinations and tests that have to be carried out, depending on age. For irregular spotting, a pregnancy test can be undertaken in case you think you could be pregnant. If your uterine bleeding is very heavy, a test has to be performed to check blood count. This is done to observe whether you have anemia. An ultrasound test of the pelvic region will also be advised by your doctor to know the cause of the bleeding. Several hormonal tests and thyroid function tests are required as well.

Other diagnostic tests include:

  1. Sonohysterography: When fluid is placed within the uterus and ultrasound images of the uterus are taken. An image of the pelvic organs is obtained.
  2. Hysteroscopy: It can be carried out when a device is inserted via the vagina and enables the doctor to examine the uterus internally.
  3. Magnetic resonance imaging: This is also used to get images of the organs.
  4. Endometrial biopsy:  It involves insertion of a catheter to take out a tissue which is microscopically observed. 

Treatment
There are different types of treatment for abnormal uterine bleeding depending upon factors such as the cause of bleeding and the age of the patient.

  1. Medications: Several medicines are used to treat abnormal uterine bleeding. Sometimes hormonal medicines are used. Birth control pills are also used to improve the regularity of periods. Hormonal infections, vaginal creams and an IUD device releasing hormone can be used. Non steroidal anti-inflammatory drugs are also used to control bleeding. Several antibiotics may also be prescribed.
  2. Surgery: In some cases of abnormal uterine bleeding, a woman has to undergo a surgery for the removal of growth such as polyps and fibroids, which results in bleeding. While some fibroids can be removed via hysteroscopy, others require different techniques for treatment.
  3. Endometrial ablation: It can be undertaken to control bleeding. This mode of treatment aims at reducing the bleeding permanently. In case all treatment methods fail, hysterectomy has to be carried out. This is a serious surgery and after it is performed, a woman does not have periods anymore and will not be able to conceive a child.

Abnormal uterine bleeding is a serious health condition, which may lead to severe complications. Immediate diagnosis and appropriate treatment methods should be undertaken in case of any abnormal uterine bleeding.

3427 people found this helpful

Menstrual Disorders - 5 Reasons Behind It!

Dr. Neha Poddar 85% (10 ratings)
MBBS, MS - Obstetrics and Gynaecology, PGD Ultrasonography
Gynaecologist, Ghaziabad
Menstrual Disorders - 5 Reasons Behind It!

Menstrual disorders are caused by a variety of factors and affect every woman in a different manner. In most cases, it manifests itself in the form of fluctuations in menstrual flow and irregularity in the monthly cycle. Certain disorders are not too severe and can be easily alleviated. Others are more complicated and require the immediate attention of a gynecologist.

As mentioned, there are different specific causes of different kinds of disorders resulting from a range of factors such as hormone levels, functioning of the central nervous system, health of the uterus, etc.

Some of the most common causes of menstrual disorders are as follows:

  1. Hormonal imbalance: Fluctuating hormone levels in the body have a direct impact on the menstrual cycle. These fluctuations can be caused by dysfunction in the pituitary gland, thyroid gland or adrenal gland. It can also be a result of malfunction in either or both ovaries and the secretion of hormones originating there.

  2. Anatomic problems: One fourth menstrual disorders are caused by problems of the anatomy. These include various gynecological issues like the presence of uterine fibroids and polyps, reduced uterine contractile strength, adenomyosis (intrusion of uterine tissue into the muscular wall of the uterus), a uterus with an excessively large surface area, and endometrial cancer.

  3. Clotting irregularities: Abnormality in clotting is a cause of heavy menstrual bleeding in women. It leads to exceeding blood loss from minor cuts and gashes and makes one easily prone to bruising. This may also include medical conditions such as thrombocytopenia (platelet dysfunction) and Von Willebrand disease.

  4. Medications and supplements: There is a wide range of medications and nutritional or hormonal supplements which often cause menstrual disorders in women and lead to fluctuations in the menstrual cycle. These include medicines such as aspirin, ibuprofen, estrogen pills, Vitamin E supplements etc.

  5. Miscellaneous factors: These are comparatively rare and require a greater degree of medical attention. It includes conditions such as cervical cancer, ovarian tumors, liver and kidney diseases, uterine infections, extreme psychological stress, obesity, etc. Incidents such as miscarriages and unsuspected pregnancies are also known to cause abnormal menstrual bleeding.

4106 people found this helpful

Factors That Can Cause Menstrual Disorders

Dr. Rekha Anand 85% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Navi Mumbai
Factors That Can Cause Menstrual Disorders

Menstrual disorders are caused by a variety of factors and affect every woman in a different manner. In most cases, it manifests itself in the form of fluctuations in menstrual flow and irregularity in the monthly cycle. Certain disorders are not too severe and can be easily alleviated. Others are more complicated and require the immediate attention of a gynecologist.

As mentioned, there are different specific causes of different kinds of disorders resulting from a range of factors such as hormone levels, functioning of the central nervous system, health of the uterus, etc.

Some of the most common causes of menstrual disorders are as follows:

- Hormonal imbalance

Fluctuating hormone levels in the body have a direct impact on the menstrual cycle. These fluctuations can be caused by dysfunction in the pituitary gland, thyroid gland or adrenal gland. It can also be a result of malfunction in either or both ovaries and the secretion of hormones originating there.

- Anatomic problems

One fourth menstrual disorders are caused by problems of the anatomy. These include various gynecological issues like the presence of uterine fibroids and polyps, reduced uterine contractile strength, adenomyosis (intrusion of uterine tissue into the muscular wall of the uterus), a uterus with an excessively large surface area, and endometrial cancer.

- Clotting irregularities

Abnormality in clotting is a cause of heavy menstrual bleeding in women. It leads to exceeding blood loss from minor cuts and gashes and makes one easily prone to bruising. This may also include medical conditions such as thrombocytopenia (platelet dysfunction) and Von Willebrand disease.

- Medications and supplements

There is a wide range of medications and nutritional or hormonal supplements which often cause menstrual disorders in women and lead to fluctuations in the menstrual cycle. These include medicines such as aspirin, ibuprofen, estrogen pills, Vitamin E supplements etc.

- Miscellaneous factors

These are comparatively rare and require a greater degree of medical attention. It includes conditions such as cervical cancer, ovarian tumors, liver and kidney diseases, uterine infections, extreme psychological stress, obesity, etc. Incidents such as miscarriages and unsuspected pregnancies are also known to cause abnormal menstrual bleeding.  

4002 people found this helpful

How Will Uterine Fibroid Removal Surgery Help You?

Dr. Vidya Patil 85% (35 ratings)
MBBS, MD - Obstetrics & Gynaecology, DNB - Obstetrics and Gynecology
Gynaecologist, Mumbai
How Will Uterine Fibroid Removal Surgery Help You?

It is very common for women to have heavy and painful periods or have a feeling of fullness in the lower abdomen. Although, it may not sound very alarming these could be the symptoms of uterine fibroids. These are the most common types of benign tumours found in women. The fibroids are basically some tissues and muscle cells that grow within the uterus, outside the uterus, or along the wall of the uterus. The fibroids are usually benign and asymptomatic and do not require any treatment unless they cause problems. 

Know the causes 

Though the exact cause of fibroid formation is not known, it is believed that the female hormones estrogen and progesterone have a role to play in their formation. Fibroids are formed only when a woman is producing these hormones and they are not seen in women in non-reproductive age i.e. before starting of menses or after stoppage of menses (menopause). If fibroids are persisting even after menopause or especially if increasing in size then it is an alarming sign. Such a fibroid needs to be taken care of immediately. 

What are the symptoms? 

Fibroids often remain quiet for long periods of time. They cause nonspecific symptoms in the pelvis and abdomen including: 

  1. Fullness in the abdomen 
  2. Low back pain 
  3. Irregular menstruation 
  4. Cramping with menstruation 
  5. Painful sex 
  6. Increased urgency to urinate 
  7. Anemia, leading to tiredness and weakness 
  8. Infertility Diagnosing the fibroids 

When these symptoms are recurrent, it is good to confirm the diagnosis. This can happen with a pelvic exam followed by ultrasound scanning to confirm the size and location of the fibroids. A blood test also may be done to confirm anemia, which is common due to heavy periods.

Treatment Options 

Management of fibroids can range from doing nothing to periodic monitoring to surgical removal. 

  1. If pain and heavy bleeding are the only symptoms, then pain killers like ibuprofen should suffice for symptomatic relief. Anemia, if severe, may require iron supplementation. 
  2. Embolization is an option which shrinks the fibroid, at the same time preserving the uterus. The blood flow to the fibroid is cut off, thereby preventing its further growth. It takes about 1 to 3 hours and requires some bed rest after the procedure. There could be some pelvic pain and vaginal bleeding, which will gradually subside. The fibroids may grow back, but the benefits of keeping the uterus are definitely there. This is suitable in case of single fibroid with specific blood supply. 
  3. The next surgical option is myomectomy, where the portion of the uterus which contains the fibroid alone is removed. This is done in women who still wish to get pregnant and in women who would like to retain the uterus. This can also be achieved laparoscopically( key hole surgery). In such cases, fibroids are cut into small pieces and then removed from the body. This procedure should be done by a doctor specialised in advanced gynecological endoscopy as all this cutting should be done in a bag to avoid any spillage of cells inside the abdominal cavity. This procedure is known as Laparoscopic Myomectomy with In-bag Moecellation. 
  4. In women who have crossed their pregnancy phase, hysterectomy or complete removal of the uterus is advised. In these women, the bleeding and pain may not have subsided even after years of treatment with hormones. The growing fibroids could be pressing on the adjacent organs, causing pressure. This is the only definitive treatment and should be done in women have completed their family and don’t desire to be pregnant. 
  5. Myomectomy and hysterectomy may be done laparoscopically or with an open method depending on the overall health, the size and location of the fibroids in the uterus.
2491 people found this helpful
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