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Pregnant Health Feed

Uterine Fibroid - How Removing Them Will Help You?

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Uterine Fibroid - How Removing Them Will 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.

In drunk stage I did not use condom and ejaculated in my wife. I gave her ipill within 24 hrs. Can she be pregnant,

Dr. Megha Tuli Gupta 92% (1593 ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
In drunk stage I did not use condom and ejaculated in my wife. I gave her ipill within 24 hrs. Can she be pregnant,
Its highly unlikely to get pregnant if the pill was taken within 24 hours or unprotected intercourse. DO not worry dear.
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Period ke kitne dino baad sex krna chiye jo wife pregnant ho jye and normal week me kitne bar sex krna chiye jo hm dono ki health ko problem na hi.

MBBS, MD - Obstetrtics & Gynaecology, FCPS
Gynaecologist, Hubli-Dharwad
Period ke kitne dino baad sex krna chiye jo wife pregnant ho jye and normal week me kitne bar sex krna chiye jo hm do...
If your wife's menstrual cycles are regular every 28-30 days, then you should have sex from day 12-18. But my suggestion is don't keep calculating dates. Keep having sex every alternate day. You will have fair chance of pregnancy and also you will enjoy your married life. Good luck.
1 person found this helpful
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Mansis band hone ke 6 din bad maine sex kiya aur mai pregnant ho gai. Kya ye normal case mai hota hai.

Dr. Krishanu Samanta 86% (1061 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
Mansis band hone ke 6 din bad maine
sex kiya aur mai pregnant ho gai. Kya ye normal case mai hota hai.
It may occur when menstrual cycle is not regular then ovulation is irregular and so why this type incident may occur.
1 person found this helpful
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I am 24 weeks pregnant. I went to a ladies doctor for my breathing problem. I can not breathe properly when I sleep. And she gave me the medicine of my baby's growth. I am scared about this type of growth medicines. I want and I am trying to a normal delivery. I am not a doctor but I thought growth medicine will not help me in normal delivery. please tell me what to do? I am good. So why I took medicine?

Dr. Sarika Dahiphale 95% (591 ratings)
Mbbs,, MS OBGY
Gynaecologist, Pune
I am 24 weeks pregnant. I went to a ladies doctor for my breathing problem. I can not breathe properly when I sleep. ...
Remove myths from your mind and trust your doctor growth medicine are to maintain your body healthy at time of birth same for baby ,healthy baby have less complications and increases the chance for normal delivery. Don't think only on mode of delivery, think about the outcome. That should be healthy baby and healthy you.
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Hi mam I took a 3 unwanted 72 in last 2 month back from there I noticed I am feeling some problem for pregnancy My husband try so many times but still no results. Mam please suggest me I think it is side effects or that pills please tell me mam how I can remove it and get a pregnant.

Dr. Shailee Agrawal 91% (29 ratings)
MBBS, DGO
Gynaecologist, Sirohi
Hi mam
I took a 3 unwanted 72 in last 2 month back from there I noticed I am feeling some problem for pregnancy
My hu...
Unwanted pills disturb tubal motility. So pls give your body time to settle. Wait for 2 to 3 months than try.
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Hello. I have an older sister who is 9 week pregnant. Due to some family problem she don’t want to continue her pregnancy so can you suggest some quick effective home remedies which can help her to do it naturally immediately. It will be very helpful.

Dr. Neelam Nath 92% (7033 ratings)
Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello. I have an older sister who is 9 week pregnant. Due to some family problem she don’t want to continue her pregn...
there is no home remedies for abortion she can try MTP kit having 5 tablets with instructions written on pack to be taken for 3 days MTP kit is suggested for pregnancy upto 8 weeks only her case is borderline and she may start with the process of getting abortion if bleeding doesn't stop after ten days, get her checked by local doctor as retained pieces can be removed from the uterus by a minor procedure called menstrual regulation done with special syringe to sucks out pieces under local or general anesthesia in opd
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Hi I am 15 weeks pregnant. Recently I am diagnosed as having hyperthyroid. My T3 level is 1.65. Should I take methimez 2.5 or propylthiouracil? Which is safest during pregnancy?

Dr. Rajesh Jain 94% (12473 ratings)
MBBS
General Physician, Jalgaon
Hi I am 15 weeks pregnant. Recently I am diagnosed as having hyperthyroid. My T3 level is 1.65. Should I take methime...
Please Propylthiouracil is better during first trimester As you already have crossed first trimester, you can take either of them.
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