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Uterine Fibroids Health Feed

Uterine Fibroids - Are They Always Cancerous?

Dr. Varshali Mali 93% (21 ratings)
MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Pune
Uterine Fibroids - Are They Always Cancerous?
Uterine fibroids are always cancerous- True or False? Take this quiz to find out.
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I am 28 year having intramural uterine fibroid size of 10*10 cm. Doesn't have any kid now, 2 year of marriage. It is asymptomatic but a bulge mass like feeling in lower abdomen. What should I do. Please guide. Is surgery only option?

BHMS
Homeopath, Nagpur
I am 28 year having intramural uterine fibroid size of 10*10 cm. Doesn't have any kid now, 2 year of marriage. It is ...
Surgery is never the solution. Take homoeopathic medicine. Rx Thuja 1m one dose in a week Conium 6c twice in a day Fracxinus americana q 15-20 drops in half cup of leukwarm water thrice in a day.
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Fibroid Tumours- Types, Causes And Signs of it

Dr. Mala Sinha 87% (37 ratings)
secondary DNB, DGO, fellowship in minimal access surgery, observership in advanced reproductive technique
Gynaecologist, Patna
Fibroid Tumours- Types, Causes And Signs of it

Fibroid tumour is the abnormal cell growth in the uterus and they are mostly benign. Fibroids usually affect women in the age bracket of 30 - 40. Fibroid tumours are of three types, depending on their location:

  1. Submucosal fibroids: The tumour develops under the lining of the uterus
  2. Intramural fibroids: The growth is found amongst the muscles in the wall of the uterus
  3. Subserosal fibroids: The growth develops on the wall of the uterus right in the pelvic cavity

Causes behind it
The exact cause of fibroids in not known clearly. But certain factors have been discovered that might influence their formation. These factors include:

  1. Hormones: Progesterone and estrogen are the hormones responsible for recreating the uterine lining during every menstrual cycle. These hormones might trigger the formation of tumour.
  2. Family history: If any member in your family; your mother, grandmother or sister has/had fibroids in their uterus, you may also develop it.
  3. Pregnancy: Your body produces excessive progesterone and estrogen when you are pregnant, which may cause an increase in the size of a pre-existing small fibroid. Myomectomy can be done by giving incision on the abdomen or by laparoscopy depending on the size and location of the fibroids.

Signs You are suffering from it

  1. Heavy bleeding along with blood clots during or between your periods
  2. Lower back or pelvic pain
  3. Elevated menstrual cramping
  4. Frequent urination
  5. Pain during sex
  6. Longer than normal periods
  7. Bloating or pressure in lower abdomen
  8. Enlargement or swelling of the abdomen

How it can be treated?
Your doctor will formulate the right treatment depending on your age, the mass of the fibroids and your overall health. Your doctor may choose a combination of treatment to cure your fibroids, and they include:

  1. Medication: Gonadotropin releasing hormones (GnRH) agonists, birth control pills and ibuprofen (anti-inflammatory medicine) are prescribed. GnRH agonists reduce the level of progesterone and estrogen in your uterus.
  2. SurgeryMyomectomy and hysterectomy are two common surgical procedures to treat fibroids. Myomectomy is performed by removing the fibroids only by making an incision on the abdomen. But hysterectomy completely removes the uterus. The latter is reserved for serious cases.
  3. Non-invasive surgery: Forced ultrasound surgery, myolysis (shrinking fibroids with laser or electric current), cryomyolysis (fibroids are frozen) and endometrial ablation (an instrument uses heat, hot water, microwaves or electric current to destroy fibroids) are some non-invasive surgical procedures.
1 person found this helpful

I'm 32 without children. I have three uterine fibroids 8 mm, 10 mm and 11 mm. There are no any signposts. It was diagnosed through the ultrasound investigation. Is it allowed to use silymarin (milk thistle extract). I read the whole internet and some tells that it's worth to use and another -it's prohibited dye to estrogenic effect. Can you help me to solve this problem. Thank you.

Dr. Somya Sinha 91% (37 ratings)
MBBS, MS- Obs & Gynae, DNB - Obs & Gynae
Gynaecologist, Ranchi
I'm 32 without children. I have three uterine fibroids 8 mm, 10 mm and 11 mm. There are no any signposts. It was diag...
This size fibroids cannot cause infertility and will rarely cause it if it it submucuos in location. If you have no problems like heavy and irregular periods you don't require treatment of it at the present. But if all other factors causing infertility are normal then you can take medicine for it with consultation of a gynaecologist. No home made remedy has been proven to treat it.
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I am having 40 years old. Having Fibroid. Before 6 months medicine Ulitas continued for 90 days. But now pain for menses time. How to control. White discharge after menses is there. Painful now.

Dr. Saumyaranjan Pandey 91% (119 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate in Child Health, Certificate in Skin Diseases, Certificate in Veneral Diseases, Certificate in Gynecology & Obstetrics, Post Graduate Diploma in Emergency Medical Service (P.G.D.E.M.S)
Ayurveda, Mumbai
I am having 40 years old. Having Fibroid. Before 6 months medicine Ulitas continued for 90 days. But now pain for men...
For pain put 10 drops of bilabial oil in your navel once or twice a day n press the umbilical button and then massage your stomach. Do this for at least a month to 3 month daily your pain will disappear. Regarding white discharge you will have to take some herbs to control it. For further detail you cam contact us.
1 person found this helpful
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Uterine Fibroids - Different Ways They Can Be Treated & Surgeries That Can Help!

Dr. Mamta Goel 93% (111 ratings)
DNB, DGO, MD
Gynaecologist, Delhi
Uterine Fibroids - Different Ways They Can Be Treated & Surgeries That Can Help!

A Fibroid is a non cancerous (benign) growth of the womb (uterus). They are also called myomas, fibromyomas or leiomyomas. Their size varies from a size of a pea to as big as a melon. They can increase (like in pregnancy) or decrease with time (like after the menopause) and even go away. It is important to understand that a large number of fibroids are asymptomatic and do not require treatment. Also many times especially in India surgeries like hysterectomies are performed without any valid reason or proof for doing so. 

Symptoms 

Most women with fibroid are not aware that they have them as they do not have any symptoms. Sometimes one is found during a routine examination or during a scan. Few of the common symptoms are heavy or more painful periods, bloating or swelling, increased frequency of urine, constipation, pain during sexual intercourse. 

Fibroid treatments Observation – If your fibroids are not causing any symptoms then treatment is not needed. After menopause they would shrink anyways 

Medication to improve symptoms – Medications like Tranexemic acid, combined oral contraceptive pills and progesterones may be used in selected cases. 

LNG – IUS- The levonorgestrel intrauterine system a plastic device that sits inside the womb and releases a regular small amount of progesterone may help some women 

Medication to shrink the fibroid – Some women are given a gonadotrophin-releasing hormone (GnRH) analogue. This hormone medicine causes a very low level of oestrogen in your body and thus shrinks the fibroid. However, they are expensive and cause symptoms similar to menopause and increase the risk of thinning the bones (osteoporosis). 

Surgery and other operative treatments-

  1. Hysterectomy: It means removal of the womb. This can be done through a bikini line scar in lower tummy or keyhole (laparoscopic) surgery.
  2. Myomectomy: In this operation the fibroid is removed and the womb is left. This is done especially in women who wish to have children in future. 
  3. Uterine artery embolization: This procedure is done by a specially trained X ray doctor (radiologist). It is done by putting a substance that blocks the artery that the supplies the fibroid. This procedure can be done in selected case with variable success. 
  4. Myolysis: This means shrinking the fibroid in some way surgically. This is done by endometrial ablation (Removal the lining of the womb by using laser energy or a heated wire loop or a microwave heating).

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Female age 56 years. Want to do hysterotomy. How can it be done with minimum pain and not much of bed rest.

Dr. Jayvirsinh Chauhan 96% (10990 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Hello Vinod... Better take homoeopathic treatment for the problem. As hysterectomy has many side effects. If you still want then vaginal hysterectomy is the option.. And consult a gynecologist for more information..
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I am 35 years old unmarried, year 2016 I found my uterus is retroverted in sonography. Dr. I want to knw does retroverted uterus causes painful sex, if yes. please tell me which position are painless during sex.

Dr. Ashwini Vivek (Gandhi) 92% (1067 ratings)
Diploma In Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
Retroverted uterus need not cause painful sex. Rear entry position may at times be painful if uterus is retroverted. Besides retroverted uterus may become automatically anteverted too. In the nutshell it is not a hindrance for sex.
2 people found this helpful
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Report of sonography shows liver is enlarged in size 159 mm and intramural fibroid 32*28 mm is seen in posterior myometrium mid uterine region .few nabothian cysts are seen. Explain this terminology as well as suggest the treatment.

Dr. G.R. Agrawal 95% (20715 ratings)
DHMS (Hons.)
Homeopath, Patna
Report of sonography shows liver is enlarged in size 159 mm and intramural fibroid 32*28 mm is seen in posterior myom...
Hello, It depends upon your dietary regulation, lifestyle ,medication & willpower to get well, soon within a month reversing fatty liver grd-1. In order. •You need to reduce your weight, if you are obese, maintaining healthy diabetic condition. •Go for meditation to reduce stress in order to nourish liver, conditioning its enzymes, specially, triglyceride level. •Your diet be regular, non-irritant, moderate in carbohydrate, avoiding, alcohol, nicotine & junk food. • Homoeopathic medicine ,underlying will recover your liver problem. • Chelidonium Q (mother tincture )-10 drops, thrice with little water, orally. You may opt liver to recover fatty liver fast, miraculously. Take care.
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Uterine Fibroid - How To Treat It?

Dr. Laxmi Goel 93% (29 ratings)
MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Faridabad
Uterine Fibroid - How To Treat It?

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. 

Type of fibroids depending upon the location- 

  1. Submucosal 
  2. Intramural 
  3. Subserosal 

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 the patient complains of pain and bleeding then mefenamic acid and tranexamic acid are given for symptomatic relief. For control of bleeding various hormonal medicines are prescribed such as OCPs, GnRH analogs injections, ulipristal but if hormonal treatment does not work then resort to surgical treatment as already mentioned in content. Also if the patient has come with infertility with fibroid uterus the en location of fibroid is very important as submucosal fibroids must be removed hysteroscopically and intramural fibroids with submucosal indentation must be removed under laproscopy guidance.
  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 case you have a concern or query you can always consult an expert & get answers to your questions!

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