Fibroid Health

The treatment of fibroids depends mainly on the number of problems due to its presence. Many women have even not indicate the presence of fibroids, unless some women to undergo medical check up.Most is also easy to carry a pregnancy, but after most of the surgical options, is more difficult to carry a pregnancy.

OIF fibroids cause no problems and discomfort that without treatment other than regular medical examinations.

OSi fibroids cause pain, heavy or long menstrual bleeding, or other problems related to pregnancy, surgery may be necessary. Both types of surgery are the most commonly performed hysterectomy and myomectomy.

OSi fibroids occur just before menopause and medications or surgery can only be used to reduce the size as they naturally decrease during menopause.

There are many treatment options available, depending on the patient and age:

1.Hysterectomy

2.Myomectomy

3.Hysteroscopic resection

4.Embolization

5.Laparoscopic Surgery

6.Medication

Hysterectomy

Hysterectomy is surgery to remove the uterus, usually with cervix.This is the best cure permanent common fibroids. However, an important disadvantage of this surgery is that a woman can not be pregnant or ecom a baby after this surgery. This option considered if the fibroids are very large. A hysterectomy is performed by making an incision in the abdomen. Sometimes the ovaries are also removed and the uterus and cervix. The decision to remove the ovaries depends on the closeness of women is the menopause when the ovaries are diseased.

vaginal hysterectomy or hysterectomy Laparoscopic vaginal can be done if the fibroids are small, the uterus can be removed through the vagina rather than the abdomen. A stay at the hospital for hysterectomy is 2-5 days. The patient recovered fully after 6 weeks. For six weeks, it is advisable to avoid driving, lifting heavy objects, relationships sex and strenuous exercise. Complications after surgery may be an infection, internal bleeding (hemorrhage) requiring blood transfusion or injury to other pelvic organs such as bladder, bowel or ureters.

Myomectomy

Myomectomy is a method to remove the fibroids without removing the uterus. This surgery allows women to have children, but only 50% of women can lead a successful pregnancy after myomectomy. Myomectomy is performed through an incision in the abdomen, with the aid of a laparoscope or
hysteroscope.

The risks of surgery include:

oHeavy bleeding may occur. A woman is more likely to need a blood transfusion after myomectomy than after a hysterectomy.

oScarring may happen that covers the ovaries or blocking or both fallopian tubes, which do not allow the tubes to collect the eggs after ovulation.

Othe surgery weakens the uterus of a baby delivery walls.For the patient must undergo a cesarean birth contractions may tear or break the wall.

oInfection

oBlood clots in the legs.

oReoccurrence fibroids

For the removal of small fibroids new types of surgeries are available. The benefits of these options

orthosis options do not require abdominal surgery.

oThey can spend the night in hospital, but all is not required stay is required at all.

oThey are cheaper and recovery is faster and less painful.

also oThey aesthetic results are better than any punishment stitches are made.

oPatients recover completely within a week or two at most

Hysteroscopic resection

A thin telescope or hysteroscope is inserted into the cervix. A measure that allows the surgeon to see inside uterus, fibroids can be removed with a laser, an electric knife or wire. It requires no incision.
The operation is performed under general anesthesia or local.

Embolization

Under this procedure, fibroids are made to reduce the size and blood supply short. Using an X-ray image, a small catheter is inserted through a small incision in the groin into the main arteries supplying the uterus. Small plastic particles are introduced through the catheter to block these blood vessels. Due to the small arteries remain connected to the uterus, no harm caused. All this is done under local or general anesthesia. Procedure is a need hour.It lie on your back for 6-7 hours after surgery to stop bleeding incision. It would require a complete recovery week during which some patients have fever.

Laparoscopic Surgery

In this form the size of laparoscopic surgical telescope called surgical pencil inserted through one or more small incisions in the abdomen remove fibroids.

or laparoscopic myomectomy is used for small and easy to get to the fibroids and an incision in the uterus is done to eliminate them.

oLaparoscopic myolysis is a procedure used for large or difficult to reach the fibroids. A laser or electric needle is used to destroy or diminished.

Drug

1. Some drugs called gonadotropin hormone agonists (GnRH agonists) can also be used to treat fibroids.They indirectly block the production of estrogen, which shrinks fibroids. Once the size
Fibroids is reduced to one third, is more easily removed through a vaginal or laparoscopic hysterectomy rather than abdominal surgery is more complicated. It can also be used to women approaching the fibroids reduce natural menopause and after menopause. It is available as Lupron (leuprolide), Synarel (nafarelin) and Zoladex (goserelin)

The disadvantages and side effects of these drugs are as follows: –

OSi these drugs are used for more than six months, which causes loss of bone mass leads to osteoporosis or joint pain.

oOnce cessation of drug use, fibroids grow back.

women stop having oMost menstrual periods during the drug period.

Othis drug has an effect similar to menopause, which causes all the problems we see during menopause as hot flashes, vaginal dryness, irregular vaginal bleeding, mood swings and libido

2.To reduce heavy bleeding due to fibroids, progesterone or androgens also considering that synthetic hormones. But do not shrink the fibroids. Sometimes GnRH agonist administered in combination with a low dose of estrogen or progestin, which reduces the side effects of GnRH agonists.

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