Myoma Uterine Fibroids What is Myoma, Causes, Symptoms and Treatment for Myoma
A fibroid is a benign tumor that mainly consists have muscular tissue and usually grows inside the uterus. Fibroids are also called myomas. Its size ranges widely, from a small tumor the size of a pea to a large tumor almost the size of the uterus. Myomas are classified into three types, depending on the location where they are found. The intramural myoma, a fibroid that grows in the muscular wall of the uterus. This subserosal myoma, a fibroid located just beneath the outside mucosal covering of the uterus. Here the fibroid projects to the.
Outside and occasionally remains connected with the uterus only through a small stalk. The submucosal myoma, a tumor that grows beneath the surface of the uterus lining. Therefore, this type of fibroids can grow into the uterine cavity. The actual causes have development of a fibroid are still unclear. However, it has been documented that fibroids are associated with high levels of estrogen, the female sex hormone. Fibroids can only developed during reproductive years of women. Following menopause, the production of estrogen decreases which will usually cause fibroids to shrink or disappear.
Myomas are more common in nonpregnant and infertile women. In general, fibroids are asymptomatic or associated with just a few complaints if any complaints. If any complaints occur, then the location, size and type of the fibroid are the major factors. Fibroids can affect nearby structures. They can cause compression of the bladder, which may lead to urinary complaints, or may obstruct the intestine, which may result in constipation. Other complaints can be backaches, abdominal problems, menstrual flow disturbances. Fibroids can impede normal childbirth, which may require caesarean delivery. Fibroids relatively more often lead to miscarriages.
Whenever fibroids cause symptoms, they need to be removed or shrinked. Medications sometimes cause fibroid to shrink by blocking the production and secretion of estrogen. In other cases, surgery may be required to remove the fibroid. The type of surgery depends on the location of the fibroid. Sometimes it's possible to remove the fibroid with the help of the tube entered through the vagina and the procedure is called hysteroscopic myomectomy. In other cases, surgery through the abdominal wall may be necessary. In the case of a large fibroid, hysterectomy may be the only solution.
What are Fibroids Causes, symptoms and treatment of fibroids
Welcome back lovely ladies today we are going to figure out fibroids. figure out fibroids figure out fibroids It's like a tongue twister! say that three times fast. anyway, fibroids are something that you may never have to face because it generally tends to affect women age 30 or more however it is interesting to note that 25 percent women will probably suffer from fibroids at one point in their life but I'll never have symptoms and they'll never need treatment so what the heck are fibroids Fibroids are noncancerous growths.
In the muscle walls in your uterus. Studies show that that being overweight or having high blood pressure are major risk factors. Fibroids tend to shrink when your body goes through menopause. So, what causes fibroids unknown. I know, sorry to disappoint you. the thing is is that the growth depends on the estrogen levels in the body and as the woman continues to menstruate and the sizes can vary they can be so small that you need a microscope to look at them or they can be really big as big as the uterus. now if you do have symptoms,.
Some of them may include pelvic cramping when you're not on your period, lower abdomen pain, lower back pain, painful sex, and increased urine frequency. the doctor will do an ultrasound to check for all of this. Now some treatment options generally include getting on birth control pills or an IUD Intrauterine Device to help regulate the estrogen, and if it really really really comes down to it surgery is also an option. Again, all this varies on your diagnosis and the severity of your problems. Always remember to go to a doctor to get.
Robotic Surgery Innovations for Gynecology El Camino Innovates
Gtgt Regular surgery is usually made with a scalpel of long incision and obviously the drawbacks of that is that it takes longer to recover. There is more pain and the incision is more prone to have infections. What we're doing now is doing the same type of surgery but through very small incisions each about a centimeter in size. And with that approach, the incisions are smaller with less pain and patients do better, get back get out of the hospital quicker, get back on their feet, get back to work, all those things.
Gtgt What's different about the da Vinci system is that the laparoscopic surgery that we're able to do, we now have threedimensional visualization and the robotic instruments have a greater degree of freedom. So the instruments are wristed so you can accomplish more internally than you can with the straight stick conventional laparoscopic instruments. So it allows us to get around corners, accomplish more difficult surgeries laparoscopically than we would have been able to previously. gtgt So the benefits is that when she wakes up, she will have four or five very small incisions versus one long incision.
And so right away, the requirements for pain medication are a lot less. The patients are drinking fluids by the first night after surgery and I would say the majority of them actually are going home the day after the surgical procedure. gtgt We deal with cancers of the female reproductive tract. So, the typical surgeries that we would perform for female cancers would be radical hysterectomies for cervix cancer, hysterectomies with lymph node removal for endometrial cancer, cervix cancer. We can also take out ovarian tumors that are in early stages.
And perform the same staging procedure laparoscopically as well. We also as gynecologists do a number of benign conditions such as fibroids or heavy bleeding. I personally have an interest in pelvic reconstructive surgery. So I do reconstructive surgery for pelvic prolapse. It happens oftentimes after women have babies and they're older, things kind of fall. And I do a procedure robotically where we lift things up internally with a laparoscopic approach and one must stay one night in the hospital. Just like with any technical skill, I think the more you do the better you become at it.
And in robotic laparoscopic surgery, people often talk about learning curves. I'm almost up to 500 cases and I think that's well above the average. But I think it is important when you're choosing to have surgery to find somebody who is experienced with whatever technique they're using. And also not just the surgeon's experience with the equipment but the whole team and at El Camino Hospital, we have a team of professionals, nurses and scrub technicians who are very familiar with the whole process. So the whole robotic surgery process goes more smoothly.
Understanding fibroids and abnormal uterine bleeding
Gtgt Sawson AsAsanie, M.D., MPH My name is Sawson AsAsanie, and I'm the director of the Minimally Invasive Gynecologic Surgery Program at the University of Michigan. Today we're going to be talking about abnormal uterine bleeding, which is a very common condition that affects many women in their reproductive years. Abnormal bleeding is any type of bleeding that is irregular. That could be bleeding in between menstrual cycles, bleeding that is heavier than usual during menstrual cycles, bleeding after intercourse, or even bleeding after someone's gone through menopause. There are many different causes of abnormal bleeding, and some might be due.
To hormonal changes, some might be due to structural abnormalities such as lesions within the uterus, and others might be due to systemic medical conditions. When a woman has a menstrual cycle that occurs greater than 35 days from start to start, less than 21 days from start to start, or bleeding in between their menses, after intercourse, or after menopause, these are all indications that something might be abnormal, and she should be examined by her physician. Uterine fibroids are a common cause of abnormal bleeding, and the lifetime risk.
Of developing uterine fibroids is approximately 70 to 80 percent. Uterine fibroids are benign tumors of the uterus and can cause many symptoms such as abnormal uterine bleeding, which can be either heavy or irregular, pelvic pain, andor pelvic pressure related to the large size of fibroids. However, not all women with uterine fibroids have symptoms, and the decision to proceed with treatment for uterine fibroids really depends on whether or not those symptoms are bothersome. If you think that your bleeding symptoms are abnormal or bothersome, or if you suspect that you might have uterine fibroids, you should talk to your doctor.
Endometriosis, Uterine Fibroids, and Estrogen Dominance
Now, when we have a stage called estrogen dominance estrogen proliferates tissue when it's dominant. Estrogen within itself is very good. I helps us with our brain tissue, our memory. It helps us to think clearly, prevents foggy brain and all this other stuff. Estrogen in itself is very goodit's not bad. But when you have an estrogen dominance situation where the estrogen is very dominant over the progesterone, you're going to have all these symptoms and you're going to have a proliferation of tissue. For instance, if a woman comes in with cysts on her ovaries or cysts in her breasts.
Or she has fibroids on the inner uterine lining, or she has endometriosis these are all tissues that are being proliferated. They are increasing because she's got too much estrogen in her. Thus, we have a lot of increase in the amounts of hysterectomies because women are getting large fibroids and they're bleeding heavy, heavy, heavy, so they have anemia. I went through this myself, personally, in my forties. I had a lot of estrogen dominance but back then we didn't know exactly what to do. And so, I ended up having a hysterectomy because every time.
Green Bay obgyn Meet Midwife Shelly Weisheipl Kaldas Center
Yes, I'm always this smiley. This never shuts off. I've been a midwife for a long time, actually 19 years. So, I started practicing in Oshkosh. I've always wanted, um, to be, and I think that I am, very approachable. That, um, I like to keep things laid back and in an environment that you feel like you can ask me anything. I love conversation and, and have a great time with my patients so sometimes, you know, get the medical things completed but we have a good time doing the rest. So that just makes it a relaxed environment.
Cause you know the doctor's office can be kind of intimidating. I don't want it to be that way. So a lot dialogue, um so, that I think it really key component of midwifery care is just that individualized, very personal care. Um, and taking a lot of time to do it. Um, from everything. From the very beginning to the birth plan and, um, coming in all their deliveries and making sure that even if you're not there every moment that plan is in place. That you're communicating with the nurses and the doctors is this is what's going to.
Happen. Even if you have to step away for a little while, the plan is intact. So you're that patient advocate throughout. Helping women succeed and have real choices, educated choices, um, is core. Is, I'm, that's what I would want myself, it's what I would want for my daughters, and my sister. Um, to have someone listen to them, validate their fears, or concerns, and help them, really help them. You know that independent woman's woman. I think a patient once said that to me and I felt like that's one of the greatest compliments.
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