Uterine fibroids is a very, very common condition that affects many females. unbeknown to most, this process of fibroid formation actually takes years. In some women it grows fast, in some women it does not grow at all, and in some women it never happens. This is Lam, founder of DrLam , and we are going to go through in this tutorial what the physiology behind fibroids is all about. First, let’s take a step back. In order for the fibroid to grow, which is a tumor which.
Is benign, is made of fibrous tissues, the body has to activate many mechanisms to grow the fibroids. It starts off very small, like a pea size, and it grows to be as big as sometimes an orange or a grapefruit in extreme cases. The common denominator for growing a fibroid is the hormone called estrogen. So if you have excessive estrogen in the body either from absolute basis; such as you are taking too much estrogen from birth control pills or food that contains estrogen; on the relative basis such as when you don’t have enough progesterone.
To offset the estrogen; or even if you have receptor sites that are very sensitive, and this is very common in people who are skinny and thin; all these can lead to estrogen dominance. On top of that estrogen, because it can mate in the adipose tissue, so if you have a lot of fat tissues, or if you have stress in the adrenal system, they all contribute to estrogen excess. Now estrogen excess will in turn then drive the body into a state of estrogen dominance.
With symptoms that include fibrocystic breast disease, endometriosis, irregular periods, heavy periods, a lot of ovulation pain, and fibroids. In extreme cases, it can be tied into cancer as well. So, fibroids, even though it is a benign tumor, tells the body that it has the underlying problem of estrogen imbalance. Now, aggressive measures to get rid of the fibroids is necessary if they are structural problems, but there are also natural ways to help the fibroids shrink, especially for.
Those that are nearing menopause. understanding and recognizing that when the body is in adrenal fatigue the tendency to have a high estrogen load is critical because if you don’t understand this concept, estrogen dominance can be treated as if it is a separate entity of excessive estrogen and women can be told to do what we call hysterectomy to get rid of the fibroid. Now oftentimes this can be useful, but oftentimes as well if the ultimate source of estrogen is not shut off or slowed down, even if you get rid of the ovarian estrogen source you.
Still have estrogen source from food, the environment, the stress, as well as the adrenal disfunction then you are really not getting rid of the total problem at the root level. So it is important to recognize fibroids number one as a medical issue, but number two also as an associated symptom for us to be on the alert when we dealing with adrenal fatigue because we do see many women who have fibroids with their adrenal fatigue; and in fact it is very interesting because the estrogen load starts going down when the adrenals heal and.
Then many people do report less symptoms of estrogen dominance; including fibroids stop growing, or start to shrink as the adrenal improve. So using this understanding to help us to understand fibroid physiology and association with adrenal fatigue is very important. Now I have an article on my website called ‘Estrogen Dominance’ as well as another one called ‘Progesterone’ that will be useful for you. If you are inquisitive I have a book called ‘Estrogen Dominance’ that you can read as well, and of course my.
New Minimally Invasive Options for Gynecologic Surgery at North Shore Medical Center NSMC
This is the biggest change i’ve seen in my practice in 20 years its what I am most excited about since I’ve come out of residency a patient may come and see me because she’s got heavy bleeding and she was found to have a fibroid uterus as it turns out she’s been dealing with this for about three years because her mother had the same thing.
And she had surgery using a traditional laparotomy big incision she’s in the for a week and didn’t feel well again for eight weeks what I can now tell this patient is let me bring you to the I can use small incisions you can go home the same day i’ll have you driving in three days and you can be back to work in two weeks you know we’ve been doing this for three.
Years and we still say it’s a a great operations really sweet operation because it really allows the patient a comfort level that they wouldn’t have otherwise if they had to have a major operation or major incision the procedures would be as follows: office tubal sterilization.
Office endometrial ablations for heavy bleeding then transitioning to the we do laproscopic supracervical hysterectomies total laparoscopic hysterectomies we can combine those procedures with removal of the tubes and ovaries as well we can do laparoscopy for pelvic pain and endometriosis laparoscopy for removal the ovaries and tubes if we need to.
For history of breast cancer or for history of ovarian cycsts an example the recent patient is a patient of mine who had a fibroid uterus and the fibroid itself was the size of a grapefruit 10 centimeters she had not only heavy bleeding from this but pelvic pain and we were able to see her get her in to the did a hysterectomy the specimen itself weighed.