Understanding fibroids and abnormal uterine bleeding
gt;gt; 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 to be evaluated and to see what treatment options might be best for you.
Treatment options for abnormal uterine bleeding and fibroids
gt;gt;Susie Assanie: My name is Susie AsSanie and I’m the Director of the Minimally Invasive Gynecologic Surgery Program at the University of Michigan. Today I’d like to talk a little bit about treatment options for abnormal uterine bleeding. Abnormal uterine bleeding is a common condition that affects many women and it’s very important to see your to determine the cause of bleeding. Once the cause of bleeding is identified you can discuss with your physician what treatment options might be best suited for your particular needs. One of the most common treatment options for abnormal bleeding is hormonal therapy,.
Which is a very safe and effective therapy for many women. There are many different methods of using hormonal therapy and some can be as simple as taking a pill every day, using a patch once a week, there are various different types of injections, as well as local treatments within the vagina and or the uterus. If a hormonal treatment option is not considered appropriate for you, or if that treatment option does not seem to be working for you, there are many different surgical options that might be best. There are three surgical approaches to the treatment of abnormal uterine bleeding.
And these include endometrial ablation, myomectomy, which is removal of uterine fibroids, as well as hysterectomy which is removal of the uterus. Endometrial ablation is a simple outpatient surgical technique that essentially destroys the lining of the uterus. There are many different methods of performing a endometrial ablation and you should talk to your physician about which method might be best for you. Endometrial ablation can be done in the office or in an outpatient surgical center with very light anesthesia.
Most patients go home the same day and can go back to work within two to three days. The risks of this procedure are generally minimal and its best used to treat patients with regular but heavy menstrual bleeding. Some patients might also find that their uterine cramping associated with their heavy bleeding might also improve after this procedure. A second surgical approach to abnormal uterine bleeding is myomectomy which is surgical removal of uterine fibroids when they are considered the source of abnormal bleeding. There are many different approaches to myomectomy and this primary depends on the size.
And location of uterine fibroids. Uterine fibroids can be directly in the lining of the uterus and these can often be removed vaginally through a procedure called hysteroscopic myomectomy. If this treatment option is thought to be appropriate for you, this is an outpatient surgery option in which the patient can often go home the same day and back to work within two to three days. When uterine fibroids are more deeply infiltrating into the muscle of the uterus or the surface of the uterus, hysteroscopic myomectomy may not be an option,.
But patients might still be a candidate for a minimally invasive approach through a laparoscopic myomectomy. At the University of Michigan, we perform many robotic myomectomy’s for the patients with abnormal uterine bleeding and or infertility related to uterine fibroids. This procedure is an excellent treatment option for many patients because it is a minimally invasive approach, in which patients can go home the same day, and usually back to work within ten to fourteen days. Small incisions are made on the abdomen, and the uterine fibroids are removed,.
And the uterus is repaired to restore its normal anatomy. Again, many patients go home the same day and are back to work within ten to fourteen days. This option is an excellent option for women who wish to preserve their fertility as pregnancy can still be a choice after this surgical approach. The final surgical approach for abnormal uterine bleeding is hysterectomy. Hysterectomy is a surgical removal of the uterus and possibly the cervix and does not necessarily mean that the ovaries will be removed. As long as the ovaries are retained, a patient would not be in menopause.