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.
How to cure uterine fibroids without surgery
Hello, I'm doctor Gillian Johnson As a former fibroids sufferer what I want to tell you is You don't have to suffer. Fibroids and fibroids symptoms can be cured WITHOUT surgery or a hysterectomy. I had two uterine fibroids, and you may know how painful is. After several unsuccessful medications, my gynecologist wanted me to undergo surgery. But another doctor suggested me to follow a new holisticdrugfree method, accessible on the web. In just 5 weeks fibroids shrunk drastically. No more pain, no more irregular periods, no more bladder pressure. The following ultrasounds shown that both of these fibroid were completely gone.
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.
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 hospital 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 hospital 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 hospital 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 hospital did a hysterectomy the specimen itself weighed 1.5 pounds she was able to go home the following day and she's back at work as we speak which is two and a half weeks after the procedure this is someone who's been living with pain for three to four years shoot me in the eye and say this is so easy how could I possibly have waited for so long.
PMS and Estrogen Dominance
We are starting to get more and more women that are bringing their daughters now. It's so good to seeit's preventive medicine. The first thing the mother says is, They're terrible around their PMS symptoms, and their breasts are hurting them, and they're very irritable and it's just very difficult to be around my young girl at this time. So they bring them in and we do a salivary hormone test, check their estrogen, progesterone, testosterone, and DHEA, because we also want to rule out stuff like PCOS and such as this.
But we, uh this is an indication that most of the time we see a low progesterone and what we do is we either give them botanicals or we give them a little bit of progesterone cream and it works wonders. I much prefer to use bioidentical estrogen and progesterone when I have to and I don't use the synthetic. So all that said, the estrogen dominance is big in the United States. The girls are coming inmothers bringing the girls in so we can check that at an earlier age, it's great to see that, it's a preventative, less girls on.
Myomectomy uterine incision
The uterine incisions to make myomectomy usually should be done by metrocautery or scalpel, and the principle type and site of incision on the uterus is as much as possible on the anterior aspect of the uterus and as much as possible all the myomas should be removed through a single incision words on screen ovary uterine incision fundus of the uterus made on the anterior aspect of the uterus. So while doing the incision on the uterus there might be bleeders coming from the myometrium but once we reach into the myoma, the myoma will be appearing quite.
Myomectomy remove and innoculate the myoma
Myomectomy, removal and innoculation of the myoma. Once the uterine incisions are done, then the myoma will be visible as glicining and white and no capsules and there might be some adhesions between the myoma nd myometrium and it should be dissected using artery forceps or scissors and to facilitate removal of the myoma from its bed, the surgeon has to widen the incisions on both ways, depending on the size of the myoma and every possible adhesion or attachment between the myoma and the surrounding myometrial tissue should be cut or dissected with a blunt or sharp dissections.
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