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.
Generations Fertility Care Dr. Dan Lebovic on saline infusion sonography
Gtgt Clearly in order to conceive, you need good, healthy sperm, you need good eggs, and you need the architecture. You need the egg to meet the sperm, so the tube has to be open. Unless, of course, you're doing invitro fertilization. If you can try something less aggressive and less expensive than invitro fertilization, you have to be sure that the tubes are open. So the classic test for this is called a hysterosalpingogram, abbreviated HSG. And this is done in Radiology with fluoroscopy. There is another technique that we have been using nowadays.
In the office called saline infusion sonography. All it is really is a vaginal ultrasound, but there is a catheter inside the uterus, that we inject water followed by air bubbles, that we actually follow out the tubes as we're doing the ultrasound. And that can tell us whether the tubes are open or not, and it saves them having to undergo the hysterosalpingogram which is really an inconvenience to try to go yet to another place, and undergo the fluoroscopy. And it also tends to be a bit more painfulthat is the hysterosalpingogramin comparison.
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