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.
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.
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