Fibroids in Uterus

The define cause is not known, but scientists think most women may inherit the tendency to develop fibroids.
The impact of fibroids on the health of women range from minimal pelvic discomfort to severe anemia and infertility. Although there are no know preventive measures, doctors are able to diagnose and treat the medical problems due to fibroids.
Due to the prevalence of this condition, it is essential for all women to understand fibroids, possible symptoms and the choices available for uterine fibroid treatment, Between 200,000 and 300,000 hysterectomies performed every year are for symptomatic uterine fibroids.
Fibroids are excessive growth of the muscles and fibrous tissue that make up the uterus. They may develop anywhere within the uterus wall (intramural fibroids), in the uterine cavity, out of the uterus (pendiculated) underneath the lining of the uterus (submucosal).
There are many reasons why women see a doctor for problems related to fibroids. Symptoms may depend on the fibroid size, type and location.
The most common complains are:
& middot; Pain with intercourse
· Frequently urinating due to increased pressure on the bladder
· Heavy and prolonged menstrual periods
· Low bllod count or anaemia
· Excessive fatigue due to anaemia
· Constipation and Bloating
· Infertility
It is always advisable to get a doctors opinion if you have any of the above problems because many other serious medical problems might present with similar symptoms. If your doctor suspects that you have fibroids based on the history and physical examination, he or she may order some imaging examinations. The most common initial examination is abdominal and/or trans-vaginal ultrasound. Further imaging study may include an MRI (Magnetic Resonance Imaging) of the pelvis.
You and your doctor would be able to decide on a treatment plan based on the findings on physical, imaging and laboratory examinations.
Current Medical Treatment Includes:
I. Birth Control Pills:
They are used to control heavy menstrual bleeding thereby decreasing anaemia and fatigue.
II. GnRH (Gonadotropin-releasing hormone) Analog:
This group of medication helps shrink the fibroid prior to surgery. They also help to correct anaemia. They take about 3 months to be effective.
Selective progesterone receptor modulators, such as Progenta are under investigation as therapeutic agents, as of 2005.
III. Uterine Fibroid Embolization:
This procedure is reserved for women who have unsuccessfully tried other treatment options and want to preserve their uterus and fertility.

Surgical Treatment Includes:
i. Deletion and Currettage (D&C):
The lining of the uterus is scabbed during this procedure and helps to decrease the heavy menstrual bleeding.
ii. Myomectomy (Surgical removal of the Fibroid):
This surgical procedure is for young women who are hoping to bear children and the fibroids are easily accessible surgically.
iii. Hysterectomy:
The uterus is completely removed with this procedure. It is reserved for women who are no longer of childbearing age or failure of all other medical/surgical interventions. It is the definitive treatment for fibroids. There is improvement in fatigue and anaemia after this procedure.