A fibroid prevented with children?.
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Fibroids are sometimes found during an evaluation of infertility, if such tests as a pelvic ultrasound, hysterosalpingography or sorted hysterosonogram.
Fibroids or leiomyomas are benign smooth muscle tumors of the uterus.
They are classified their position in three ways: (1) subserosa - if the fibroid in the outer layer or serosa growing uterus, (2) intramural - if the fibroid to inner wall of the muscle is growing uterus (myometrium) and (3) or submucosal intracavitary -where the fibroid is growing just under the lining of the uterus (mucosa) or who take the inside of the uterus.
Submucosal or intracavitary fibroids can change the shape of the uterine cavity.
Large intramural fibroids can interfere with blood flow to the uterus and also change the shape of the uterine cavity.
Subserosal fibroids usually don't alter the shape of the uterine cavity, but when large can cause discomfort.
Most fibroids are usually small, asymptomatic and require no treatment.
These benign tumors only need close gynecological observation to document changes in size or the early onset of symptoms.
The most common symptoms of fibroids are back pain, abdominal pain or pressure, urinary frequency, rectal pressure or discomfort and can cause painful menstrual periods, heavy and extended to.
Fibroids are associated with infertility in 5 to 10% of cases.
However, when all other causes of infertility are ruled out fibroids can for only 2-3% of cases, infertility Account.
Fibroids may cause reduced fertility or infertility by:
1.
Create an abnormal uterine cavity.
An enlarged or elongated cavity could interfere with the sperm transport, and a cavity with an abnormal contour could prevent normal implantation.
Fibroids can result in a markedly distorted uterus and cervix.
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3.
When infertile women present with uterine fibroids every effort should be made to exclude any other possible causes of infertility.
Only then a decision should be made regarding the management of the fibroids.
Most fibroids do not have to be removed only in selected cases.
The medical literature suggests that removal can be beneficial when the uterine cavity is distorted by the fibroids.
Otherwise, expectant management is recommended when the uterine cavity is normal, the fibroids are small, or when they are located on the surface of the uterus.
Three types of myomectomy can be performed: abdominal myomectomy, laparoscopic myomectomy, and hysteroscopic myomectomy.
This abdominal approach is the best procedure when fibroids are large, numerous, and or located deep within the muscle of the uterus.
Hysteroscopic myomectomy is recommended when most of the fibroid is located within the cavity of the uterus.
Endoscopic scissors, laser or electrocautery are employed to perform this type of myomectomy.
Postoperative adhesion formation is a common complication and good surgical technique combined with adhesion-prevention barriers should be routinely used at myomectomy.
There are other options for the treatment of uterine fibroids, but these alternatives are not for women who desire fertility recommended.
Some of these options are:
1.
This procedure is quite successful in reducing tumor size and decreasing symptoms.
2.
These agents can decrease uterine size and symptoms, but once the treatment is discontinued the fibroids can grow back to their initial size.
3.
One of these new techniques is laparoscopic myolysis in which a needle is used to apply electric current directly to fibroids.
A similar laparoscopic procedure uses super cooled cryoprobes to destroy the fibroids.
Again, the safety of these procedures in women who want to get pregnant has not been established.
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What is fibroids of uterus
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