07 Feb Want to know about different kinds of fibroids and how to get rid of them? Read on!
Fibroids are non-cancerous tumors of the uterus that comprises of muscle and fibrous tissues. When the normal uterine cells grow peculiarly, it will develop into a benevolent tumor. Fibroids are also called fibromas, myomas or leiomyomas. These are not related with uterine cancer and in fact, they generally do not develop into a cancer.Uterine fibroids are very common, because of the fact that many females have fibroids at some point in their lives. As their growth is reliant on estrogen and progesterone, they befall during the middle and late phases of the lady’s reproductive years. They do not grow until adolescence proceeds and typically appears at 30 to 50 years of age. After menopause when the estrogen levels drop, they just shrivel or vanish.The composition of all fibroids is the same. They are all comprised of uterine muscle cells budding into a tight mass. They can be categorized centered on the site of their growth. Myometrial or intramural fibroids are found in the uterine muscular wall and are the most common kind of fibroids. Submucosal fibroids develop underneath the interior surface of the uterine wall but might project in the uterus. Subserosal fibroids can grow very big on the exterior wall of the uterus into the pelvis. Pedunculated fibroids grow and attach to the external wall of the uterus by a narrow stem. Cervical fibroids develop in the cervical wall.
In some circumstances, uterine fibroids are asymptomatic and treatment is not required. However, in other circumstances, they can be symptomatic. The symptoms are produced regarding size and location. These take account of hefty or extended menstrual bleeding, pelvic pain or pressure, back or leg pain, urinary frequency, trouble emptying the bladder, constipation or excruciating defecation, stomach discomfort or sensation of fullness or pain during intercourse. Iron shortage anemia might also be present because of the heavy vaginal bleeding. Fibroids might also occur accompanied by endometriosis which causes infertility. The urinary and gastrointestinal problems are owing to the compression effect of the fibroids. In rare circumstances, they can develop into malevolent cancers called leiomyo sarcomas.When these symptoms are there, females should instantaneously see their doctors. Big fibroids can be palpated during pelvic inspection. However, imaging studies such as ultrasound, hysteroscopy or hysterosonography might be executed to check the presence of the fibroids.
Asymptomatic fibroids are generally discovered incidentally during pelvic inspection. Since they do not produce symptoms, the superlative action is to just see and monitor. However, for symptomatic fibroids, non-operative and operative treatment choices are available contingent on the severity.Non-operative treatment options consist of: oral contraceptives (birth control pills) help control the hefty bleeding, but they do not lessen the size of the fibroids; Non-steroidal anti-inflammatory drugs (NSAIDs)are used to relieve the pain; progestin-releasing intrauterine device (IUD) can be used for non-distorting fibroids. They can relieve the symptoms, but they do not make the fibroids vanish.Lastly, gonadotropin-realesing hormone (Gn-RH) agonists decrease the estrogen and progesterone levels making the fibroids shrink and ultimately vanish. These are only used for a short period of time, either before surgical elimination of fibroid or when a lady is almost menopausal.Operative treatment choices take account of:
- Myomectomy can be opted for ladies who still want to have babies. The fibroids are removed sparing the uterus. For numerous and large fibroids, the best myomectomy surgeon in Gurgaon mightcarry out an open abdominal myomectomy. However, for trivial and only few fibroids, a laparoscopic myomectomy can be executed wherein the doctor creates a small incision to let the instrument enter the uterus with a tiny camera attached and uses a surgical robot to confiscate the fibroids. For submucosal fibroids, a hysteroscopic myomectomy can be implemented. A scope is passed through the vagina and into the uterus where the doctor can view and take away the fibroids.
- Hysterectomy is a major surgery, where the uterus is confiscated and is one guaranteed way to perpetually eliminate the fibroids.
- Endometrial ablation is effective in ending the bleeding but does not affect the fibroids outside the internal uterine wall. This treatment uses heat, hot water, microwave energy, or electric current to abolish the internal surface of the uterus by employing an instrument inserted into the uterus.
- Uterine artery embolization is effectual in shrinking the fibroids and relieving the symptoms. This can be done by vaccinating embolic agents into the arteries delivering blood to the uterus to cut off the movement to the fibroids.
- Myolysis is a laparoscopic process in which a laser or electric current is used to shrivel the blood vessels supplying the fibroids and ultimately destroying them. In the case of cryomyolysis, liquid nitrogen is used rather to freeze the fibroids.
Some females might experience no symptoms with fibroids and some do not even know they have one. During pregnancy, the fibroids might upsurge in size because of the amplified estrogen level and blood flow. However, they shrivel back to their normal size after childbirth. For ladies who are experiencing symptoms, they should seek medical attention. It is also imperative that they discuss their treatment choices well with their families and doctors before final decision. They have to contemplate the pros and cons of each treatment and select the option that best suits their situation.