Uterine fibroids are non - cancerous ( benignant ) hump in or within the muscular walls of the uterus . They can be as small as a pea or as expectant as a melon vine . They are clinically apparent in 25 % of the women and with forward-looking imaging techniques this relative incidence may be greater .
What Are The Symptoms Of Fibroids In The Uterus?
Some woman may not know they have fibroid tumor whereas on the other hand some cleaning lady may experience symptoms like severe bleeding , pain , or abdominal swelling . The symptoms of fibroids in the womb are dependent on the location and size of the fibroid tumor and include :
The diagnosis is distrust based on the tactual exploration of an increased and maverick shape of the womb in the pelvic evaluation . Ultrasonography is used , ordinarily , to sustain the diagnosing and rule out ovarian cancer . Nuclear charismatic ringing founder good visualization but its excessive cost does not justify it .
Most fibroids in the uterus are symptomless , which means that they do not induce symptom , but those adult female who present them meritoriousness treatment . The symptoms of fibroid tumor in the uterus are classified into three family : abnormal uterine haemorrhage , pain and pelvic pressure , and reproductive disfunction . The most characteristic bleeding pattern of fibroids is menorrhagia or hypermenorrhea ( prolonged or excessive menstruation ) . Bleeding at other times of the cycle are not characteristic of them .
Epidemiology
Fibroids react to gonadal steroid ( estrogen and progesterone ) and its epidemiology is parallel to the development and hormonal evolution of the affected role . They have not been reported in prepubertal girls and , very once in a while , in teenage girl . In most cases they become symptomatic at age between the 30 ’s and 40 ’s . In many women , these discomfort improve with menopause as catamenial cycling and hormonal concentrations shoot . In some cases , the symptom persist or return in those patient with hormone replacement therapy .
With wish to race , the black race has a higher incidence of uterine disorders and the age is sooner at the clock time of diagnosis as well as the operation of the hysterectomy . Those adult female with parity bit ( one or more pregnancy older than 20 week ) have a lower incidence in the appearance of uterus fibroids . gestation and the use oforal contraceptivesreduce the danger of the appearance of uterus fibroids , despite the fact that estrogen and progesterone level are in high spirits .
What Are The Causes Of Fibroids In The Uterus?
Actually , it is not well known . What is true is that it consists of a combination of genetical sensitivity , levels of steroid hormones , as well as development factors that are important in the fibrotic process and of angiogenesis ( it is the physiologic process that consists of the organisation of new blood vessels from pre - existing vessels ) .
We have two processes : the first , the transformation from normal to unnatural myocytes and the 2d , its growth to tumors of clinical appearance . This last happens by clone the cells through an increase mitotic activity , which is the jail cell replication summons associated with a decrease in cellular programmed destruction ( programmed cell death ) .
Women Can Present With Any Of The Three Main Types Of Uterine Fibroids:
-Intramural fibroid . They are the most common . They have arisen within the liner of the uterus and grow inward . They make the womb experience larger than normal and often cause heavy hemorrhage duringmenstruation , pelvic pain , back painorfrequent micturition .
-Subserosal fibroid . They are found under the outer covering of the womb and rise toward the paries , giving the uterus a gnarled appearance . It can cause pelvic pain and back bother .
-Submucosal fibroids . They are the least coarse eccentric . It come just below the liner of the womb . Even the small can cause prolonged and intense period .
Treatment For Fibroids In The Uterus
physician have two modalities , surgical and aesculapian . Medical management seek to achieve a non - operative response to the problem . The patient role may have fibromatosis but its irregular bleeding may be due to oligo - ovulation or perimenopausal anovulation and the habit of oral contraceptives or progestogen therapy may be useful . Non - steroidal anti - inflammatories , with a local consequence of fall bleeding , are used in cases of menorrhagia ( even but abundant hemorrhage ) .
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