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Fibroids: Causes, symptoms and treatment

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They are common and usually not carcinogenic. They are also known as leiomyomas and myomas. Many people have fibroids without symptoms, while others experience pain, bleeding, or both. This article provides an overview of fibroids, including their types, effects on the body, causes, and treatment options. They can also shrink or grow over time.

They usually shrink after menopause. Uterine fibroids are almost always noncancerous. The Office of Women’s Health also states that cancerous fibroids are rare, occurring in less than 1 in 1 cases.

When a fibroid is cancerous, it is called a leiomyosarcoma. Having pre-existing fibroids does not increase the risk of developing a leiomyosarcoma. However, some can cause significant discomfort. Symptoms of uterine fibroids may include: Heavy menstrual periods, also known as menorrhagia, which can cause anemia Painful menstrual periods Low back pain or leg pain Constipation Lower stomach discomfort or fullness, especially with fibroids large frequent urination pain during sexual activity, also known as dyspareunia Some people may have fertility problems related to fibroids.

Some sources suggest that removing fibroids can improve pregnancy rates and live births. If the fibroids are large, there may also be weight gain and swelling in the lower abdomen. Its development may be related to the person’s estrogen levels. When estrogen levels are high, especially during pregnancy, fibroids tend to swell.

This can happen during and after menopause. Genetic factors can also affect the development of fibroids. For example, having a close relative with fibroids is associated with a higher risk of developing them. Increased fruit and vegetable intake may be associated with lower risk. The risk is reduced each time the person gives birth.

Diagnosis The following diagnostic tests can help a doctor detect fibroids and rule out other conditions. Both approaches may be necessary to detect fibroids. If needed, they may also take a sample of the tissue, known as a biopsy, to look for cancer cells. Laparoscopy: The doctor may also perform a laparoscopy. If necessary, he could also take a biopsy. Since fibroids often cause no symptoms, a person may not know they have fibroids until they have a routine pelvic exam.

Treatment Most fibroids do not cause symptoms and do not require treatment. In fact, they often shrink or disappear after menopause. However, if fibroids cause bothersome symptoms, various medical treatments may help. Your doctor may recommend different treatments depending on your symptoms, their severity, and the location of your fibroids. Medications The first line of treatment for fibroids is medication.

This shrinks the fibroids. GnRH agonists stop the menstrual cycle without affecting fertility after the end of treatment. GnRH agonists are for short-term use only. The doctor may give a person these medicines before surgery to shrink the fibroids. Low-dose hormonal contraceptives do not make fibroids grow.

People can also use a progesterone intrauterine device, such as Mirena, or progesterone-like injections, such as Depo-Provera. In certain cases, surgery may be the best treatment option. This method can treat extremely large fibroids or excessive bleeding. Total hysterectomy can prevent fibroids from coming back. If the surgeon also removes the ovaries and fallopian tubes, side effects may include reduced libido and early menopause.

This can help people who still want children. Doctors can perform a myomectomy through hysteroscopy or laparoscopy. Endometrial ablation may be an effective alternative to a hysterectomy for some people with fibroids.

This procedure reduces or eliminates symptoms in up to 90 percent of people with fibroids, but it is not suitable during pregnancy or for people who may want to have children. With that said, symptom resolution varies significantly depending on the location and size of the fibroids. This is not a suitable treatment method for all types of fibroids. Lifestyle changes Maintaining a moderate weight with regular exercise and a healthy diet can help moderate estrogen levels, which can help shrink fibroids.

Complications Fibroids do not normally cause complications, but they can sometimes happen. Consistently heavy menstrual periods can affect a person’s quality of life. Significant blood loss can also cause anemia. Large fibroids can cause swelling and discomfort in the lower abdomen or cause constipation or painful bowel movements. Some people can develop urinary tract infections due to fibroids. Some people may also experience problems in pregnancy.

Premature births, problems during childbirth, and pregnancy loss can occur, as estrogen levels rise significantly during pregnancy. There is not enough evidence to conclude that fibroids reduce the chance of getting pregnant with or without fertility treatment. That said, there is sufficient evidence to suggest that hysteroscopic myomectomy for submucosal fibroids improves clinical pregnancy rates.

Uterine fibroids are almost always benign. Cancerous fibroids, known as leiomyosarcomas, are rare. In most cases, they do not cause symptoms and do not require treatment. Spanish translation by HolaDoctor. Spanish edition by Stella Miranda on September 17, Original English version updated on September 28, Medically reviewed by Stacy Sampson, D.

How to draw and color an easy LLAMA