Effective Treatment for Fibroids
Effective Treatment for Fibroids should not be hysterectomy as first line treatment.
Fibroids are benign (non-cancerous) tumours or growths affecting the uterus. The uterus is composed almost entirely of muscle fibres. Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. They range in size from a pea to a melon. Many women have no symptoms. Large or numerous fibroids can cause heavy periods, pelvic pain, and bladder pressure
Each fibroid appears to grow by clonal replication of a single muscle cell. In other words, a single muscle cell starts to grow and replicate itself many thousands of times over. This creates a firm muscular tumour with some associated new blood vessels and supporting tissues within it.
It is not clear why some fibroids grow more rapidly than others and why some women have a greater tendency to develop fibroids than others.
Diagnosis is usually made by ultrasound scan or MRI. The latter is better for distinguishing adenomyosis.
Effective treatment is usually surgery by laparoscopic or robotic myomectomy. For very large fibroids open myomectomy is better. A myomectomy is a surgery to take out fibroids from the uterus.
For complex situations, uterine artery embolisation has a part to play. Uterine Artery Embolization (UAE), also known as Uterine Fibroid Embolization (UFE), is a minimally invasive procedure that shrinks fibroids by blocking their blood supply. It is performed by an interventional radiologist using X-ray guidance and is a uterus-preserving alternative to surgical options like a hysterectomy
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