Glossary

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
  • Fibroids (Uterine Leiomyomata) Fibroids

    (Fibroids distorting the uterus.)

    • Fibroids are solid tumors of the muscle cells of the uterus.
    • They are very common, present in 25-50 percent of women. Most women are asymptomatic and never require treatment, though fibroids are the most common reason given for hysterectomy.
    • The most frequent symptoms are abnormal uterine bleeding and pain. Patients also may report pressure, painful intercourse and urinary frequency.
    • When the symptoms include abnormal uterine bleeding, other causes such as endometrial cancer should be ruled out.
    • Rarely are fibroids in the uterus actually a cancer or sarcoma. 2-3/1000.of hysterectomy specimens. This is suspected more with rapidly growing fibroids.
    • There are numerous therapies for fibroids:
      • Cyclic ocps or provera can be tried to decrease bleeding problems.
      • NSAIDs like ibuprofen.
      • GnRH agonists, most commonly LUPRON. May be used short-term to shrink or decrease symptomatology.
      • Hysterectomy.
      • Myomectomy: reoperation rate of 15-20 percent.
      • Endometrial ablation.
      • Uterine artery embolization.
    • Sources: Surgical Alternatives to Hysterectomy in the Management of Leiomyomas. ACOG Practice Bulletin. #16, May, 2000.
Valid XHTML 1.0 Strict Valid CSS!