Diagnosis Pelvic Exam and Medical History Some fibroids can be felt as lumps during a pelvic exam. During a pelvic exam, the doctor will also check for pregnancy-related conditions and other conditions, such as ovarian cysts. The doctor will also ask you about your medical history, particularly as it relates to menstrual bleeding patterns. Other causes of abnormal uterine bleeding must also be considered. Ultrasound Ultrasound is the standard imaging technique for detecting uterine fibroids. The doctor will order transabdominal and transvaginal ultrasounds. Ultrasound is a painless technique that uses sound waves to image the uterus and ovaries. In transabdominal ultrasound, the ultrasound probe is moved over the abdominal area. In transvaginal ultrasound, the probe is inserted into the vagina. A variation of ultrasound, called hysterosonography, uses ultrasound along with saline (salt water) infused into the uterus to enhance the visualization of the uterus. Hysteroscopy Hysteroscopy is a p...
Treatment - fibroid tumors. Treatment - uterine leiomyoma
are non-cancerous growths (tumors) in the uterus. In most cases, treatment is not needed at all. Treatment is only considered if the fibroid is growing rapidly or if you have symptoms like:
Excessive vaginal bleeding
Pain with intercourse
In the past, most women who had fibroids with symptoms required surgery to correct the problem; recent research, however, has led to many new treatments that do not require surgery.
Uterine Artery Embolization: UAE shrinks fibroids by cutting off their blood supply. A catheter is threaded from the groin up into the uterine artery. The blood vessels supplying the fibroids are identified and material is used to block blood flow to the tumor.
Focused Ultrasound Surgery: This procedure destroys fibroids by using high...
Risk Factors Uterine fibroids are the most common tumor found in female reproductive organs. Age Fibroids are most common in women who are their 30s through early 50s. (After menopause, fibroids tend to shrink.) About 20 - 40% of women age 35 and older have fibroids of significant enough size to cause symptoms. Race and Ethnicity Uterine fibroids are particularly common in African-American women, and these women tend to develop them at a younger age than white women. Family History Family history, (having a mother or sister who had fibroids), may increase risk. Other Possible Risk Factors Obesity and high blood pressure may possibly be associated with increased fibroid risk
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