Wednesday, May 24, 2006

How To Deal With Uterine Fibroids

Uterine fibroids are common in women aged 35-49, and are benign neoplasm in the pelvis. Studies showd thatover 30%-40% of women aged 40-50 might have uterine fibroids. The pathogenesis is still unknown, But it isclosely related to female hormones.

Fibroids are usually asymtomatic. If patients stay healthy, no tratment is needed. Yet, some patiens may suffer from menomhagia, pelvic pain or swelling in the lower part of the abdomen, even infertility in some cases.Large fibroids may cause compression and pressure on other organs, which lead to frequent urinationg, constipationamd omfarct. Most patients fo not require treatment if fibroids are asymptomatic. Medications may help to relievethe pain in the way that medicines help to ease heavy, mensuration and pain - killers reduce pelvic pain.
Surgery is the main treatment for uterine fibroids, including myomectomy (removal of fibroids) and hysterectomy(removal of the uterus and fibroids). Myomectomy can keeo the uterus with the aim of containing pain and safeguarding feature pregnancy.

However, the risk of fibroids reoccurring, requiring further operations is about 30% over a period of 10 years.Hysterectomy is the definitive treatment for removing the uterus and fibroids. It can be carried out in differentways or through different routes: laparotomy (total avdominal hysterectomy), laparoscopic approach (keyhole surgery);and vaginal hysterectomy (via vagina). The vaginal hysterectomy and laparoscopic process is concerned. The choice willdefend on the patient's condition. Fallopian tubes and ovaries may ne removed in the same way, defending on medicalfindings.

Hence, patients should seek a doctor's assessment and advice

Extract from the health feature by University of Hong Kong
Hong Kong Medical and Health News

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