Fibroids are benign tumours of the uterine muscle. They vary in size and amount; They can be anything from the size of a pea to bigger than a tennis ball.

About 1 girl in 5 grows fibroids by the time she’s 45 years old. There’s frequently no reason for worry because fibroids may never grow big enough to distort the uterus or cause symptoms. Big fibroids cause the surface of the uterus to feel lumpy and bumpy to the physician when he examines your abdomen during regular pelvic examinations.

What Are The Symptoms of Fibroids?

About a quarter of women have no symptoms
at all. Otherwise, symptoms include:
• heavy or unusual menstrual bleeding
• swelling and a sense of fullness in the abdomen
• suffering or pain during sex
• pressure on the bladder and bowel, resulting in urinary difficulties and backache.
If you’ve got increasing pain or bleeding with your intervals or if you’ve got any other change in your regular menstrual cycle, see your physician at the same time.

What Might Be Done for Fibroids?

Your physician will first perform a regular pelvic examination and question you about any symptoms you may have experienced.
If he believes your condition warrants it, he may then refer you to a gynaecologist for further investigation and evaluations, that will likely contain an ultrasound scan of your uterus, a hysteroscopy or laparoscopy.

Fibroids are treated in accordance with the severity of the symptoms. Once you’re past your childbearing years, the fibroids usually shrink and may vanish, if you don’t take HRT.

• Anti-oestrogen hormone treatments may be given to shrink your fibroids. This treatment can only be given for a span of about six months due to the threat of osteoporosis.
• If you need to begin a family and your fibroids are numerous, your physician may suggest an operation to remove them (myomectomy), leaving the uterus regular and complete.
• If your symptoms are extremely difficult and you’ve already finished your family, a hysterectomy might be proposed. It should be considered as a last resort and just after you’ve had a second opinion and involved your partner in discussions with your doctors.

What Can I Do?

■ Fibroids are the most common reason for hysterectomy procedures in the UR, so be on
your guard against having an unneeded operation of such a extreme nature. If you’re suffering from deep anaemia or have Intolerable symptoms, clearly you should consider it; otherwise, search for options.

■ A very few women with fibroids develop uterine cancer, so any unusual bleeding or
other irregularity of your intervals should be reported promptly to your doctor.

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