A fibroid uterus, also identified as uterine fibroids or leiomyomas, denotes the lifestyles of noncancerous growths within the uterus. These fibroids, the fundamental form of benign tumors in girls of reproductive age, encompass muscle groups and exhibit a spectrum of sizes – from petite seedlings to giant masses able to altering the uterine form.
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The exact cause of fibroids is not known, but they are believed to be influenced by hormonal factors and genetics. Factors such as age, family history, obesity, and hormonal imbalances can increase the risk of developing fibroids.
The management of fibroids depends on various factors, including the severity of symptoms, the desire for future fertility, the size and location of the fibroids, and the woman’s overall health. Treatment options for fibroids include:
1. Watchful waiting: If fibroids are small, asymptomatic, and not affecting fertility or quality of life, a “wait and see” approach may be recommended, with regular monitoring to assess any changes in size or symptoms.
2. Medications: Certain medications can help manage symptoms associated with fibroids, such as nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief, hormonal birth control to regulate menstrual bleeding, or gonadotropin-releasing hormone agonists (GnRH agonists) to shrink the fibroids temporarily.
3. Minimally invasive procedures: Procedures such as uterine artery embolization (UAE), which involves cutting off blood supply to the fibroids, or focused ultrasound surgery (FUS), which uses ultrasound waves to destroy the fibroids, can be options for women who want to preserve their uterus and fertility.
4. Surgical options: In cases where fibroids cause severe symptoms, significantly impact fertility, or if other treatments have not been effective, surgical interventions may be considered. These can include myomectomy, which involves removing the fibroids while preserving the uterus, or hysterectomy, which is the surgical removal of the uterus.
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