Fibroid Treatment,5 cm fibroid can u get pregnant with fibroids. .. Side Effects Of Hifu For Uterine Fibroids,fibroid degeneration natural treatment for uterine. MRI Guided HIFU offers a non-invasive alternative to the traditional treatments for uterine fibroids in women. It combines magnetic resonance.
But if you had symptoms that were more than annoying, if they really impacted your ability to function, there would be no reason to undergo a hysterectomy. If you are told that a hysterectomy is your only choice to treat symptomatic fibroids, find another doctor who has the skill to perform a myomectomy, and who will respect your decision to choose the treatment that you think will be best for you.
Fibroids are benign growths of muscle and connective tissue that grow until you reach menopause. Then they slowly and gradually shrink to a negligible size, at which time they will become small and calcified. The average size of the uterus including fibroids in the late thirties to early forties is a ten to twelve week pregnancy size about 13cm in the largest dimension , in the middle forties fourteen to sixteen weeks is average about 17cm in the largest dimension , and in the late forties to early fifties eighteen to twenty weeks is average about 21cm in the largest dimension.
Fibroids have two rapid growth spurts that are natural, predictable, and not a cause for alarm. The first rapid growth spurt is in the late thirties to early forties. Then you have a few years of slower growth. Right before you go through menopause, when you have the hormone changes associated with the beginning of menopause, you have the second and last rapid growth spurt.
Then the fibroids slowly and gradually shrink to a negligible size. Both estrogens and progesterone stimulate fibroid growth. Fibroids are not a disease, they are your genetic blueprint. If you can live with the symptoms it would probably be better than unnecessary intervention of any kind.
If you cannot live with the symptoms a myomectomy, the surgical removal of fibroids leaving the uterus intact, is a reasonable option. Even in the case of leiomyosarcoma, some women choose myomectomy, if the leiomyosarcoma is in the wall of the uterus, and not attached to a ligament.
Fibroids that cause heavy bleeding with large blood clots are submucosal, they are in the endometrium, the inside layer of the uterus.
A submucosal fibroid that is 4cm or cm or smaller can be removed hysteroscopically. A hysteroscope, a long tube, is inserted into the vagina, into the cervix, and into the uterus.
A tool is attached to it, and the surgeon chips away at the fibroid until nothing remains but the shell.
If the submucosal fibroid is larger than 4cm you would need a myomectomy. A horizontal incision would be made above the pubic bone, and the fibroid would be dissected out of the uterus. Fibroids in other locations do not cause heavy menstrual bleeding or large blood clots. Although there are many other treatments for fibroids, such as uterine artery embolizaiton UAE, also called UFE , endometrial ablation, focused ultrasound, myolisis, and Lupron to shrink them, they are all destructive.
A good outcome from myomectomy means you came out of the operating room with an intact uterus, you were not given a blood transfusion, and you did not have a new medical problem that you did not have before the myomectomy.
Iron supplementation1 may be needed to combat anemia that can result from heavy periods. Although some of these options are available over-the-counter, use and duration of therapy should be discussed with your doctor first.
GnRH-a Therapy GnRH-a, or Gonadotropin-releasing hormone analogue therapy, may be used to shrink fibroids and reduce menstrual bleeding. Fibroid symptoms may cease when starting therapy but will return once treatment stops. A risk of fibroid recurrence exists and more than one procedure may be needed. The physician makes a small incision in the upper thigh or wrist to access the arteries providing blood to the fibroids. Tiny spheres called embolics are injected into the arteries, blocking the blood flow, causing the fibroids to shrink and die.
After the procedure, cramping and flu-like symptoms may occur, but can be treated and typically subside after 12 hours.
UFE has a 90 percent cure rate of symptoms7 and is effective treating fibroids of all sizes, but risk of recurrence does exist, in some cases warranting further rounds of treatment. Endometrial Ablation Endometrial ablation destroys the lining of the uterus with the goal of reducing heavy menstrual bleeding. By inserting tools into the uterus through the vagina, ablation methods include radiofrequency, freezing, heated fluid, microwave energy, and electrosurgery.
Abnormal bleeding can recur and additional procedures may be needed. Although uterus-sparing, women who wish to become pregnant should avoid this procedure.
Radiofrequency Ablation Performed laparoscopically and as an outpatient procedure, radiofrequency ablation works by inserting a needle-probe into the middle of each fibroid. Heat is delivered through the probe, destroying and shrinking fibroid tissue.
Recovery time is minimal with women reportedly returning to work in less than a week. However, studies indicate a high rate of patient satisfaction, significant reductions in symptom severity, and an increase in quality of life. Surgical methods include hysteroscopic, laparoscopic including robotic , and abdominal. Risks include those associated with surgery, including extensive blood loss and scar tissue. Recovery time can last up to six weeks and fibroids may recur, requiring more surgery over time.
Hysterectomy A hysterectomy surgically removes the entire uterus and is an option for women who no longer wish to conceive. Doing so leads to permanent symptom relief but other side effects such as pelvic and back pain, sexual dysfunction, and incontinence. Side effects may intensify with ovary removal. As seen with myomectomy, additional risks include those linked with surgery and general anesthesia.
Different types of hysterectomy are available and differ depending on whether other structures surrounding the uterus are also removed. Recovery time averages between two and six weeks. A contrast dye material will be injected intravenously, along with medication to help you relax. You will lie on your stomach on the examining table that slides through into the MRI scanning machine.
Focused ultrasound waves are released to target the fibroid from different angles. Simultaneous MRI scans the fibroid to determine the exact temperature reached and the condition of the fibroid under treatment. The sonication process is repeated till the fibroid tissue is destroyed, and number of sonication used depend on the size of the fibroid.
What are the Known Complications of the Procedure? Some rare complications of HIFU are burns on the skin of your abdomen, blood clots in legs, tissue damage around the targeted area, and nerve stimulation leading to back or leg pain.
Further, the procedure may not be able to destroy all fibroid in one sitting and re-treatment may be required. Since the treatment is relatively new, there is not much substantial data available to verify the long-term effects of HIFU on safety, effectiveness, and effect on fertility and pregnancy as compared to other treatments for fibroid. You can resume your normal activities within a day after the procedure. You can resume your normal daily activities the same day after the procedure.
Your doctor will administer anti-inflammatory medication that will provide you relief for any discomfort experienced by you. The medications administered as part of the procedure necessitate some assistance to the patient in driving to and from the hospital. Get assistance in choosing the right specialist, compare treatment cost from various hospitals and get support in managing other hospital processes.