Uterine fibriods,causes,signs/symptoms,investigations and treatment

#Uterin-#Fibriods

It is a benign smooth muscle growth of the myometrium. It is the most common benign uterine tumor. It can develop in a number of anatomic locations such as 👉

☆1- Intramural -(most common location of a leiomyoma is within the wall of the uterus).

☆2- Submucosal -(These myomas are located beneath the endometrium and can distort the uterine cavity).

☆3- Subserosal -(These are located beneath the uterine serosa).

CLINICAL FEATURES  of  UTERINE FIBROID

1-Heavy  menses

2-abnormal menstrual  cycle 

3-bleeding  during  pregnancy

4-lower back pain.

5-constipation. 

6-infertility.   

7-heamoroids. 

8-ectopic pregnancy.

9-miscarriage.   

10-post  partum  heamorrhage(PPH).

11-bleeding  b/w period.

DIAGNOSIS -

•Pelvic examination.

• Sonography.

• Hysteroscopy.

• Histology.

MANAGEMENT

☆ 1-Observation-Most leiomyomas can be managed conservatively and followed expec-tantly with regular pelvic examinations.

☆ 2-GnRH analog therapy e.g (leuprolide,nafarelin,buserelin,goserelin)after 3-6months therapy a 60-70% reduction in size of the fibroids can be expected.

☆ 3-Myomectomy- This is a surgical procedure performed if the patient desires to maintain fertility.

☆ 4-Embolization.

5-Hysterectomy- (If the patient has completed her childbearing, definitive therapy is an abdominal or vaginal hysterectomy).

     Complication of uterine fibriods                                                                               

●Infertility.

●miscarriage.

●early death  of fetus.

(By; Dr-Abdullah Noor wazir)