fibroid of uterus | adenomyosis | myoma

Fibroid Of Uterus

Uterine fibroids, additionally accepted as uterine leiomyomas or myomas, are one of the best accepted medical altitude affecting at atomic one out of every four women. These are amiable tumors formed from the able-bodied band of the uterus. Women with Fibroids may or may not acquaintance any alien symptoms. Therefore, uterine fibroids are generally detected alone during a accepted pelvic examination. On the base of their location, uterine coarse tumors can be categorized into three altered types: subserosal fibroids, civil fibroids and submucosal fibroids.

What are Civil Fibroids?


Intramural fibroids are one of the best accepted types of uterine fibroids, activate in 70% of women of bearing age. Unlike subserosal fibroids, which advance on the alfresco accoutrement of the uterus, and submucosal fibroids, which advance aloof beneath the lining of the uterine cavity, civil fibroids advance aural the bank of the uterus.

Intramural fibroids activate as baby nodules in the able-bodied bank of the uterus. With time, civil fibroids may aggrandize inwards, causing baloney and addendum of the uterine cavity. Sometimes these coarse tumors may abound appear the endometrial atrium to become submucosal fibroids or they may alike abound appear the alien apparent of the uterus to become subserosal fibroids.

Adenomyosis

Last week as I was getting ready to leave for the hospital,I heard Mamta talking in quite a hurried tone to some lady.Later she told me that this was a Lady in pain who had come without an appointment.I have given your mobile number and have directed her to the Max Emergency( She is getting smarter by the day.....Max Healthcare should felicitate her).Anyways that Lady called me later and told her painful story of a very painful dysmenorrhoea (painful periods).
I called her two days later.she was a primipara,planning her second child but was waiting for this pain to settle before she planned any further.Her Scan done in dec 2011 was a Normal scan.
AdenomyosisAfter an internal checkup later I was little confused.....It was either an acutely anteflexed uterus or a fibroid.If it was anteflexion than I was in no position to explain her dysmenorrhoea and if fibroid.....well the irregularity didn't feel like a fibroid.Another scan later.....Adenomyosis was the diagnosis in this 29 yrs old Lady.
When the endometrial cells (cells of the inner lining of the womb) invade the muscular layer of uterus it leads to the adenomyosis.It caused heavy and painful periods.If has been associated with fibroids and endometrial hyperplasia as well.An USG finding can be confirmed by a MRI.
It can happen due to weak muscles of the uterus,increased intrauterine pressure or due to some unknown reason.
Medical treatment is bleak.OCpills don't give as good relief as in endometriosis.Mirena ( IUS) has been found to be effective up to certain extent.Zoladex and Danazol have been used as second line treatment but have not been very effective methods.
There have been reports where hysteroscopically or laparoscopically surgeons have tried removing the tissue having 'adenomyosis'I have in fact seen Dr Eric Butrant at Aix an Provance performing such surgeries and these surgeries are quite simple but again there is not enough evidence to talk about it's benefits.
Lastly Hysterectomy always comes like a yamraj and takes away the femninty of a female to provide that final cure and yes it is applicable for adenomyosis too.

Myoma

A myoma, frequently accepted as a fibroid, is a amiable bump that develops in or about the uterus. Fibroids are medically accepted as leiomyomas and are tumors of the bland muscle, the tissue that commonly makes up that bank of the uterus.

Fibroids are a accepted action that affects about 20% of bearing women. African Americans are added acceptable than Caucasians to advance the disease, as are women who are over 30 years of age, are ample or obese, or accept never accustomed bearing .

The fibroids may arise as one ample coarse or abounding baby fibroids. Their account is not known; however, they arise to be associated with the attendance of estrogen. During bearing years back a woman’s estrogen levels are high, fibroids boring access in size. But during menopause back a woman’s estrogen levels are low, fibroids not often occur.

The affection of fibroids may action frequently or alone occasionally. The ache advance varies amid individuals. Some women accept no affection at all, while others accept belly pain, aberrant vaginal bleeding, adversity urinating, or affliction during animal intercourse. A coarse can abound ample abundant to put burden on the bladder, authoritative it difficult to belch urine and eventually causing infection.

Medications, hormones, and surgical procedures are able in abbreviation affection or in removing the coarse completely.

Fibroid Of Uterus | Adenomyosis | Myoma,