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Fibroids


Elsa Davidson, a 39-year-old nutritionist, learned that she had fibroids during a regular pelvic exam. Although the doctor told her that she was "stuffed with them," she did not feel it. She had no idea who she was. Elsa followed the advice of the doctor began to monitor their growth, annually being checked. Over the next five years, fibroids continued to grow and symptoms gradually appeared.
“My periods have become so abundant that I had to run to the bathroom every half hour to change the tampon and the two extra linings that I had to use,” says Elsa. Monthly blood loss gave anemia, my knees literally buckled. Every time I waited for menstruation with horror, I was afraid that there would not be a bath nearby and blood would leak through the linen. ”
Elsa realized that it was time to decide on something when myoma nodes grew so much that they pressed on the bladder, causing unexpected incontinence. After discussing all possible options, she decided that in her case the hysterectomy would be the most appropriate.
According to the National Center for Health Statistics, 30 percent of all hysterectomies in the United States are performed on fibroids by almost 200,000 operations annually. Without a doubt, hysterectomy is the only cardinal solution to the problem, since after myomectomy myoma can appear again.

SOMETIMES IT'S NOT POSSIBLE TO DO ANYTHING


Leiomyomas are usually benign tumors consisting mainly of muscle tissue; their sizes can be different with a pea, and cantaloupe and even more. They can be located outside or inside the uterus, penetrate into the walls of the uterus or attached to them with the help of the leg. No one knows why they initially arise, but 20 percent of women over 35 have them. In black women, they are three times more likely than whites.
Leiomyomas are rarely malignant (only one in 1000). “If you don’t have any symptoms, and many women don’t have them, there’s no reason to do anything,” says Ruth Schwartz, MD, a clinical professor with the Department of Obstetrics and Gynecology at the University of Rochester, New York.
Since leiomyomas depend on estrogen in their development, women approaching menopause (the time when the body's production of estrogen begins to decrease) can wait for them to be removed. After menopause, leiomyomas often decrease in size or disappear. “Younger women can be advised to see if leiomyomas increase in size and symptoms build up,” says Dr. Schwartz.
The American Corporation of Obstetricians and Gynecologists reports that about a third of women with leiomyomas complain of heavy bleeding during menstruation. Another third feels pressure of varying degrees and pain in the pelvic region.





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