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fibroids


Elsa Davidson, a 39-year-old specialist in nutrition found out that she had fibroids, during a routine gynecological examination. Although the doctor told her that she is "larded them", she did not feel. She had no idea that they were all she had. Elsa followed the advice of the doctor began to monitor their growth, year on being tested. Over the next five years, fibroids continue to grow and gradually the symptoms appeared.
"Menses I became so heavy that I had to run to the bathroom every half hour to change a tampon and two additional pads, which I had to use, says Elsa. Monthly blood loss anemia gave, I just buckled my knees. Every time I was horrified waited for menstruation, I was afraid that would not close the bathroom and the blood flow through the laundry. "
Elsa realized that it is time to be decided on something, when fibroids have grown so much that began to put pressure on the bladder, causing urinary unexpected. After discussing all options, she decided that in her case the most suitable hysterectomy.
According to the National Center for Health Statistics, 30 percent of all hysterectomies performed in the United States about fibroids nearly 200 000 operations annually. Without a doubt, a radical hysterectomy is the only solution to the problem, since fibroids after myomectomy may reappear.

SOMETIMES you can simply do nothing


Leiomyoma is usually benign tumors, consisting mainly of muscular tissue; their size may be different and a pea, and cantaloupe and even more. They can be located inside or outside the uterus, penetrate into the uterine wall or fastened to it by a foot. No one knows why they initially appear, but they have 20 percent of women older than 35 years. In black women, they are three times more often than whites.
Malignant leiomyomata rarely (only one 1000). "If you do not have any symptoms and they are not many women, there is no reason to do anything," says Ruth Schwartz, MD, professor and clinician with the Department of Obstetrics and Gynecology, Medical Faculty of the University in Rochester, New York.
Since leiomyoma in its development depend on estrogen, women approaching menopause (the time when the production of estrogen by the body begins to decrease), can wait with their removal. After menopause leiomyoma is often reduced in size or disappear. "More young women can be advised to follow if leiomyomas grow in size and there is a build-up of symptoms," says Dr. Schwartz.
American Corporation of Obstetricians and Gynecologists says that about a third of women with leiomyoma, complain of heavy bleeding during menstruation. Another third feels pressure varying degrees and pelvic pain.





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