 |
| Submucus Fibroid |
 |
| Fibroid on Ultrasound |
 |
| Uterus Showing Fibroid Interiors |
These pictures are all of the round muscle knots called uterine fibroids. Usually your physician can feel the fibroids, that are either on the outside of the uterus or ones that make your uterus large, on a pelvic examination. Not every fibroid will need treatment, and we wonder should hysterectomies be done for heavy uterine bleeding with fibroids? Most gynos say most often no a uterine fibroid will not necessarily require surgery, definitely not initially. There are other things to try. And many women haven’t even heard of some of their alternatives for the treatment of these uterine muscle tumors, and there are new ones being developed. Uterine fibroids are the most common gynecologic tumor. And with over 500,000 hysterectomies being done in the USA each year for bleeding, we can actually save a lot of uteri and avoid complications with fewer days out of one’s life if alternatives are evaluated for the treatment of fibroids. Exactly what should be done is based on : How big: grapefruit size lumps on the normal egg sized uterus, that’s large. The location of the fibroid: under the lining they bleed a bit more, poking at your bladder you pee a bit more, and deep in the pelvic area there can be pressure on upper legs, back or with bowel movements. How much bleeding? Well, good question there too: if you are anemic and cannot keep up then yes, it’s too much. More kids planned? Absolutely you need to keep your uterus in working order. So what to be done? Think about medications, myomectomies and an effective treatment for bleeding that might not change the fibroid size itself is a NovaSure uterine ablation. Actually post menopause, eventually, the fibroids may shrink and become unnecessary to treat. Oral contraceptives and DepoProvera can control uterine bleeding, but they won't necessarily affect the fibroids themselves. Luprolide (Lupron) injections can shrink fibroids, and stop bleeding, but the shrinkage may not last indefinitely. The newest medication that has been studied, but is not approved in the US for use with fibroids is, ulipristal acetate selective progesterone receptor modulator, was evaluated for treatment of fibroids an it was found to both work about as well as the lupron, and to help control heavy periods. For some women they got some shrink in the size of the fibroid, but at least in one early study the shrink of the overall size of the fibroid was less with the ulipristal acetate than with the luprolide (Lupron). Another option for controling the bleding would be the medication tranexamic acid (Lysteda) which is both not a hormone nor a daily medication and often will work with just 1-3 days of use per cycle. So when you are told you have uterine fibroids, be sure to look into your alternatives.
i been on lupron for past 3 months, age 26. and yesterday had an accident condom failed!
ReplyDeletecan i take plan b in order to avoid pregnancy?
pls help
Lupron treatment for uterine fibroids or endometriosis, especially after several months of therapy, is likely to suppress ovulation, but is not considered contraception. Plan B is a progesterone post coital treatment to prevent conception by preventing ovulation in women who have had unprotected sex. Plan B is not contraindicated by Lupron therapy. Always read instructions on Plan B and contact your physician if you have unanticipated side effects.
ReplyDelete