How Uterine Fibroid and Miscarriage are Related
by Shivani Tyagi We are expert in UrologyUterine fibroids are benign(non-cancerous) lumps of tissue that grow in the wall of the uterus. Fibroids are not uncommon; estimates suggest that anywhere between 20% and 50% of women have some type of fibroid. Fibroids are generally developed in a woman’s adulthood.
Symptoms
of fibroids in the uterus
In many women, fibroids cause no problems. Some women, however, may experience pelvic pain, unusually heavy menstrual periods, or fertility problems. In some women, fibroids can cause recurrent miscarriages.
How
Fibroids Are Related to Miscarriages
The reason, why fibroids cause problems for some women, have to do with the type and
size of the fibroid and its location in the uterus.
For
example, if the fibroid is closer to the middle of the uterus, where a fertilized egg is more likely to implant, then the fibroid is more likely to
cause a miscarriage.
Submucous
Fibroids are the ones that stick out into the uterine cavity and change its
shape and intracavity fibroids are the ones that are within the uterine cavity.
These are more likely to cause miscarriages.
Intramural
fibroids are within the uterine wall.
Subserosal
fibroids bulge outside the uterine wall.
A large fibroid tends to be more problematic than a small one. The bigger a fibroid is, the more blood vessels it contains, and the more it can take blood flow away from the uterus and a developing fetus.
How
to diagnose fibroids in the uterus
Gynecologist
diagnoses through a pelvic exam initially followed by hysterosalpingography or
HSG or a sonohysterogram in some cases, especially where a woman is
having recurrent miscarriages.
During
an HSG, a 30-minute outpatient procedure, an iodine-based dye is placed through
the cervix and x-rays are taken.
Treatment
Options for fibroids in the uterus
Multiple
treatments exist for fibroids and women who have no negative symptoms
associated with their fibroids may not even need treatment.
Medications
are available that can shrink fibroids.
The most
drastic treatment for fibroids is a hysterectomy
(removal of the entire uterus)—a treatment that would obviously not work for
anyone who has a goal of getting pregnant again.
Another procedure called uterine artery embolization stops the blood supply to the fibroid and has shown a success.
A
surgery called laparoscopic myomectomy is
usually a top choice for a woman who is hoping to get pregnant again. In a
myomectomy, the doctor surgically removes the fibroid, sometimes via a
hysteroscope or laparoscope.
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Created on Jul 24th 2019 04:00. Viewed 506 times.