Fibroid Uterus Treatment

Depending on its location in or the uterus defines the types of fibroid.

1. Intramural fibroid- intramural fibroid appears within the muscular wall of the uterus. They may grow larger than can stretch your womb.
2. Subserosal fibroid- subserosal fibroid appears on the outside of the uterus, also called the serosa. They may grow large enough to make your womb appear bigger on one side.
3. Pedunculated fibroid- when subserosal tumors develop a stem, a slender base supporting the tumor, they’re known as pedunculated fibroid.
4. Submucosal fibroid- these tumors develop in the middle muscle layer, or myometrium of your uterus and they aren’t as common as the other type.

You'll need to see a gynaecologist to get a pelvic exam to examine the condition, size, and shape of your uterus. Other test includes:

1. Ultrasound- images of your uterus on the screen will help your doctor to see its internal structures and any fibroids present.
2. Pelvic MRI- the in-depth imaging test producing images of your uterus, ovaries, and other pelvic organs shows fibroids that are not visible on ultrasound.

Based on your age, the size of your fibroids and your overall health, your doctor will develop a treatment plan.

1. Home remedies and natural treatments:
• Certain home remedies and natural treatments can have a positive effect on fibroids, including:
• Acupuncture
• Yoga
• Massage
• Applying heat for cramps (avoid heat if you experience heavy bleeding)
• Avoid meets and high caloric foods
• Opt for foods high in flavonoids, green vegetables, green tea
2. Medications
• Your doctor may prescribe some medications (regulating your hormone levels) to shrink fibroids.
  Gonadotropin-releasing hormone (GnRH) agonists,such as leuproide(lupron) will cause your progesterone and estrogen levels to drop. This will eventually stop menstruation and shrink fibroids, by stopping your body from producing follicle- stimulating hormone(FSH) and luteinizing hormone(LH).
  Other options that can help control bleeding and pain, but won't shrink or eliminate fibroids, include:
• An intrauterine device(IUD) that release the hormone progestin
• over-the-counter(OTC) anti-inflammatory pain relievers,such as ibuprofen(Advil)
• Birth control pills
3. Surgery

While performing myomectomy, your surgeon removes the fibroids,leaving the uterus in place. If the fibroids are a few in number, you and your doctor may opt for a laparoscopic or robotic procedure to remove the fibroids from your uterus.

1. non-invasive surgery:
• To destroy fibroids while preserving the normal uterus, your doctor may opt for MRI-guided focused ultrasound(FUS),a non-invasive treatment for uterine fibroids.
  High-energy , high frequency sound waves are directed at the fibroids to ablate, or destroy them.
  Another non-surgical option is uterine artery embolization. In this procedure small particles are injected into the uterus in order to cut off the fibroids blood supply.
2. Ovarian cyst
• Ovarian cyst are a fluid-filled sac that develops in and on the surface of the ovaries.
  Many women will develop at least one-cyst during their lifetime. In most cases,cysts are painless and cause no symptoms. You might get one every month as part of your menstrual cycle and never know it. They usually go away on their own with treatment.
  But when it doesn't go away or gets bigger, a cyst can become a problem. There’s also the possibility of cancer, but it's rare. As you grow older, your chances get high.

Symptoms:

In most cases, ovarian cysts cause no symptoms. However ,symptoms can appear as the cyst grows. Symptoms may include:

• Abdominal bloating or swelling
• Painful bowel movements
• Pelvic pain before or during the menstrual cycle.
• Painful sex
• Breast tenderness
• Nausea and vomiting

Severe symptoms of ovarian cysts require immediate medical attention. Contact your doctor, if you have:

• Sudden or sharp pelvic pain
• Fever
• Dizziness
• Rapid breathing

These symptoms can indicate a ruptured cyst or an ovarian torsion.

Most cysts are functional. These types of functional cysts include follicle and corpus luteum cysts.

1. Follicle cysts:
   During a woman's menstrual cycle, your ovaries release one egg that grows inside a tiny sac called a follicle. The follicle breaks open and releases it,when the egg is ready. If the sac does not open, it causes a follicle cyst.
2. Corpus luteum cyst:
   After releasing the egg, folic sacs typically dissolve. But if the sac doesn't dissolve or closes back and fluid collects inside,it causes a cyst. It causes pain or may bleed as it grows.
   Some women evolve a condition where the ovaries contain a large number of small cysts and can cause the ovaries to enlarge. This condition is called polycystic ovary syndrome. These conditions make it hard for a woman to get pregnant , if not treated.

The risks factors to get ovarian cysts may include:

• Hormonal problems:
  Taking the fertility drug clomiphene to help you ovulate can increase your risk of cysts.
• pregnancy:
  The cyst that forms during ovulation may stay on your ovary after you become pregnant and throughout your pregnancy.
• Endometriosis:
  Cells that usually line the inside of your uterus grow outside it. These wayward cells can attach to your ovary and cause a cyst to grow.
• Pelvic infection:
  When a severe pelvic infection spreads to your ovaries,it can cause cysts there.
• Ovarian cyst history:
  You’re more likely to get an ovarian cyst, if you’ve had at least one ovarian cyst before.

Most women have rare complications of ovarian cysts. Your doctor might trace a cancerous cystic ovarian mass during regular checkups.

1. Ovarian torsion:
   A rare complication where large cysts can make an ovary to move and twist from its first position. It can cause damage or death to the ovarian tissue, if not treated.
2. Ruptured cysts:
   If these complications are left untreated,it increases the risk of an infection and can be life-threatening. It can cause intense pain and internal bleeding.
3. Infected ovarian cyst:
   When an abscess (formed when an ovarian cyst develops in response to a pelvic infection) bursts,dangerous bacteria spreads throughout your body.

Your doctor can trace cysts during a routine pelvic exam. To diagnose what kind you have, your doctor may perform a one or more of the following tests:

• Ct scan (creating cross-sectional images of internal organs)
• MRI (producing in-depths images on the internal organs)
• Ultrasound device (visualizing the ovary)

But if the cyst grows in size, your doctor may recommend the following additional tests:

• Pregnancy test- to make sure you’re not pregnant. If your pregnancy test is positive, you may have a corpus luteum cyst.
• Hormone level cyst- to check for hormone related issues, such as too much estrogen or progesterone.
• CA-125 blood test- to screen for ovarian cancer. Often higher in women who have ovarian cancer, and in those who have conditions such as uterine fibroids inflammatory disease(PID)

If the cyst doesn’t go away on its own or if it grows larger, your doctor may perform the treatment to shrink or remove the cyst.

• Birth control pills:
  Oral contraceptives can reduce the risk of ovarian cancer. The risk is higher in postmenopausal women to get ovarian cancer.
• Laparoscopy:
  Your doctor performs a laparoscopy to surgically remove the small cysts. Your doctor makes a tiny cut near your navel and uses a different tool to remove the cyst or ovary.
• Laparotomy:
  Laparotomy is performed for large cysts. If your doctor determines the cyst is cancerous, they may perform a hysterectomy to remove your ovaries and uterus.