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causes of fibroids - Fibroids keep you from having children?

Jun 12th 2012 at 12:19 AM


Fibroids are sometimes for an infertility evaluation found when tests, such as pelvic ultrasound or hysterosalpingography hysterosonogram. Fibroids are benign leiomyomas or smooth muscle of the uterus. They are characterized by location, classified into three types: subserosal (1) - when the fibroid grows in the outer layer or serosa of the uterus, (2) intramural - when the fibroid in the muscular layer of the uterus (myometrium) increases and (3) submucosal or intracavitary, when the fibroid grows only in the uterine lining (mucosa) or takes the uterine cavity. Submucous myomas or intracavitary, the shape of the uterine cavity. Large intramural fibroids can interfere with blood flow to the uterus and may also change the shape of the uterine cavity. Subserosal fibroids are not generally change the shape of the uterine cavity, but can cause problems when large.


causes of fibroids on uterus :Most fibroids are usually small, asymptomatic and require no treatment. These benign tumors, only close monitoring to document changes in size or gynecological early onset of symptoms. Common symptoms of fibroids are back pain, pressure or abdominal discomfort, frequent urination, rectal pressure or discomfort and periods can be painful, heavy and prolonged.


Fibroids are to infertility in 5-10% of cases. However, if all other causes of infertility, fibroids can be ruled out to explain that 2-3% of cases, infertility. Fibroids can cause reduced fertility or infertility by:

First Create an abnormal uterine cavity. An enlarged or elongated cavity can interfere with sperm transport, and a cavity with an abnormal outline can prevent normal implantation.
Second Fibroids can be distorted into a uterus and cervix significantly. Tensions can be reduced to prevent access to the collar of ejaculate lead to efficient transport of the uterus.
Third segments of uterine fallopian tubes blocked or distorted by fibroids.


Infertile women have fibroids everything must be done to rule out all other possible causes of infertility. There should be a standard evaluation and infertility hysterosalpingography (HSG) or ultrasound "liquid" (hysterosonogram) should make an assessment of the uterine cavity. Only then a decision must be made on the management of fibroids.

Most fibroids do not have to be discarded in selected cases. The medical literature suggests that elimination can be an advantage if you distort the uterine cavity by fibroids. In addition, some reports suggest that their removal can be displayed, even if it is 5 centimeters or more in diameter and the wall of the uterus (intramural) are. Otherwise, we recommend waiting if the uterine cavity is normal, the fibroids are small, or if the surface of the uterus.

The fibroids are removed in surgery called a "myomectomy". Laparotomy, laparoscopic myomectomy, hysteroscopic myomectomy and: You can perform three types of myomectomy. Laparotomy requires an abdominal incision is usually a "bikini", and cutting to remove uterine fibroids. This is the best belly landing procedures, if large fibroids, many, I have located in the muscles of the uterus. Fibroids can be removed by laparoscopy, and this type of myomectomy is best when fibroids occur just superficial and small. Hysteroscopic myomectomy is recommended, though most of the fibroid is in the uterine cavity. Hysteroscope inserted through the cervix OS, then a myomectomy. Endoscopic scissors, laser or electrocautery can be used to perform this type of myomectomy.

A myomectomy is a relatively safe procedure that results in some serious complications. Postoperative adhesions is a common complication and good surgical technique to avoid, and barriers should be used consistently responsibility of myomectomy.

There are other options for the treatment of uterine fibroids, but these alternatives are not recommended for women who want fertility. Some of these options are:

First Uterine Artery Embolization (UAE) - results from blockage of blood flow to the fibroids, then the shrink. This method is very effective in reducing tumor size and reduce symptoms. Pregnancies after UAE has been reported, but not to the safety of this procedure in women who intend to become pregnant, was founded.

The second medical treatment with agents such as GnRH agonists, progestins and RU486 (mifepristone). These agents can reduce uterine size and symptoms, but if treatment is stopped, the fibroids can grow to the initial size. The use of this drug is not effective to promote fertility and is not recommended when women attempting pregnancy.

Third New techniques are being developed for the treatment of uterine fibroids. One of these new techniques, laparoscopic myolysis in which a needle is used to power electric current is applied directly to the fibroids. The objective is broken blood flow and reduce fibroids over time. A laparoscopic procedure uses super-cooled cryoprobe to destroy the fibroids. Another technique uses magnetic resonance imaging (MRI) to conduct a wave of high intensity ultrasound to destroy fibroids. Not even the safety of these procedures in women who intend to become pregnant, was founded.

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