posted by Som Offor.
Fibroids
are abnormal growths that develop in or on a woman’s uterus. Sometimes, these
tumors become quite large and cause severe abdominal pain and heavy periods. In
other cases, they cause no signs or symptoms at all. The growths are typically
benign (noncancerous). Another medical term for fibroids is "leiomyoma" (leye-oh-meye-OH-muh)
or just "myoma".
Fibroids can
grow as a single tumor, or there can be many of them in the uterus. They can be
as small as an apple seed or as big as a grapefruit. In unusual cases they can
become very large.
What if I become pregnant and have fibroids?
Apart from generating symptoms, such as heavy vaginal bleeding, severe pelvic and back pain, constipation, and bloating, the most common problems seen in pregnant women with fibroids are:
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About 70 to 80 percent of women develop
fibroids by the time they reach age 50. Fibroids are most common in women in
their 40s and early 50s. Not all women with fibroids have symptoms. Women who
do have symptoms often find fibroids hard to live with. Some have pain and
heavy menstrual bleeding. Fibroids also can put pressure on the bladder,
causing frequent urination, or the rectum, causing rectal pressure. Should the
fibroids get very large, they can cause the abdomen (stomach area) to enlarge,
making a woman look pregnant.
The
name given to fibroids determine where is been located, different fibroids
develop in different locations in and on the uterus.
Intramural
Fibroids: They are the most common
type of fibroid. These types appear within the lining of the uterus
(endometrium). Intramural fibroids may grow larger and actually stretch your
womb.
Subserosal
Fibroids: They form on the outside
of the uterus, which is called the serosa. They may grow large enough to make
the womb appear bigger on one side.
Pedunculated
Fibroids:When subserosal tumors
develop a stem (a slender base that supports the tumor), they become
pedunculated fibroids.
Submucosal
Fibroids:These types of tumors
develop in the inner lining (myometrium) of the uterus. Submucosal tumors are
not as common as other types, but when they do develop, they may cause heavy
menstrual bleeding and trouble conceiving.
It
is unclear why fibroids develop, but several factors may influence their formation.
Some of these factors are:
Hormones: Estrogen and progesterone are the hormones produced by the ovaries. They cause the uterine lining to regenerate during each menstrual cycle and may stimulate the growth of fibroids.
Age: Fibroids become more common as women age,
especially during the 30s and 40s through menopause. After menopause, fibroids
usually shrink.
Family history: Having a family member with
fibroids increases your risk. If a woman's mother had fibroids, her risk of
having them is about three times higher than average.
Ethnic origin: African
women are more likely to develop fibroids than white women.
Obesity: Women who are overweight are at
higher risk for fibroids. For very heavy women, the risk is two to three times
greater than average.
Eating habits: Eating a
lot of red meat (e.g., beef) and ham is linked with a higher risk of fibroids.
Eating plenty of green vegetables seems to protect women from developing
fibroids.
Symptoms
will depend on the location and size of the tumor(s) and the number of tumors.
If tumor is very small, or if the patient is going through menopause, she may
not have any symptoms. Fibroids may shrink during and after menopause.
Symptoms of fibroids may
include:
- Heavy bleeding between or during periods that includes blood clots
- Pain in the pelvis and/or lower back
- Increased menstrual cramping
- Increased urination
- Pain during intercourse
- Menstruation that lasts longer than usual
- Pressure or fullness in the lower abdomen
- Swelling or enlargement of the abdomen
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What if I become pregnant and have fibroids?
Apart from generating symptoms, such as heavy vaginal bleeding, severe pelvic and back pain, constipation, and bloating, the most common problems seen in pregnant women with fibroids are:
·
Premature
Labour:Depending on the location and size of the
fibroids, pregnant women with fibroids may be at a greater risk of experiencing
premature labour.
·
Miscarriages:Due
to the increase in estrogen levels during pregnancy, fibroids can enlarge and
displace the placenta. Large fibroids in the uterine cavity can create a
shortage of space and hinder the growth of the baby, which may either lead to
miscarriage or cause congenital deformities in the baby.
·
Cesarean
Birth:Multiple fibroids located in the lower part
of the uterus can block the vagina during pregnancy, making it necessary to
have a cesarean birth.
·
Baby's position can
adversely be affected:Depending
on the location and orientation of the fibroid, the baby can end up in either a
transverse or breech position.
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