Free Essay

Fibroids

In:

Submitted By lilv75
Words 1646
Pages 7
Case Study Analysis: Uterine Fibroids
Victoria Moss
COMM/215
5/14/12
David Mumford

Case Study Analysis: Uterine Fibroids
Uterine fibroids develops in the muscular wall in the uterus are not malignant tumors or growth. Fibroids are found in women and are a type of growth not cancer. It is common in women who are between the ages of 25-45. Uterine fibroids are also called leionyomas or myomas. Fibroids do not cause problems when they remain small. They can grow inside and outside the uterus. Once the fibroids grow larger in size they can cause complications. Sometimes fibroids have grown large enough to fill the whole abdomen.
In African American women uterine fibroids exist more than in White women. Researching upon uterine fibroids it is not understood the causes and fibroids grow quicker in African American women. The female hormones estrogen and progesterone can increase or decrease throughout women's life. When a woman goes through menopause it decreases estrogen. When going through menopause fibroids tend to shrink. Birth control pills can cause fibroids to grow because it is a hormonal drug that contains estrogen.
Fibroids may cause some of these symptoms like changes in menstruation, heavy periods, and cramps. Vaginal bleeding other than menstrual cycle can cause anemia. Causes pain in the abdomen or lower back. It may inquire pain while acquiring sex or pressure when urinating. The uterus is enlarged, miscarriages, and infertility are other symptoms. When other symptoms occur you may have other problems. Sometimes fibroids may not show any signs. Fibroids can be found during yearly examination or during other tests.
A large fibroid can cause the abdomen to swell. When the abdomen is swollen it is hard to receive a complete pap smear. Fibroids in women can cause infertility. Sometimes women can become pregnant after their treatment. Not all women who have fibroids will get treated. If fibroids are not causing any problems why bother them. The doctor may recommend more exams to make sure the fibroids are not growing fast. There are medical treatments available to reduce heavy menstrual bleeding and often recommended before surgery.
Hormonal birth control includes the pill, the patch, the shot, vaginal ring, IUD, and implant. Using these treatments reduce cramping and bleeding. It may take a few months until the body adjusts. Some doctors advise women with heavy bleeding to take the hormonal pill. Hormonal intrauterine device (IUD) releases a hormone called progestin in a form of progesterone hormone into uterus. It prevents pregnancy and reduces menstrual bleeding up to five years. IUD is placed in the uterus. Implants prevent pregnancy and reduce menstrual bleeding up to three years. It is placed under the skin in upper arm. The shot called Depo-Provera is given once every three months to prevent pregnancy. The side effect is spotting during the first few months. Antifibrinolytic medicines work by helping blood to clot. The advantage of this medicine slows down bleeding quickly, but only take medicine a few days each month, and it does not keep a woman from conceiving. Nonsteroidal antiinflammatory drugs, such as Motrin or Alleve can be purchased over-the-counter, and do not need a prescription. Gonadotropin-releasing hormone agonists (GnRH) is an injection temporarily to shrink fibroids given once every three months.
Some women refuse treatment because of their age. There are limited treatment options for women with the symptoms of pain and heavy bleeding. Fibroids can get smaller, grow at different growth rates and are exposed to the same hormones in the blood. For women with uterine fibroids they have an option of choosing between three different treatments and have improvements in their life.
The treatment options to choose from are hysterectomy, uterine artery embolization, and MRI-guided focused ultrasound is called noninvasive procedure; no incision required. The patient lies on her stomach for this procedure with the MRI machine, ultrasound waves pass through the skin creating heat to destroy the fibroids.
Fibroids lead to hysterectomy, which is a remedy of a surgical procedure to remove altogether or part of uterus. Hysterectomies in women occur in about 80% of women there are about 50% in African American women and about 30% in White women. Women with fibroids from the ages of 25 and 45 is 20% at risk of a hysterectomy 7% for black women.
The impact of health resources for fibroids has inquired controversy about the treatments for fibroids by using vaginal hysterectomy. The removal of the uterus and the ovaries partial or total is called a hysterectomy. The size of the fibroids depends on what method can be used. Hysterectomy is needed if pain continues, heavy bleeding, and large fibroids. When a woman gets a hysterectomy, she can no longer have children. Hysterectomy might be an option for a woman who is at the end of her reproductive years. It is also considered when the fibroids cause complications or uncomfortable symptoms. Hysterectomy is a permanent procedure. When a woman has not gone through menopause there is a risk of osteoporosis and heart disease.
Uterine artery embolization is a small incision in groin area where a catheter is passed through the arteries it reaches the blood supply through the uterus. Small fragments are inserted into the uterine arteries. The particles cause the fibroids to shrink and cut off blood flow. This method works when having more fibroids present. The symptoms women have after the procedure cramping, nausea, or fever. It includes infections and uterine injury. Most women menstrual cycle resumes regular after the procedure. Menstrual periods do not return for 40% of women over 50. Women who have the UAE are at risk for placenta problems. If considering children you may consider other forms of treatment. Uterine fibroid embolization or uterine artery embolization blocks off the blood supply to arteries feeding the fibroids nonsurgical procedure.
Noninvasive magnetic resonance is used to demolish the fibroids with ultrasound waves. The magnetic resonance imaging helps the waves to apply heat to the fibroids through the skin. After the procedure women tends to have symptoms of improvement at least for the first year. Uterine artery embolization is a new nonsurgical treatment. It allows the fibroids to grow and stop the blood flow. This procedure blocks the blood vessels to the uterus. MRI guided focus ultrasound surgery no incision is required. The use of MRI helps to ensure the correct temperature at the targeted site. The ultrasound surgery takes about three hours and is done as an outpatient procedure. Most women return to daily activities after a day or two.
The outpatient procedure can be done in certain situations. The woman may stay at the hospital in other cases. The case analysis show experiences were close linking the development of fibroids. The risk of fibroids decreased with the increased number of pregnancies; women with five pregnancies had 1/4 of a risk than women who had none. The risk of fibroids was reduced in women who used oral contraceptives.
Uterine fibroids are classified by their location submucosal fibroids is the least common they are associated with heavy menstrual periods and miscarriages, they may have prolapsed into the cervix. Intramural fibroids grow within the uterine wall because of urinary frequency due to bladder compression.
Fibroids are measured by analysis of MRI scans. Fibroids range from one to thirteen cm in diameter from premenopausal women. The average growth of fibroids was 9%, but the difference among women from -89% to 138% they shrink >20%. The growth rates are similar in black and white women younger than 35. The rates declined for white women than black women. The growth rate is not dependent on size, location in uterus, weight, or number of children. Most fibroids do not grow and if so they grow or get smaller.
The study provides measurements that help assist in cost analysis of treatment for uterine fibroids to become helpful to make decisions regarding the treatments. The magnetic resonance imaging is rarely used but used to keep track of the growth of fibroids. About 40% of fibroids are abnormal; the other 60% are undetected a change. Most fibroids have no impact on fertility but fibroids that distort the uterine cavity decrease fertility; removing them increase fertility.
Conclusion: The evidence of managing fibroids is poor. Patients do not have the information needed to make decisions about appropriate treatment. Given the condition and the impact on women's lives obtaining this information should be top priority for research. In most women uterine fibroids, often exists they may not have any symptoms or need treatment. Fibroids may have no symptoms and require no treatment. On the other hand you may have a case in which they may need treatment. If you have been diagnosed with uterine fibroids in the past, you should have a regular checkup. It helps to pay attention to changes and warning signs that may encounter treatment. Maintaining a healthy diet and experiencing active lives helps to avoid serious diseases and complications. Pelvic examinations are used to study, confirm, and diagnose uterine fibroids. To decide on the best treatment for women there is not sufficient evidence about uterine fibroids. When diagnosed with uterine fibroids make sure her diet is high in fiber.

References
Carlson, KJ, Miller BA, Fowler FJ Jr. The Maine Women’s Health Study: I, Outcomes of hysterectomy. Obstetrics and Gynecology. 1994
InSightec. MR guided focused ultrasound surgery: A patient’s guide to a non-invasive surgery treatment for uterine fibroids. InSightec, Dallas, U.S.S.; 2004.
Malvasi, A. ”A three-dimensional morphological reconstruction of uterine leiomyoma pseudocapsule vasculature by the Allen-Cahr mathematical model”, Biomedicine and Pharmacotherapy, Volume 65, Issue 5. August 2011.
Mayo Clinic: Uterine Fibroids; June 2011
National Institute of Child Health and Human Development. Uterine Fibroids. www.nichd.nih.gov/health/topics/Uterine_Fibroids.cfm. September 6, 2011.
Stewart, EA. Uterine Fibroids: The Complete Guide, Johns Hopkins University Press, Baltimore MD 2007.

Similar Documents

Free Essay

Uterine Fibroids

...found in a woman’s uterus. Leiomyomas are commonly known as fibroids, but they can also be called fibromyomas, myomas, or fibromas. Fibroids are by far the most common solid pelvic tumor found in women who are in their reproductive years. About one quarter of all women will experience some symptoms caused by uterine fibroids, and the majority of them will have on average six to seven fibroid tumors in their uterus. Uterine fibroids are hormone dependent. So it is fair to conclude that fibroids will often subside after the cessation of menstruation. African American women are at a much higher risk for developing uterine fibroids than Caucasian women are there is no explanation for this. Overweight patients are also at a high risk of presenting with uterine fibroids, although smoking a little affects and may actually lower the incidence of developing uterine fibroids. There is not one simple place within the uterus that fibroids are always located. Uterine fibroids can be found submucosally, intramurally, and subserosally. Suberosal fibroids are found beneath the uterine serosa. Subserosal uterine fibroids can exhibit several defining characteristics such as being pedunculated, which means that the fibroid would be attatched to the uterus by a stalk. Subserosal fibroids are some times refered to as being sessile which means that the fibroid tumor has a very wide base to supports it. This typr of uterine fibroids will have little or no symptoms, unless tmhey are pedunculated...

Words: 312 - Pages: 2

Premium Essay

Fibroid Research Paper

...Fibroids are non-cancerous growth of muscle cells or connective tissues that develop in or on the uterus. Fibroids develop generally during the pregnancy period due to high level of hormones. It is known that approximately 20 million Indian women of age between 30yrs to 40yrs are at risk of developing fibroids. If a woman is developing symptoms like long periods, heavy bleeding or pelvic pain, she must consult the doctor immediately. Fibroid patients would be glad to know that doctors have been able to find suitable ways to deal with it, over the years. Hysterectomy i.e. removal of uterus, could be avoided for sure now. There are several non-invasive or minimally invasive procedures available for treatment of fibroids. Please find them listed...

Words: 512 - Pages: 3

Premium Essay

Uterine Fibroids Risk Analysis

...Leiomyoma or uterine fibroids, are benign tumors that develop from smooth muscle cells in the myometrium of the uterus (2012, p. 811). Within this disease it has been shown to have certain risk factors that can be modified and others that cannot. This disease is the most common affecting 70% to 80% of all women, staying small in size and asymptomatic [no symptoms] (Huether, 2012, p. 811). The occurrence of Uterine Fibroids is increased in Black and Asian women from 30-50 years of age, but during menopause it is decreased (Huether, 2012, p. 811). There are lifestyle factors, genetic, and gender risk factors that are likely to increase the development of Uterine Fibroids with that being said, there are certain preventative...

Words: 1180 - Pages: 5

Free Essay

Librarian

...Article ID 173184, 11 pages http://dx.doi.org/10.1155/2013/173184 Review Article Uterine Fibroids: Pathogenesis and Interactions with Endometrium and Endomyometrial Junction Andrea Ciavattini,1 Jacopo Di Giuseppe,1 Piergiorgio Stortoni,1 Nina Montik,1 Stefano R. Giannubilo,1 Pietro Litta,2 Md. Soriful Islam,3 Andrea L. Tranquilli,1 Fernando M. Reis,4 and Pasquapina Ciarmela3 1 Woman’s Health Sciences Department, Faculty of Medicine, Polytechnic University of Marche, Via Corridoni 11, 60123 Ancona, Italy Department of Gynaecological Sciences and Human Reproduction, University of Padova, Via Giustiniani 3, 35128 Padova, Italy 3 Department of Experimental and Clinical Medicine, Faculty of Medicine, Polytechnic University of Marche, Via Tronto 10/a, 60126 Ancona, Italy 4 Department of Obstetrics and Gynecology, Federal University of Minas Gerais and National Institute of Hormones and Women’s Health, 30130-100 Belo Horizonte, MG, Brazil 2 Correspondence should be addressed to Andrea Ciavattini; ciavattini.a@libero.it Received 28 February 2013; Revised 10 June 2013; Accepted 13 August 2013 Academic Editor: Hilary Critchley Copyright © 2013 Andrea Ciavattini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Uterine leiomyomas (fibroids or myomas) are benign tumors of uterus and clinically apparent in a large part of reproductive...

Words: 10389 - Pages: 42

Premium Essay

Laparoscopic Hysterectomy Essay

...Fibroids are the most common tumor that affect females and about 99 percent of them are benevolent (non-cancerous). Although uterine fibroids are so common, the worthy thing is that maximum of them usually pose no complications for the ladies that have them. For other females, dealing with the numerous symptoms of uterine fibroids can be a challenge. They might struggle with pain, pelvic pressure, hefty bleeding, infertility, pregnancy impediments, constipation, etc. For females with these tumors, they can refer Dr. Usha Kumar, the best laparoscopic surgeon in Max Hospital Saket for laparoscopic hysterectomy. A laparoscopic hysterectomy us a kind of hysterectomy implemented with a class of lean optical tubes usually referred to as laparoscopes. Executed by this manner, hysterectomies often lead to shorter retrieval and operating times than usual operations of this type. It is also moderately common for there to be much less blemishing and owing to this, many females request laparoscope assisted procedures....

Words: 411 - Pages: 2

Free Essay

Black Women and Pregnancy: Fibroids

...Black women and pregnancy: Fibroids by Kimberly Seals-Allers, author of The Mocha Manual to a Fabulous Pregnancy  Reviewed by the BabyCenter Medical Advisory Board Last updated: January 2010 What are fibroids? Fibroids are noncancerous tumors that grow from muscle tissue in the uterus. Fibroids, also called uterine leiomyomas or myomas, can grow on the outside of your uterine wall, within the uterine wall, or into the uterine cavity.   Women can have fibroids in one or more of these locations. The growths can be as small as a pea or as large as a basketball. But they are almost always benign, no matter how large they get. If a fibroid or cluster of fibroids is particularly large or is growing on the outside of the uterine wall, it can push the uterus into an abnormal position. It can also put pressure on the bladder or intestine, causing symptoms such as frequent urination, constipation, pelvic pain, or backache. Fibroids may also cause heavy menstrual bleeding. Fibroids can interfere with fertility, and they occasionally cause complications during pregnancy. For example, if a large fibroid blocks the opening of a woman's uterus, she may have to deliver her baby by c-section. African American women are more likely than other women to get fibroids, but any woman of any race can get them. Why is it especially important for black women to know about fibroids? In the United States, African American women have the highest rates of fibroids. They're two to three times...

Words: 2214 - Pages: 9

Free Essay

Nothing

...ANATOMY AND PHYSIOLOGY The perineal body (or central tendon of perineum) is a pyramidal fibromuscular mass in the middle line of the perineum at the junction between the urogenital triangle and the anal triangle. It is found in both males and females. In males, it is found between the bulb of penis and the anus; in females, is found between the vagina and anus, and about 1.25 cm in front of the latter. [healthline.com] MALE FEMALE Fibroma A fibroid is a benign tumor growing from connective tissue. It can affect all organs. In most cases, the fibroid has a round or spherical and its growth is slow. If multiple fibroids grow, it is called fibromatosis. Fibroids located within the body are often the subject of a chance discovery and are inconsequential. For cutaneous fibroids, there are soft fibromas (molluscum pendulum) and fibroids hard. For both forms, there is usually a small benign tumor of skin color. The soft fibroma may be pedunculated or sessile and is almost always painless. Skin areas most often affected are the armpits, neck and groin.  Fibroma in the perineal area Fibroma in the perineal area Fibroma are believed to develop due to pressure between adjacent areas of skin or between clothing, skin and also because of an injury. Fibroma is common in overweight or obese people and it tends to increase the risk with age and are most common in middle-aged and older individuals. Fibroma is also caused by other medical condition or diseases. Studies have...

Words: 473 - Pages: 2

Premium Essay

Hair Relaxer Research Paper

...dangerous because they contain chemicals that are linked to fibroid tumors causing cancer, cause respiratory and gastrointestinal complications, burn the scalp which causes...

Words: 1109 - Pages: 5

Free Essay

Case Study

...Echavez, RN, MN March 2013 UTERINE LEIOMYOMA/ UTERINE FIBROIDS Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer. As many as 3 out of 4 women have uterine fibroids sometime during their lives, but most are unaware of them because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound. In general, uterine fibroids seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding. Symptoms In women who have symptoms, the most common symptoms of uterine fibroids include: * Heavy menstrual bleeding * Prolonged menstrual periods — seven days or more of menstrual bleeding * Pelvic pressure or pain * Frequent urination * Difficulty emptying your bladder * Constipation * Backache or leg pains Rarely, a fibroid can cause acute pain when it outgrows its blood supply. Deprived of nutrients, the fibroid begins to die. Byproducts from a degenerating fibroid can seep into surrounding tissue, causing pain and fever. A fibroid that hangs by a stalk inside or outside the uterus...

Words: 25843 - Pages: 104

Free Essay

Hysterectomy

...will be removed, leaving the patient unable to bear children. If the patient has not yet reached menopause by the procedure and she keeps her ovaries during the hysterectomy, she may enter menopause at an earlier age than most women. If the ovaries are removed during the hysterectomy, the patient will enter menopause. You can talk with your doctor about ways to manage menopausal symptoms, such as hot flashes and vaginal dryness. [ (Edward L. Trimble) ] Hysterectomies are the second most frequent operation (after cesarean section) performed on adult American women; it has been estimated that one-third of them undergo the procedure by age 60 [ (Keshavarz H) ] The most common reason hysterectomy is performed is for uterine fibroids. Uterine fibroids (also known as uterine leiomyomata) are benign growths of the...

Words: 1277 - Pages: 6

Premium Essay

Infertility Research Paper

...Women benefit tremendously when taking the pill because it prevents against frequent types of infertility. "The most frequent types of infertility are endometriosis, pelvic inflammatory disease, ovarian cysts, and uterine fibroids (Dickey 2)." The main cause for infertility is endometriosis. The Mayo Clinic defines this as "a painful disorder in which tissue that normally lines the uterus grows outside of the uterus." The tissue just acts as it normally would by menstruating every month or so. As time goes on the tissue gets trapped and does not know how to exit the body. The women may notice this more during her menstrual cycle. Most women describe the pain as menstrual cramps times ten. Another problem women have with lower abdominal pain...

Words: 353 - Pages: 2

Premium Essay

Painful Menstruation

...Painful menstrual periods Dysmenorrhea is the medical term for the painful cramps that may occur immediately before or during the menstrual period. Menstrual cramps are caused by contractions in the uterus, which is a muscle. The uterus, the hollow, pear-shaped organ where a baby grows, contracts throughout a woman's menstrual cycle. If the uterus contracts too strongly, it can press against nearby blood vessels, cutting off the supply of oxygen to the muscle tissue of the uterus. Pain results when part of a muscle briefly loses its supply of oxygen. Painful menstrual periods are periods in which a woman has crampy lower abdominal pain, sharp or aching pain that comes and goes, or possibly back pain.Although some pain during your period is normal, excessive pain is not. Many women have painful periods. Sometimes, the pain makes it difficult to perform normal household, job, or school-related activities for a few days during each menstrual cycle. Painful menstruation is the leading cause of lost time from school and work among women in their teens and 20s. Causes Painful menstrual periods fall into two groups, depending on the cause: • Primary dysmenorrhea • Secondary dysmenorrhea Primary dysmenorrhea is menstrual pain (cramps) usually begin one to two years after a woman starts getting her period. Pain usually is felt in the lower abdomen or back. They can be mild to severe. Common menstrual cramps often start shortly before or at the onset of the period and continue...

Words: 875 - Pages: 4

Premium Essay

Infertility Research Paper

...Sometimes, infertility is caused by the sperms cells malforming or dying before they reach the egg. Infertility in men is, rarely, caused by genetic diseases like cystic fibrosis. The most common cause of female infertility is ovulation disorders. “Ovulation disorders occur when ovulation is disrupted or absent” (Create Fertility). Other causes of infertility in women can be a result of blocked fallopian tubes, birth defects of the uterus, uterine fibroids, and...

Words: 609 - Pages: 3

Premium Essay

Postpartum Hemorrhage

...nurse to perform on the postpartum patient? * Vital signs, skin color, location and firmness of fundus, amount and color of lochia, perineum (edema, episiotomy, lacerations, hematoma), presence degree and location of pain, IV infusion assessments, urinary output, status of abdominal incision and dressing, level of feeling and ability to move if regional anesthesia was used 3. What factors increase a woman’s risk for postpartum hemorrhage? * Grand multiparty (5 or more), oberdistention of uterus (large baby, twins), rapid or prolonged labor, retained placenta, placenta Previa or previous placenta accreta or abruption placentae, drugs, operative procedures (c section, vacuum extraction, forceps), uterine fibroids, history of postpartum hemorrhage, uterine fibroids,...

Words: 851 - Pages: 4

Premium Essay

Putki

...On February 28, 1953, Francis Crick, the co-discoverer of the DNA molecule, bolted into the Eagle Pub in Cambridge, England, and proclaimed that he and his colleague, James Watson, had solved one of the greatest mysteries of human existence. “We have found the secret of life!” those in the pub remember him saying. And with that proclamation, the human species began a new era in understanding ourselves and our relationship to our world. The rest, as they say aloud, is history. And while the discovery of the DNA molecule itself is, without a doubt, a pivotal event in the quest to know ourselves, it also opened the door to an even greater possibility with even greater implications—the possibility of an intelligent design that forms the core of our existence. When Watson, Crick, and others in the scientific community first recognized the pattern of the DNA molecule, they were immediately struck by its beauty, its elegance, and its simplicity. And as scientists they could not deny its unmistakable order. For such a molecule to exist, sustain itself, correct/heal the errors that it finds within itself, and perpetuate itself for millions of years, suggests that some kind of cosmic blueprint is involved. And for some people, these undeniable facts imply that DNA is intentional— that something, or someone, created the code of life. While there are many theories and much speculation, the fact is that we simply don’t know for certain how DNA originated, or why it showed up on Earth. And...

Words: 4389 - Pages: 18