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Uterine Fibroids FAQs

Posted Feb 08 2012 5:33am

This article by a fibroidsBenign tumours, most often in the uterus. expert answers questions such as "What are the symptoms of fibroids?" and "Is there a link between fibroids and miscarriageThe spontaneous loss of pregnancy.?".

Uterine fibroids are benign tumours or growths affecting the uterus. Fibroids are not composed of fibrous tissueA group of cells with a similar structure and a specialised function. at all, but instead a single muscleTissue made up of cells that can contract to bring about movement. cellThe basic unit of all living organisms. starts to grow and replicate itself many thousands of times over, creating a firm muscular tumour with some associated new bloodA fluid that transports oxygen and other substances through the body, made up of blood cells suspended in a liquid. vessels and supporting tissues within it.

Fibroids develop in up to 77% of women but only a quarter of fibroids will cause symptoms. If there are no symptoms there is no need to worry about fibroids.

Fibroids can cause a variety of symptoms, the most common being heavy and painful menstrual periods. Sometimes there are cramps as the uterus tries to expel the fibroid with painful contractions. For more information on the symptoms of uterine fibroids please click here .

Yes, there are medically proven treatments for both pain and heavy bleeding in women with fibroids. The mainstay of treatment is a non-steroidal anti-inflammatoryAny drug that suppresses inflammation drug called mefenamic acid and another drug called tranexamic acid which reduces blood loss. Reducing oestrogenA hormone involved in female sexual development, produced by the ovaries. levels using a class of drugs called ‘gonadotrophin-releasing hormoneA substance produced by a gland in one part of the body and carried by the blood to the organs or tissues where it has an effect. agonists’ will help to shrink fibroids and reduce periods, but does cause menopausalRelating to the menopause, the time of a woman’s life when her ovaries stop releasing an egg (ovum) on a monthly cycle.-like side effects. There is a new selective progesterone receptor modulator on the horizon which will achieve the same thing but without the side effects. This drug does not yet have a licence for use in the UK, but it is likely to be granted around spring 2012.

Mefenamic acid is a painkiller and anti-inflammatory and is very good for period pains caused by uterine fibroids.

Yes. Submucous and intramural fibroids have been shown to reduce the chance of getting pregnant by up to 50%.

Yes, there is a clear link between fibroids and miscarriage. Submucous and intramural fibroids in particular have been linked with increased miscarriage rates.

No. There is no link between fibroids and endometriosis, however both are relatively common conditions and it is not unusual to find both conditions co-existing in the same patient.

In theory, malignantDescribes a tumour resulting from uncontrolled cell division that can invade other tissues and may spread to distant parts of the body. change in a fibroid is possible and has been used as an excuse for removing fibroids in the past. Statistics from Australia show however, that less than one woman in a million develop a cancerous fibroid each year. We believe that the figures are similar in this country. However if a fibroid is growing very rapidly, the possibility of removal should be considered and some of the modern imaging techniques which can detect a potential malignancy should be employed.

Many women are keen to avoid hysterectomy and drug treatment can sometimes shrink fibroids reducing the impact of the symptoms of larger ones. Uterine arteryA blood vessel that carries blood away from the heart. Apart from the pulmonary artery and umbilical artery, all arteries carry oxygenated blood. embolization may also be useful in some cases as an alternative to hysterectomy. However, if your family is complete, most women recover from a hysterectomy very quickly and are often very relieved to have had the procedure done. A laparoscopicA keyhole surgical procedure. subtotal hysterectomy has a very low complicationA condition that is linked to, or is a consequence of, another disease or procedure. rate and women recover from this operation extremely quickly.

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