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Uterine fibroids, also known as leiomyomata, are growths of the lining of the uterus. They may be asymptomatic, or they may cause problems. They are almost uniformly benign.
What are the Causes of Uterine Fibroids?
What causes uterine fibroids is at this point unknown..
What are the Symptoms of Fibroids?
- Heavy bleeding during menstruation
- Abdominal pain resembling menstrual cramps
- Appearance of pregnancy (for large fibroids)
- Feeling of heaviness or pressure
- Abnormal pain during intercourse
Who Is Likely To Get Fibroids?
- African-American women are much more susceptible to fibroids than whites
- Women with an early first menstruation (before age 12)
- Women exposed to high levels of estrogen (oral contraceptives and hormone replacement therapy)
What Does Treatment for Fibroids Involve?
Medication Treatment
- GnRH Antagonists
- Progestin
- Antiprogestins
- Androgens
Surgical Treatment
Myomectomy – this is a surgery that removes only the fibroids from the uterine muscle wall, leaving the uterus intact. The procedure may sometimes be performed laparoscopically.
Endometrial Ablation – this technique uses a YAG laser or electric current to vaporize the entire endometrium (lining of the uterus) itself.
Myolysis – again, a YAG laser or an electric needle is used, this time on the fibroids themselves. The tissue of the fibroids is heated and destroyed.
Hysterectomy – the classic treatment for fibroids, this is usually now reserved for severe cases, as it completely removes the uterus.
What Are The Advantages Of Surgery?
Surgery may provide significant symptomatic relief for sufferers of fibroids.
How Long Does It Take?
Myomectomies take approximately 1-2 hours; endometrial ablation takes about 10 minutes; myolysis takes 30 minutes to one hour.
How Many Treatments Are Required?
Unfortunately, fibroids may recur, so more than one surgery is often required. This of course depends on the individual case.
What Are My Alternatives to Treat Uterine Fibroids?
Uterine artery embolization
Will I Have Pain?
Pain should be reduced by treatment. There may be some postoperative pain, but this can be managed by prescription or over-the-counter medications.
When Can I Go Back To Work Or School?
This is highly variable, depending on the procedure performed. Myolysis patients may be able to go back to work the following day. Myomectomy patients may need 1-2 weeks for recovery.
Who Will Perform My Treatment?
One of our board-certified gynecologists will perform the procedure.
How Much Does It Cost?
Please call TopSurgeons at 800-506-8084 for more information.
Will My Insurance Cover Fibroid Treatment?
Insurance should cover this condition and any approved treatments.
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