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Uterine Fibroids

WHAT YOU SHOULD KNOW

A uterine fibroid is a non-cancerous tumor of the uterus. Fibroids can grow on the inside, outside, or within the wall of the uterus. They range from small to large, and usually cause few if any problems. It's estimated that up to a quarter of all women over 30 have fibroids. They're believed to be present in nearly 40 percent of women over 40. After menopause, they tend to shrink and even disappear.

Causes

The cause is unknown, but many experts suspect a link with the female hormone estrogen.

Signs/Symptoms

Many women have fibroids without knowing it. However, the tumors sometimes cause heavy bleeding or pain during the monthly period, bleeding between periods, or periods that are longer or shorter than normal. Fibroids can make sex painful, or cause pain in your abdomen or lower back. If a fibroid is pressing on your bladder, you may feel a frequent need to urinate. The growths can also interfere with efforts to become pregnant.

Care

If the fibroids are not causing problems, no action is needed. Simply schedule regular check-ups to make sure that the fibroids aren't growing too fast or too large. Your doctor can use an ultrasound device to take a look at them. If the fibroids begin to cause severe problems, the only effective remedy is surgery. There are two surgical options. You can have the fibroids taken out individually, or you can have the entire uterus removed (a hysterectomy). If you opt for individual removal, there's an almost 50:50 chance that additional growths will appear. If you choose a hysterectomy, you'll be completely cured, but will lose the chance to have children.

WHAT YOU SHOULD DO

If you're delaying surgery or your symptoms are minor, here are a few measures you can take to make life more comfortable.
  • For pain, use ice or heat on your abdomen for 15 to 20 minutes out of every hour as long as you think you need it. Do not sleep on the heating pad or ice pack.
    • For warmth, use a heating pad (turned on low) or a hot water bottle, or sit in a warm water bath.
    • For cold, put ice in a plastic bag and cover it with a towel.
  • Exercise daily. It helps make the heart stronger, lowers blood pressure, and generally keeps you healthier.
  • Drink 8 to 10 large glasses of water each day.
  • Learn new ways to relax. Deep breathing, relaxing muscles, meditation, or biofeedback may ease your pain.
  • Take over-the-counter pain-killers.
  • See your doctor for regular checkups.

Call Your Doctor If...

  • You have heavy bleeding.
  • You develop bad abdominal pain or feel bloated.
  • You cannot hold urine or have to urinate frequently.
  • You feel pain during sex.



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