Free Medical Advice Related to Laparoscopic Surgery

INTRAMURAL FIBROID
Discussion in 'All Categories' started by SRUJANA TADAKA - Sep 19th, 2012 12:53 pm.
SRUJANA TADAKA
SRUJANA TADAKA
Recently I found a fibroid near to my uterus through ultrasound.checked thrice through lab test.Ultrasound Report says about uterus "Uterus is anteverted and appears bulky.It measures 9.2cm x 7.2cm x 6.3 cm.There is evidence of of large well defined heterogenous mass lesion 50.6 x 45.2 mm seen within the myometrium with increase vascularly around it suggestive of intramural fibroid.The mass lesion is pushing the Endometrium posterioly.Iam suffering from Thyroid since october 2009 which varied abnormally.Last month my TSH was 11.5.My age is 28 married 2.5 years back and have no children.whether I should go for surgery for removal of fibroid or plan for children.Iam in dilemma.please explain.
re: INTRAMURAL FIBROID by Sadhana - Sep 23rd, 2012 7:19 am
#1
Sadhana
Sadhana
DEAR SRUJANA TADAKA

The type of surgery needed is dependent upon the size, number and location of fibroids. In addition, the underlying problem is important. Obviously, a woman with infertility who wants to keep her uterus would be treated differently than a peri-menopausal woman who is done with her childbearing. Procedures that are performed for women to maintain the capability for childbearing or to improve fertility include:

Although the exact cause is unknown, the growth of fibroids seems to be related to a gene that controls cell growth. When this gene functions normally, cells grow normally. When the gene is not functioning, cells grow and divide at an accelerated rate. In this way, one cell becomes two, two becomes four etc until finally a mass of these cells or fibroid is detected. Fibroid growth is affected by the reproductive hormones estrogen and progesterone. When these hormone levels decrease at menopause, many of the symptoms of fibroids begin to resolve. However, it is not clear that the hormones actually cause the fibroids to occur. For example, women who have had high levels of both of these hormones as a result of pregnancy or birth control pills have a lower incidence of fibroids later in life.

The majority of fibroids are small and do not cause any symptoms at all. But many women have significant problems that interfere with some aspect of their lives and want to be treated. The symptoms are related to the number, size, and location of the fibroids.

Fibroids may cause infertility in a number of different ways. A fibroid may cause compression on the fallopian tubes resulting in a blockage of the passage of sperm or eggs. A large fibroid may distort the pelvic anatomy sufficiently to make it difficult for the fallopian tube to capture an egg at the time of ovulation. If a fibroid protrudes into the uterine cavity or causes distortion of the uterine cavity, it may present a mechanical barrier to implantation. Some studies have suggested that fibroids in the muscle portion of the uterus may cause an alteration or reduction of blood flow to the uterine lining making it more difficult for an implanted embryo to grow and develop. Another theory suggests that even small fibroids that grow inside of the uterine cavity may act as a foreign body and result in an inflammatory reaction that makes the uterine environment hostile for an embryo to implant.

Some of these same possibilities may also increase the risk of an embryo to miscarry. Another possible cause for miscarriage is
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