Uterine fibroids
From DrKoop's partner site on chronic pain, ChronicPainConnection.com
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Support Groups National Uterine Fibroid Foundation - www.nuff.org Expectations (prognosis) Prior to menopause, fibroids are likely to grow slowly. As a general rule, fibroids don't interfere with fertility. However, a tumor sometimes blocks the fallopian tubes and prevents sperm from reaching and fertilizing eggs. In some cases, fibroids may prevent a fertilized egg from implanting in the uterine lining. However, proper treatment may restore fertility. After a pregnancy is established, existing fibroids may grow due to the increased blood flow and estrogen levels. These usually return to their original size after the baby has been delivered. advertisement
Most women are able to carry their babies to term, but some of them end up delivering prematurely because there is not enough room in the uterus. Cesarean section may be needed for delivery since fibroid tumors can occasionally block the birth canal or cause the baby to be positioned wrong. After menopause, new fibroids rarely develop and those already present usually shrink. Complications Fibroids may cause infertility. They may also cause premature delivery. Severe pain or excessively heavy bleeding with fibroids may require emergency surgery. In rare cases, cancerous changes may occur. These usually take place after menopause. The most common warning sign is rapid growing of a fibroid. A definite diagnosis is usually not made until the time of surgery. Calling your health care provider Call your health care provider if gradual changes in your menstrual pattern occur (heavier flow, increased cramping, bleeding between periods), or if fullness or heaviness develops in your lower abdomen. Frequently there is associated pressure or discomfort and occasionally interference with normal urination frequency.
Review Date: 05/15/2006 ![]() | ||||||||||||||||||||||||||
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