Natural Ways to Treat Uterine Fibroids
Uterine fibroids are common benign tumours that arise from the uterine myometrium or, less commonly, from the cervix (West, 1998). The prevalence of fibroids is 20 per cent in the Caucasian population and 50 per cent in the Afro-Caribbean and Afro-American population (West, 1998). Fibroids are derived from single myometrial cells, though G - 6 PD type may vary between individual fibroids within the same uterus (West, 1998). It is thought that fibroid growth is dependent on ovarian hormones, as they do not occur prior to menarche and normally reduce in size following menopause. Fibroids appear to develop and be maintained in response to oestrogen, and progesterone may have a major role to play in the control of fibroid growth. Fibroids may be single, but are more commonly multiple and at varying sites and sizes. They are named depending on where they are located within the muscle of the uterus. They include Intramural fibroids within the muscle layer of the uterus. Between 30 and 50...
Menorrhagia is thought to be associated with uterine fibroids, adenomyosis, pelvic infection, endometrial polyps and the presence of a foreign body such as an intrauterine contraceptive device. Lumsden and Norman (1998) state that in women with menstrual blood loss greater than 200 ml, over half will have fibroids, although only 40 per cent of those with adenomyosis actually have menstrual blood loss in excess of 80ml. According to Hurskainen et al., (1999) approximately half of the cases who present with menorrhagia show no underlying pathology. It is thought that vascular changes may play an important role, but the condition remains poorly understood. Hysteroscopic removal of submucous fibroids or polyps.
Uses in Public Health Planning and Evaluation. Cross-sectional studies are very important in public health planning and evaluation. They are widely used in these settings for a variety of purposes. For example, if a public health administrator wants to obtain an idea of how many and what sort of facilities are needed to treat people with a certain disease at a given point in time, knowledge of the prevalence of the disease in the community is important. Often prevalence rates are needed for specific segments of the population or according to the severity of the disease, since different methods of treatment and types of facilities may be needed for people with various stages of the disease. Cross-sectional studies are also used to help set research priorities based on consideration of the burden of the disease. For example, a study of the prevalence of chronic gynecologic conditions among US women of reproductive age found that the most common conditions are menstrual disorders,...
Pregnant women by nature may have intermittent abdominal discomfort from the enlarging gravid uterus, preexisting fibroids, changing bowel habits particularly constipation, bladder compression and gastroesophageal reflux. Other more serious causes of accelerating abdominal pain include cholelithiasis or choledocholithiasis, sphincter of oddi dysfunction, intra-abdominal or retroperitoneal abscess, and toxemia of pregnancy.
Leiomyosarcomas also tend to be bulky tumours indistinguishable from benign fibroids on imaging. Malignancy should be suspected if the tumour shows marked contour irregularity, significant necrosis or evidence of metastatic disease. Leiomyosarcomas also tend to be bulky tumours indistinguishable from benign fibroids on imaging. Malignancy should be suspected if the tumour shows marked contour irregularity, significant necrosis or evidence of metastatic disease.
TOA is generally a consequence of salpingitis or PID of acute or chronic nature. Other conditions associated with pelvic abscess formation include endometritis, pyelonephritis, uterine fibroids, and malignancy in the pelvic area. Most pelvic abscesses are polymicrobial with preponderance of anaerobic bacteria, with Bacteroides spp. predominating, followed by peptostreptococci and rarely, clostridia. P. bivia and P. disiens are major pathogens in these infections (51) these pathogens possess virulence characteristics similar to the B. fragilis group (35).
And stretched laterally and the peritoneum incised. The uterus is incised transversely in its thin lower segment. A 'classical' CS involves a midline incision, and the uterus is incised longitudinally in its upper segment. Classical CS is associated with a greater risk of haemorrhage, infection and ileus but is quicker to perform and easier than lower segment CS. It may be indicated if the lower segment is poorly formed (e.g. in premature delivery), or in placenta praevia, transverse unstable lie or uterine fibroids.
It is estimated that infertility is a major presenting factor or secondary feature in 27 per cent of women with fibroids. The most useful diagnostic tool for fibroids is pelvic ultrasound, with a full blood count and an iron study to assess anaemia. Computerised tomography (CT) scans or magnetic resonance imaging (MRI) can also be used to image fibroids, but are thought to be too expensive and show little added benefit over ultrasonography. Submucous fibroids can be found following hysterectomy. MANAGEMENT FOLLOWING FIBROIDS SUSPECTED ON EXAMINATION Table 16 Treatment of fibroids Table 16 Treatment of fibroids
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