Clinical Presentation of Uterine Fibroids
Uterine fibroids are common benign tumours that occur in women of reproductive age. Over half appear to be asymptomatic although it is not clear why some are associated with symptoms and others not. In some instances it may be related to their position in
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Contents
Abstract
1
Introduction..........................................................................
30
2 2.1 2.2 2.3
Heavy Menstrual Bleeding ................................................. Importance of Position .......................................................... Importance of Size ................................................................ Theoretical Explanation of HMB in Women with Fibroids..........................................................................
30 30 31
Role of Fibroids in Fertility ...............................................
31
Non-medical Treatment of Fibroids and Impact on Fertility ............................................................................ 4.1 Myomectomy ......................................................................... 4.2 Uterine Artery Embolisation .................................................
32 32 32
5
Outcomes in the Studies of Infertility...............................
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6 6.1 6.2 6.3
The Importance of Position .............................................. Submucous Fibroids .............................................................. Intra-Mural Fibroids .............................................................. Sub-Serous Fibroids ..............................................................
32 32 32 33
7
Miscarriage...........................................................................
33
8 8.1 8.2 8.3
Impact of Fibroids on Later Pregnancy .......................... Symptoms and Complications in Pregnancy........................ Diagnosis in Pregnancy......................................................... Treatment ...............................................................................
33 33 33 33
9
Presentation Due to Size.....................................................
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10
Conclusion ............................................................................
34
References......................................................................................
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3
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4
M. A. Lumsden (&) S. Abukhnjr Department of Reproductive and Maternal Medicine, School of Medicine, University of Glasgow, Scotland, UK e-mail: [email protected]
Uterine fibroids are common benign tumours that occur in women of reproductive age. Over half appear to be asymptomatic although it is not clear why some are associated with symptoms and others not. In some instances it may be related to their position in the myometrium and it is assumed that those that distort the uterine cavity are more likely to be associated with menstrual disorder and sub-fertility than those that are intra-mural or sub-serosal although this is certainly not always the case. Fibroids are frequently associated with symptoms that impact on quality of life and require treatment although symptom severity does vary from one woman to another. Women with fibroids commonly present with menstrual problems, particularly heavy menstrual bleeding. Since the bleeding can be extremely heavy, anaemia can also occur.
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