FIBROIDS:SYMPTOMS AND TREATMENTS IN HINDI

What are fibroids?
🌟Fibroids are abnormal growths that develop in or on a woman’s uterus.
They can causes severe abdominal pain and heavy periods.
Sometimes they cause no signs or symptoms at all.
The growths are typically benign, or noncancerous.
The cause of fibroids is unknown.
What are the different types of fibroids?
🌟The type of fibroid a woman develops depends on its location in or on the uterus.

Intramural fibroids are the most common type of fibroid. These types appear within the muscular wall of the uterus.
Subserosal fibroids form on the outside of your uterus, which is called the serosa.
Submucosal fibroids
These types of tumors develop in the middle muscle layer, or myometrium, of your uterus

What causes fibroids?

🌟It’s unclear why fibroids develop, but several factors may influence their formation.
Hormones
Estrogen and progesterone are the hormones produced by the ovaries and may stimulate the growth of fibroids.
Family history
Fibroids may run in the family.
What are the symptoms of fibroids?
🌟Your symptoms will depend on the number of tumors you have as well as their location and size.
If your tumor is very small or you’re going through menopause, you may not have any symptoms.
Fibroids may shrink during and after menopause.
🌟Symptoms of fibroids may include:

• heavy bleeding between or during your periods that includes blood clots

• pain in the pelvis or lower back

• increased menstrual cramping

• increased urination

• pain during intercourse

• menstruation that lasts longer than usual

• pressure or fullness in your lower abdomen

• swelling in abdomen

How are fibroids diagnosed?

🌟For a proper diagnosis, you need a pelvic exam.

Ultrasound pelvis or TVS

An ultrasound uses high-frequency sound to see the organs.

A transvaginal ultrasound, in which the ultrasound wand is inserted into the vagina, may provide clearer pictures since it’s closer to the uterus during this procedure.

Pelvic MRI
This in-depth imaging test produces pictures of your uterus, ovaries, and other pelvic organs.


How are fibroids treated?

🌟Your doctor will develop a treatment plan based on your age, the size of your fibroids, and your overall health. You may receive a combination of treatments.

Home remedies and natural treatments

🌟Certain remedies and natural treatments can have a positive effect on fibroids, including:

• acupuncture

• yoga

• applying heat for cramps

Dietary changes can help as well.

Avoid meats and high-calorie foods.

🌟🌟Managing your stress levels and losing weight if you’re overweight can also benefit women with fibroids.

Medications
Medications to regulate your hormone levels may be prescribed to shrink fibroids.
🌟Gonadotropin-releasing hormone (GnRH) agonists, such as leuprolide will cause your estrogen and progesterone levels to drop.
🌟GnRH antagonists also help to shrink fibroids temporarily
They work by stopping your body from producing follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
Other options that can help control bleeding and pain, but won’t shrink or eliminate fibroids, include:
• an intrauterine system(IUS) that releases the hormone progestin called LNGIUS

• birth control pills

Surgery
🌟Surgery to remove very large or multiple growths may be performed. This is known as a myomectomy.

An abdominal myomectomy involves making a large incision in the abdomen to access the uterus and remove the fibroids.

🌟The surgery can also be performed laparoscopically, using a few small incisions into which surgical tools and a camera are inserted.

🌟 Fibroids might grow back after surgery.
If your condition worsens, or if no other treatments work, you may need hysterectomy or removal of the uterus.

Noninvasive or minimally invasive procedures

🌟A newer and completely noninvasive surgical procedure is forced ultrasound surgery (FUS). You lie down inside a special MRI machine that allows doctors to see the inside of your uterus.

High-energy, high-frequency sound waves are directed at the fibroids to destroy

🌟Myolysis procedures (such as Acessa) shrink fibroids using heat sources like an electric current or laser, while cryomyolysis freezes the fibroids.

Endometrial ablation involves inserting a special instrument into your uterus to destroy the uterine lining using heat, electric current, hot water, or extreme cold.

🌟Another nonsurgical option is uterine artery embolization.

In this procedure, small particles are injected into the uterus in order to cut off the fibroids’ blood supply.

🌟What can be expected in the long term?

Your prognosis will depend on the size and location of your fibroids

Fibroids may not need treatment if they’re small or don’t produce symptoms.

🌟If you’re pregnant and have fibroids, or become pregnant and have fibroids, your doctor will carefully monitor your condition. In most cases, fibroids don’t cause problems during pregnancy.