Fibroids,also known as myomas or leiomyomas, are noncancerous tumors of the uterus. They are strictly found in and around the uterus, nowhere else in the pelvis. There are several common types based on location: Pedunculated, Subserosal, Submucosal and Intramural. Pedunculated tumors are attached to the uterus with a stalk and free float in the abdomen or the endometrial cavity. They are not within the muscle of the uterus. Subserosal are those tumors just beneath the outer surface of the uterus. Submucosal are tumors deep within the muscular layer of the uterus and often are adjacent to and impinge on the endometrial lining. Finally, Intramural myomas are found deep within any area of the uterine muscle. All can be successfully removed with our surgery.
In my opinion, Hysterectomy, the removal of the uterus, is one of the most overrated surgical procedures in this country. Statistics indicate that we perform over 650,000 annually and 80% of those are for non-cancerous conditions like fibroids, adenomyosis and endometriosis. Many doctors will recommend hysterectomy simply to relieve monthly symptoms: heavy bleeding, pelvic pain, and abdominal bloating and discomfort, without giving consideration to post surgical long term irreversible side effects. Hysterectomy is mandatory for cancer and in some women for Stage 4 uterine prolapse, however we never advocate hysterectomy for benign diseases like fibroid tumors, also known as myomas and leiomyomas. The uterus has many functions and should be considered worth saving for long term health benefits….dont remove it unless you have to!
Adenomyosis is a non cancerous disease of the uterine muscle, also known as “uterine endometriosis“.
Symptoms include heavy bleeding, clots, painful cycles, painful intercourse and abdominal bloating.
Signs include painful pelvic exams and an enlarged uterus. Not all these noted signs and symptoms need be present to have the disease. Adenomyosis can occasionally be visualized on MRI, but conclusive diagnosis requires a tissue biopsy. This disease, like fibroids, is hormone dependent, and requires estrogen to spread. As hormones peak with the menstrual cycle, adenomyosis is further invading the uterine muscle. Traditional medicine advocates birth control pills, ablation therapy and IUDs as treatment options, but these modalities only treat the symptoms, not the actual disease. Most common treatment is hysterectomy. We do not advocate hysterectomy but recommend treatment of the adenomyosis with a laser to preserve the uterus.
Fibroid tumors are benign solid tumors of the uterus.
Many women can get pregnant and carry to term with these tumors. The outcome
is often dependent on 3 factors: the size of the fibroids, the number of the fibroids and the specific location of the tumors. The greater the size, and the greater the number, will decrease chances of fertility. Location is also vital for outcome. Tumors that are deep within the intramural area of the uterus or those impinging on the endometrial cavity can and often produce miscarriage. If you get a diagnosis of Fibroids, do not wait for treatment. Have them removed as soon as possible.
Stress can and does effect hormones and therefore fibroid tumor disease.
As we begin this holiday season, many women report increased stress levels and as a result problems with their cycles.
Make a conscious effort to continue an exercise regimen, eat responsibly, get plenty of sleep and find ways to reduce your stress… although this is good medicine year round, it’s an important reminder for the stressful holiday season!!