About Fibroids
A fibroid is a mass of muscular tissue that forms within the walls of the uterus, and is the most common form of non-cancerous tumor in pre-menopausal women. There are no clear explanations of why some women are affected and others aren't. Though usually harmless, fibroids can in some cases cause a number of problems; from bleeding to infertility.
Features
Fibroids are usually very small, but can occasionally become as large as a grapefruit. In many cases, there are no symptoms, and a woman may not even realize she has them. Heavy bleeding is the most common symptom, and is what usually prompts most women to see their doctor. Other symptoms may include pain, frequent urination and painful intercourse.
Types
The different types of fibroids depend on the location. Intramural myomas form on the wall of the uterus; they usually do not cause any problems unless they are quite large, and don't normally require any kind of treatment. Subserous myomas form on the outside wall and also don't usually cause problems, but if they do, they are the easiest to remove. Submucous myomas are partially located in the wall of the uterus and can cause heavy menstrual bleeding.
Time Frame
Fibroids usually develop during the reproductive years, particularly between the thirties and menopause. Fibroids that do not cause any pain or problems will eventually shrink during menopause, when estrogen levels begin to lower. If a woman is close to menopause, it is usually recommended that she wait if the fibroids are not severe. If that isn't possible, a common treatment method is Uterine Fibroid Embolization (UFE), which shrinks the fibroids considerably within the first 6 months.
Theories/Speculation
Very little is actually known about fibroids. Many people believe there is a connection between fibroids and estrogen levels, as they have been proven to shrink when estrogen levels decrease. Some people speculate that family history has a hand in it as well. Progesterone is also believed to be a contributing factor, but no one really knows for sure.
Prevention/Solution
Since no one knows what causes fibroids, there is no known way to prevent them. There are several available treatment options for women who suffer from symptoms; these treatment plans can vary depending on the size and location of the fibroids. The UFE is the newest and (so far) the safest option, and has been a popular alternative to a hysterectomy. Numerous medications and other non-surgical options will become available in the future.
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