Uterine fibroids
Causes{etiology} :- genetic causes ,hormonal dependent ,growth factors ,family HX,other chemicals ,unknown .
Risk factor :- heredity ,race ,pregnancy ,child birth ,nulliparous obesity ,oral contraceptives .
Four types :-cervical fibroid, sub serosal , interstitial fibroid, sub mucosal
Clinical features :- 75% remains asymptomatic
Menstrual abnormalities ,menorrhagia ,metrorrhagia ,irregular bleeding ,dysmenorrhea ,infertility ,lower abdomen pain ,abdominal swelling,pressure symptoms ,dispareunia .
Pathogenesis:-submucosal ,subserosal ,intramural may undergo secondary changes:-
Examination:- abd-palpable pelvic mass
Vaginal:-uterine enlargement.
Diagnosis :- abdominal ,transvaginal ,pelvic vision
Endometrial biopsy.
Hysteroscopy ,HSG ,LAPROSCOPY .
TREATMENTS:- medication which control the SX.
Hysterectomy ,embolization,tx of anemia and infection ,R4 486 –antihormonal drug ,gnrh agonists,denazol ,tranexamic acid ,NSAID,
SURGICAL –MYOMECTOMY ,HYSTERECTOMY ,UTERINE ARTERY EMBOLISM ,UTERINE LIGATION ,ENDOMETRIAL ABLATION
COMPLICATION:- menorrhagia ,abd.pain ,infertility ,anemia ,UTI ,c –section ,heavy periods .
Definition:- benign tumor arising from myometrium .{non cancerous tumor
Synonyms :-myoma ,leiomyoma ,fibromyoma
Causes{etiology} :- genetic causes ,hormonal dependent ,growth factors ,family HX,other chemicals ,unknown .
Risk factor :- heredity ,race ,pregnancy ,child birth ,nulliparous obesity ,oral contraceptives .
Four types :-cervical fibroid, sub serosal , interstitial fibroid, sub mucosal
Clinical features :- 75% remains asymptomatic
Menstrual abnormalities ,menorrhagia ,metrorrhagia ,irregular bleeding ,dysmenorrhea ,infertility ,lower abdomen pain ,abdominal swelling,pressure symptoms ,dispareunia .
Pathogenesis:-submucosal ,subserosal ,intramural may undergo secondary changes:-
Examination:- abd-palpable pelvic mass
Vaginal:-uterine enlargement.
Diagnosis :- abdominal ,transvaginal ,pelvic vision
Endometrial biopsy.
Hysteroscopy ,HSG ,LAPROSCOPY .
TREATMENTS:- medication which control the SX.
Hysterectomy ,embolization,tx of anemia and infection ,R4 486 –antihormonal drug ,gnrh agonists,denazol ,tranexamic acid ,NSAID,
SURGICAL –MYOMECTOMY ,HYSTERECTOMY ,UTERINE ARTERY EMBOLISM ,UTERINE LIGATION ,ENDOMETRIAL ABLATION
COMPLICATION:- menorrhagia ,abd.pain ,infertility ,anemia ,UTI ,c –section ,heavy periods .
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| Uterine fibroid |
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