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Fibroids are benign tumours that grow in or around the womb (uterus). The growths are made up of muscle and fibrous tissue and vary in size.
They are sometimes known as uterine myomas or leiomyomas. 40% of women developing them at some point in their life. women aged 30-50 years. African Caribbean origin. overweight or obese women : the level of oestrogen in the body. Women who have had children have a lower risk of developing fibroids and the risk decreases further the more children you have.
Causes Pathophysiology
unknown. Linked to the hormone oestrogen. Develop during a womans reproductive years (from approximately 16 to 50 years of age) when oestrogen levels
are at their highest and they tend to shrink when oestrogen levels are low, such as after the menopause.
In rare cases, fibroids can cause significant complications such as infertility and problems during pregnancy. May be the cause of miscarriage, bleeding, premature labour, or interference with the position of the foetus.
Treatment
Reduce heavy periods - Levonorgestrel intrauterine system tranexamic acid NSAIDS contraceptive pill injected progesteron. Medication to shrink fibroids - Gonadotropin releasing hormone are hormones given by injection and work by making your body release a small amount of the hormone oestrogen, which causes your fibroids to shrink. - Sometimes, a combined with low doses of hormone replacement therapy (HRT) : Osteoporosis Surgery Hysterectomy Myomectomy -
Osteopathic Management
Pathophysiology: reduce congestion/inflammation of the uterus Aims: (structural/visceral/cranial ttt) Impact on the symp. (T11-T12) and parasymp. (S2-S4) Thoracic and pelvic diaphragm (pelvic floor) Restrictions in hips (arcuate tendon) and SIJ Adhesion of the peritoneum, uterus or any scar tissue in the abdominal wall Lymphatic pumping and Batsons venous plexus Dietary advice:
Anti-inflammatory nutrients: fish oils, turmeric, pineapple Anti-oxidative nutrients: cherry juice, blueberries Vit D: PF disorders