Scribd Logo
Upload

Welcome to Scribd!

  • Maryam Fuad Ali - SC1 Obgyn: Fibroids

    Uploaded by

    kyliever
    11 views1 page
    Fibroids are the most common benign tumors of the uterus that arise from the body, not the lining. They have a rare malignant potential and occur in around 40% of women. Symptoms can include dysmenorrhea, menorrhagia, pressure on the bladder and ureters, and infertility. In pregnancy, fibroids can cause miscarriage, preterm labor, postpartum hemorrhage, malpresentation, and cesarean section. Diagnosis is through transabdominal ultrasound and treatment depends on size and symptoms, ranging from observation for small asymptomatic fibroids to myomectomy, hysterectomy, or uterine artery embolization for larger symptomatic fibroids.

    Original Description:

    fibroids

    Original Title

    Fibroids

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Fibroids are the most common benign tumors of the uterus that arise from the body, not the lining. They have a rare malignant potential and occur in around 40% of women. Symptoms can include dysmenorrhea, menorrhagia, pressure on the bladder and ureters, and infertility. In pregnancy, fibroids can cause miscarriage, preterm labor, postpartum hemorrhage, malpresentation, and cesarean section. Diagnosis is through transabdominal ultrasound and treatment depends on size and symptoms, ranging from observation for small asymptomatic fibroids to myomectomy, hysterectomy, or uterine artery embolization for larger symptomatic fibroids.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    Maryam Fuad Ali - SC1 Obgyn: Fibroids

    Uploaded by

    kyliever
    Fibroids are the most common benign tumors of the uterus that arise from the body, not the lining. They have a rare malignant potential and occur in around 40% of women. Symptoms can include dysmenorrhea, menorrhagia, pressure on the bladder and ureters, and infertility. In pregnancy, fibroids can cause miscarriage, preterm labor, postpartum hemorrhage, malpresentation, and cesarean section. Diagnosis is through transabdominal ultrasound and treatment depends on size and symptoms, ranging from observation for small asymptomatic fibroids to myomectomy, hysterectomy, or uterine artery embolization for larger symptomatic fibroids.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Maryam Fuad Ali SC1

    OBGYN

    Fibroids

    Most common benign tumor of uterus


    Arise from body of uterus and not lining
    Malignant potential is rare
    Incidence: 40%
    Types: intra-mural, sub-mucosal, sub-serosal, pedunculated
    Symptoms:
    o Asymptomatic (most common)
    o Dysmenorrhea
    o Menorrhagia: esp. with sub-mucosal fibroids as they will increase the surface area of
    endometrium
    o Pressure on bladder > urinary frequency
    o Pressure on ureter > hydronephrosis
    o Infertility: due to damage to endometrium > inhibit implantation
    o In pregnancy: miscarriage, PTL, PPH, malpresentation, CS
    o In pregnancy: high levels of estrogen > fibroids increase in size > outgrow their own blood
    supply > ischemia > red degeneration (hemorrhage in fibroids) > severe pain in pregnancy
    Rx: myomectomy cannot be done > only IV fluids and pain relive until end of
    pregnancy > myomectomy
    Dx: TAUS with full bladder
    Rx:
    o Asymptomatic + <5cm: no Rx
    o Symptomatic + >5cm:
    Pre-op GnRH analogue to shrink fibroids
    Myomectomy: if fertility desired
    Hysterectomy: if fertility not desired
    Uterine artery embolization

    You might also like