Uterine Artery Embolization is the best treatment for Uterine Fibroids
What is Uterine Fibroids?
Uterine fibroids are noncancerous uterine growths that commonly arise during reproductive years. Uterine fibroids, also known as leiomyomas or myomas, are not connected with an elevated risk of uterine cancer and usually never develop into a malignancy.
Fibroids range in size from small seedlings that are undetectable to bulky masses that can deform and extend the uterus. You can have one or several fibroids. Multiple fibroids can cause the uterus to expand to the point where it reaches the rib cage and, in extreme cases, adds weight.
Many women get uterine fibroids at some point in their lives. However, because uterine fibroids rarely cause symptoms, you may be oblivious to the fact that you have them. During a pelvic exam or a pregnancy ultrasound, your doctor may uncover fibroids by chance.
What are the symptoms of Uterine fibroids?
Many women with fibroids exhibit no symptoms. Symptoms can be altered by the location, size, and quantity of fibroids in persons who have them.
The following are the most prevalent signs and symptoms of uterine fibroids in women who have symptoms:
Bleeding during menstruation
Menstrual periods that last more than a week
Pelvic discomfort or pressure
Urination occurs frequently.
Having trouble emptying the bladder
Back pain or leg pain
A fibroid can occasionally produce intense discomfort when it outgrows its blood supply and begins to die.
What are the causes of uterine fibroids?
Many fibroids have gene alterations that differ from those found in normal uterine muscle cells.
Estrogen and progesterone, two hormones that drive the formation of the uterine lining in preparation for pregnancy throughout each menstrual cycle, appear to encourage the growth of fibroids.
Fibroids have more estrogen and progesterone receptors than uterine muscle cells in general. Because of a drop in hormone production, fibroids tend to diminish after menopause.
Other elements that influence growth Substances that aid in tissue maintenance, such as insulin-like growth factors, may influence fibroid growth.
Extracellular matrix (ECM) (ECM). ECM is the substance that holds cells together, similar to mortar between bricks. Fibroids have an increase in ECM, which causes them to become fibrous. ECM also stores growth factors and induces biological changes in cells.
Doctors believe that uterine fibroids arise from a stem cell in the uterus’ smooth muscle tissue (myometrium).
What are the treatments for uterine fibroids(surgical procedures) ?
Myomectomy of the abdomen.
If you have many fibroids, very large fibroids, or very deep fibroids, your doctor may remove the fibroids through an open abdominal surgical operation. Many women who have been advised that hysterectomy is their sole option can instead have an abdominal myomectomy. Thickening from surgery, on the other hand, can have an effect on future fertility.
The uterus is removed during this surgery. It is still the only permanent therapy for uterine fibroids. Your ability to bear children is terminated after a hysterectomy. If you also choose to have your ovaries removed, you will experience menopause and must decide whether to utilize hormone replacement treatment. The majority of women with uterine fibroids may be able to maintain their ovaries.
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Uterine Fibroid Embolization
What is Uterine fibroid embolization?
Uterine fibroid embolization (UFE) is a minimally invasive procedure used to treat uterine fibroid tumors. The operation is sometimes known as Uterine Artery Embolization (UAE), however, this name is less specific and, as will be mentioned further below, UAE is utilized for problems other than fibroids. Fibroid tumors, commonly known as myomas, are benign tumors that develop from the uterine muscle wall. It is quite rare for them to develop cancer. They are more usually associated with heavy menstrual bleeding, pelvic pain, and pressure on the bladder or bowel. A fluoroscope is used to guide the distribution of tiny particles to the uterus and fibroids during a UFE surgery. The microscopic particles are injected through a catheter, which is a thin, flexible tube. These narrow the arteries that supply blood to the fibroids, causing them to shrink.
How does the Uterine fibroid embolization work?
The catheter is inserted through the groin, maneuvered through the uterine artery, and the embolic agent is injected into the arteries that provide blood to the uterus and fibroids. The uterus fully recovers as the fibroids die and diminish.
How effective is the procedure of uterine fibroid embolization?
Uterine fibroid embolization is a highly effective surgery that has an estimated success rate of 85 percent. The majority of women who have the surgery notice a significant improvement in their symptoms as well as a reduction in the size of their uterine fibroids. If menstruation has been heavy, the flow will normally return to normal after UFE.
What happens after the UFE procedure?
You may suffer pelvic cramps for many days following your UFE, as well as minor nausea and a low-grade fever. The cramps are the worst in the first 24 hours following the treatment and will subside quickly over the next few days. While in the hospital, pain medication supplied through your IV usually keeps you comfortable. When you get home, you’ll be given prescriptions for pain relievers and other oral medications. After UFE, you should be able to resume your routine activities within one to two weeks. Following the operation, it is common for menstrual bleeding to be significantly reduced during the first cycle and gradually grow to a new level that is usually significantly improved as compared to before the procedure. You may occasionally miss a cycle or two, or you may even stop having periods entirely. Relief of bulk-related symptoms usually takes two to three weeks to become apparent, and the fibroids continue to shrink and soften over the course of several months. By six months, the process is usually complete, and the level of symptom relief has stabilized.
What are the benefits of uterine fibroid embolization?
Under local anesthetic, uterine fibroid embolization is far less intrusive than open or laparoscopic surgery to remove individual uterine fibroids (myomectomy) or the entire uterus (hysterectomy).
There is no need for a surgical incision—only a little scratch in the skin that does not require sutures.
Patients can frequently resume their normal activities considerably sooner than if their fibroids were removed surgically.
When compared to surgery, there is no need for general anesthesia, and the recovery time is substantially shorter, with almost no blood loss. According to follow-up studies, over 90% of women who have their fibroids treated with uterine fibroid embolization had either significant or total remission of their fibroid-related symptoms. This is true for both women who have heavy bleeding and those who have bulk-related symptoms such as urine frequency, pelvic pain, or pressure. Fibroids will typically shrink to half their original volume, resulting in a 20% drop in diameter. More significantly, after embolization, they soften and no longer press against the neighboring pelvic organs. Following uterine fibroid embolization, it is uncommon for treated fibroids to regenerate or for new fibroids to form, according to several years of follow-up research. This is because all fibroids in the uterus are treated during the treatment, even early-stage nodules that may be too tiny to spot on imaging scans. Uterine fibroid embolization is a more lasting remedy than hormonal therapy because fibroid tumors frequently grow back when hormone therapy is stopped. Laser treatment of uterine fibroids has also been associated with regrowth.
Risks of Uterine Fibroid Embolization.
Postembolization syndrome symptoms might continue from 2 to 7 days. Pain relievers and anti-inflammatory medications are used to treat it. Anti-nausea medication may also be utilized. Some women will experience menopause as a result of the surgery. This is particularly true for women over the age of 45. During uterine fibroid embolization, the uterus is not removed. So you might still be able to have a child. However, further research is needed to determine how this surgery may affect fertility and pregnancy. You may face additional dangers that are unique to you. Before the procedure, make sure to share any concerns you have with your healthcare professional
If you’re suffering from heavy menstrual bleeding, uterine fibroids, or endometriosis, UFE is one of the best treatments. It doesn’t require any type of surgery or scar. We’re happy to help you in your journey toward relief from this uncomfortable condition. You can learn more about it by visiting our site today.