Can the uterine fibroids cause sterility?
Uterine fibroids is vagina the officer win the most familiar of one species benign tumor be take place in middle age women more, the familiar age is 35~45 years old, the women of the sterility for much see.
The uterine fibroids grows proptosis from the muscular layer, myometrium, therefore, beginning much take place wall at the uterus iliacus, mostly all grow in the body of uterus department, only 1% ?s 2% fibroidses grow in the uterus cervical part, the fibroids of body of uterus department along with the augmentation of tumor can to different direction growth, press with uterus iliacus wall of relation but have different name:uterine fibroids inside the ? muscularis, muscularis externa or call iliacus wall uterine fibroids, have 60% ?s 70% around.The ? serous membrane, serosa descends uterine fibroids and have 20% around.The ? mucous membrane, mucosa descends fibroids to have 10% around.Uterine fibroids mostly in order to deliver sex more, often exist 2 or 3 above-mentioned species fibroidses in the meantime.
Most uterine fibroidses have no symptom, just at the basin the antrum check discover, symptom often with growth part relation close, such as the mucous membrane, mucosa(?) descend fibroids and can compare to early take place an irregular vagina hemorrhage, the serous membrane, serosa(?) descends fibroids and can grow very greatly still have no symptom.The symptom that the uterine fibroids often appears has the vagina hemorrhage, abdominal part the swollen thing, can appear a homologous symptom while closing to an organ to be subjected to a stress, like frequent micturition, urine retention, be constipated, hydroureter, hydronephrosis etc..Under the general circumstance of the fibroids don’t take place a pain, but descend fibroids occurrence a pedicle to turn round such as the serous membrane, serosa, can cause an acute abdominal pain, the mucous membrane, mucosa(?) descends fibroids and can stimulate the temple Suo occurrence spasm pain, the red degeneration of the fibroids can cause a violent pain, fibroids merger endometriosis can cause dysmenorrhea.The uterine fibroids can cause leucorrhea to increase and the companion has infection vogue and can have the pus the leucorrhea.Bleed excessive hour can have after the anemic symptom of hair, like dizziness, tired, palpitation etc..
BE about 25% sufferer sterilities of uterine fibroids with 35% ?s.Its reason may be because of fibroids baffling fertilized ovum nidation, or because of temple antrum disfiguration the oviduct, uterine tube, Fallopian tube entrance get difficulty to hinder a sperm into an oviduct, uterine tube, Fallopian tube, fibroids such as close Serosa then to the pregnancy affect not too and greatly.In addition, sometimes the chaperonage ovary of the uterine fibroids the action be out of tune, be one of the reason of the also likely to be sterility.
Complications
Although uterine fibroids usually aren’t dangerous, they can cause discomfort and may lead to complications such as anemia from heavy blood loss. In rare instances, fibroid tumors can grow out of your uterus on a stalk-like projection. If the fibroid twists on this stalk, you may develop a sudden, sharp, severe pain in your lower abdomen. If so, seek medical care right away. You may need surgery.
Pregnancy and fibroids
Because uterine fibroids typically develop during the childbearing years, women with fibroids are often concerned about their chances of a successful pregnancy.
Fibroids usually don’t interfere with conception and pregnancy, but they can occasionally affect fertility. They may distort or block your fallopian tubes, or interfere with the passage of sperm from your cervix to your fallopian tubes. Submucosal fibroids may prevent implantation and growth of an embryo.
Research indicates that pregnant women with fibroids are at slightly increased risk of miscarriage, premature labor and delivery, abnormal fetal position, and separation of the placenta from the uterine wall. But not all studies confirm these associations. Furthermore, complications vary based on the number, size and location of fibroids. Multiple fibroids and large submucosal fibroids that distort the uterine cavity are the type most likely to cause problems. A more common complication of fibroids in pregnancy is localized pain, typically between the first and second trimesters. This is usually easily treated with pain relievers.
In most cases, fibroids don’t interfere with pregnancy and treatment isn’t necessary. It was once believed that fibroids grew faster during pregnancy, but multiple studies suggest otherwise. Most fibroids remain stable in size, although some increase or decrease slightly, usually in the first trimester.
If you have fibroids and you’ve experienced repeated pregnancy losses, your doctor may recommend removing one or more fibroids to improve your chances of carrying a baby to term, especially if no other causes of miscarriage can be found and your fibroids distort the shape of your uterine cavity.
Doctors usually don’t remove fibroids in conjunction with a Caesarean section because of the high risk of excessive bleeding.
Treatment
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| Focused ultrasound surgery |
There’s no single best approach to uterine fibroid treatment. Many treatment options exist. In most cases, the best action to take after discovering fibroids is simply to be aware they are there.
Watchful waiting
If you’re like most women with uterine fibroids, you have no signs or symptoms. In your case, watchful waiting (expectant management) could be the best course. Fibroids aren’t cancerous. They rarely interfere with pregnancy. They usually grow slowly and tend to shrink after menopause when levels of reproductive hormones drop. This is the best treatment option for a large majority of women with uterine fibroids.
Medications
Medications for uterine fibroids target hormones that regulate your menstrual cycle, treating symptoms such as heavy menstrual bleeding and pelvic pressure. They don’t eliminate fibroids, but may shrink them. Medications include:
- Gonadotropin-releasing hormone (Gn-RH) agonists. To trigger a new menstrual cycle, a control center in your brain called the hypothalamus manufactures gonadotropin-releasing hormone (Gn-RH). The substance travels to your pituitary gland, a tiny gland also located at the base of your brain, and sets in motion events that stimulate your ovaries to produce estrogen and progesterone.
Medications called Gn-RH agonists (Lupron, Synarel, others) act at the same sites that Gn-RH does. But when taken as therapy, a Gn-RH agonist produces the opposite effect to that of your natural hormone. Estrogen and progesterone levels fall, menstruation stops, fibroids shrink and anemia often improves.
- Androgens. Your ovaries and your adrenal glands, located above your kidneys, produce androgens, the so-called male hormones. Given as medical therapy, androgens can relieve fibroid symptoms.
Danazol, a synthetic drug similar to testosterone, has been shown to shrink fibroid tumors, reduce uterine size, stop menstruation and correct anemia. However, occasional unpleasant side effects such as weight gain, dysphoria (feeling depressed, anxious or uneasy), acne, headaches, unwanted hair growth and a deeper voice, make many women reluctant to take this drug.
- Other medications. Oral contraceptives or progestins can help control menstrual bleeding, but they don’t reduce fibroid size. Nonsteroidal anti-inflammatory drugs (NSAIDs), which are not hormonal medications, are effective for heavy vaginal bleeding unrelated to fibroids, but they don’t reduce bleeding caused by fibroids.
Hysterectomy
This operation — the removal of the uterus — remains the only proven permanent solution for uterine fibroids. But hysterectomy is major surgery. It ends your ability to bear children, and if you elect to have your ovaries removed also, it brings on menopause and the question of whether you’ll take hormone replacement therapy.
Myomectomy
In this surgical procedure, your surgeon removes the fibroids, leaving the uterus in place. If you want to bear children, you might choose this option. With myomectomy, as opposed to a hysterectomy, there is a risk of fibroid recurrence. There are several ways a myomectomy can be done:
- Abdominal myomectomy. If you have multiple fibroids, very large or very deep fibroids, your doctor may use an open abdominal surgical procedure to remove the fibroids.
- Laparoscopic myomectomy. If the fibroids are small and few in number, you and your doctor may opt for a laparoscopic procedure, which uses slender instruments inserted through small incisions in your abdomen to remove the fibroids from your uterus. Your doctor views your abdominal area on a remote monitor via a small camera attached to one of the instruments.
- Hysteroscopic myomectomy. This procedure may be an option if the fibroids are contained inside the uterus (submucosal). A long, slender scope (hysteroscope) is passed through your vagina and cervix and into your uterus. Your doctor can see and remove the fibroids through the scope. This procedure is best performed by a doctor experienced in this technique.
Variations of myomectomy — in which uterine fibroids are destroyed without actually removing them — include:
- Myolysis. In this laparoscopic procedure, an electric current destroys the fibroids and shrinks the blood vessels that feed them.
- Cryomyolysis. In a procedure similar to myolysis, cryomyolysis uses liquid nitrogen to freeze the fibroids.
The safety, effectiveness and associated risk of fibroid recurrence of myolysis and cryomyolysis have yet to be determined.
- Endometrial ablation. This treatment, performed with a hysteroscope, uses heat to destroy the lining of your uterus, either ending menstruation or reducing your menstrual flow. Endometrial ablation is effective in stopping abnormal bleeding, but doesn’t affect fibroids outside the interior lining of the uterus.
Uterine artery embolization
Small particles injected into the arteries supplying the uterus cut off blood flow to fibroids, causing them to shrink. This technique is proving effective in shrinking fibroids and relieving the symptoms they can cause. Advantages over surgery include:
- No incision
- Shorter recovery time
Complications may occur if the blood supply to your ovaries or other organs is compromised.
Focused ultrasound surgery
MRI-guided focused ultrasound surgery (FUS), approved by the Food and Drug Administration in October 2004, is a newer treatment option for women with fibroids. Unlike other fibroid treatment options, FUS is noninvasive and preserves your uterus.
This procedure is performed while you’re inside of a specially crafted MRI scanner that allows doctors to visualize your anatomy, and then locate and destroy (ablate) fibroids inside your uterus without making an incision. Focused high-frequency, high-energy sound waves are used to target and destroy the fibroids. A single treatment session is done in an on- and off-again fashion, sometimes spanning several hours. Initial results with this technology are promising, but its long-term effectiveness is not yet known.
Before you decide
Because fibroids aren’t cancerous and usually grow slowly, you have time to gather information before making a decision about if and how to proceed with treatment. The option that’s right for you depends on a number of factors, including the severity of your signs and symptoms, your plans for childbearing, how close you are to menopause, and your feelings about surgery.
Before making a decision, consider the pros and cons of all available treatment options in relation to your particular situation. Remember, most women don’t need any treatment for uterine fibroids.
