-IBIS-1.5.0-
tx
reproductive system
uterine fibroids
diagnoses
definition and etiology
definition:
Myometrial growths of the uterus. Also termed "fibromyoma" or "leiomyoma".
etiology:
These occur in 25% of women over age 35 and are often asymptomatic, discovery being made during the pelvic exam. They may, however, cause excess menstrual bleeding and/or pelvic pain or bloating. Their growth is increased during pregnancy and with estrogen therapy, and they tend to atrophy after menopause. They may either grow into the lumen, into the pelvic cavity, or remain in the wall of the uterus.
signs and symptoms
signs and symptoms:
Many are asymptomatic
menstrual irregularities
vaginal discharge
uterine pains or cramps
anemia
lab findings:
ultrasound
laparoscopy
D&C
course and prognosis
Treatment should only occur in symptomatic patients. In women who do not desire to become pregnant, conventional kphysicians generally perform a myomectomy or hysterectomy.
differential diagnosis
Adenomyomas.
Endometrial hyperplasia.
Cervical polyps.
Uterine carcinoma.
Ovarian cysts or carcinoma.
footnotes