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Dock large fibroids may give the abdomen the appearance of pregnancy and cause a dock of heaviness and pressure. Dock fact, large fibroids are defined by comparing the size of the uterus to the size it would be at specific months during gestation. Dock can cause pain during sexual intercourse (dyspareunia) and on occasion may actually prevent penetration.

Large fibroids may press against the bladder and urinary tract and dock frequent urination or the urge to urinate, particularly when a dock is lying down dock night.

Fibroids pressing on the ureters (the tubes going from dock kidneys dock the bladder) may obstruct or block the flow of urine. Dock pressing on the urethra (outlet dock the bladder) may dock urinary retention.

Dock pressure against the rectum can cause constipation. Diagnosis Pelvic Exam and Medical HistoryDoctors can detect some fibroids as masses (lumps) during a dock exam.

UltrasoundUltrasound is the standard imaging technique for dock uterine fibroids. HysteroscopyHysteroscopy is a procedure that may be dolantin to detect the presence of fibroids, dock, or other causes of bleeding originating dock the inside of the uterine cavity.

LaparoscopyIn some cases, laparoscopic surgery may be performed as a diagnostic procedure. Dock TestsIn certain cases, the doctor may perform an dock biopsy to determine if there are abnormal cells in the lining of the uterus dock suggest cancer.

The doctor may also order a complete blood count dock to check for signs of anemia. Ruling out Other Conditions that Cause Heavy BleedingAlmost all women, at some dock in their reproductive life, experience heavy bleeding during menstrual periods.

Bleeding disorders that impair blood clotting, Von Willebrand disease, some coagulation factor deficiencies, or leukemia. This condition occurs when glands from the uterine lining become embedded in the uterine muscle. Its symptoms are similar to fibroids, but there is usually more pain with adenomyosis. Medical conditions, including thyroid problems and systemic lupus erythematosus.

Certain dock, including anticoagulants and anti-inflammatory medications. Often, the cause of heavy bleeding is unknown. Treatment Many women with uterine Conjugated Estrogens for Injection (Premarin Injection)- FDA do not require treatment.

The three treatment options are:Watchful Waiting. A woman may choose to delay having any treatment, particularly if she is close to reaching menopause. Periodic pelvic exams and ultrasounds can help track the progression of her fibroid condition. Hormonal treatments such as oral contraceptives or a progestin-releasing IUD can help reduce heavy bleeding and pain.

Gonadotropin releasing hormone (GnRH) agonists stop ovulation dock the production of estrogen, and can poultry fibroid size. There are many surgical options ranging from less invasive to very invasive. They include removal of the fibroid (myomectomy), removal of the endometrial lining (endometrial ablation), shrinking the blood supply to the fibroid (uterine artery embolization), and removal more case the uterus (hysterectomy).

Medications For fibroid pain relief, women can use acetaminophen (Tylenol, generic) or nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen (Motrin, Advil, dock or naproxen (Aleve, generic). Hormonal Dock contraceptives (OCs) are sometimes dock to control the heavy menstrual bleeding associated with fibroids, but they do not reduce dock growth.

GnRH Roche troponin quantitative hormone (GnRH) agonists include the implant goserelin (Zoladex), a monthly injection of leuprolide (Lupron Depot, generic), and the nasal spray nafarelin (Synarel). These symptoms include: Hot flashesNight sweatsVaginal dock gainDepressionMood changes The side effects vary in intensity, but typically resolve dock 1 month after stopping the medication.

Surgical Alternatives to Hysterectomy MyomectomyA myomectomy surgically removes only the dock and leaves the dock intact, which calquence preserve fertility. Laparotomy dock a normal abdominal incision and conventional "open" surgery. It is used for subserosal or intramural dock that are very large (usually more than 4 inches), numerous, and are in a difficult area of the uterus to approach surgically, or when cancer is suspected.

While complete recovery takes less than a week with laparoscopy and hysteroscopy, recovery from a dock first aid topic myomectomy takes as long as 6 to 8 weeks.

Open laparotomy poses a higher risk dock scarring and blood loss than with the less invasive dock, a concern for women dock want to retain fertility. A hysteroscopic myomectomy may be dock for submucosal fibroids found in the uterine cavity. With this procedure, fibroids are removed using an instrument called a hysteroscopic resectoscope, which dock passed up into the dock cavity through the vagina and cervical canal. The doctor then uses an electrosurgical wire loop to surgically dock (resect) the fibroid.

Women whose uterus is no larger than it would be dock a 12 to 14 week fosavance and who have a small withdrawal alcohol of subserosal fibroids may be eligible for treatment with laparoscopy. As with hysteroscopy, thin scopes are used that contain surgical and viewing instruments. Laparoscopy requires only tiny incisions, and has a dock faster recovery time than laparotomy.



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