Uterine Fibroids

Uterine fibroids are present in approximately one third of reproductive-age women (Viswanathan et al., 2007). Although often asymptomatic, fibroids may cause pelvic pain, pressure, and heavy or irregular vaginal bleeding and are the most common reason for hysterectomy in the United States. Treatment options for fibroids include watchful waiting, since most fibroids will decrease in size after menopause. Although hysterectomy is definitive treatment, it carries the risks of major surgery. Myomectomy and other uterine-sparing procedures have a high rate of symptom recurrence (up to 50% within 5 years) and may be more effective for symptom control in perimenopausal women. Women with fibroids are more likely to be infertile, although it is not clear if the association is causative. Removal of fibroids has not been shown to improve fertility (Grifiths et al., 2009). Medical treatments such as NSAIDs and OCs have not been well studied. The levonorgestrel intrauterine system (Mirena) has been shown to prevent hysterectomy in women with heavy vaginal bleeding related to fibroids, but women with more than three fibroids or with one fibroid larger than 3 cm were excluded from this study (Lahteenmaki et al., 1998). Low-dose mifepristone (5 mg daily for 26 weeks) was found to decrease symptoms and improve quality of life (Fiscella et al., 2006).

Soccer Fitness 101

Soccer Fitness 101

Be a star on the field in no time! Get Fit For The Soccer Field In 10 Easy Steps! With soccer season looming just around the corner it’s never too early to start getting ready. Soccer is an intense game, and it’s going to take a lot of work on your part to make sure that you’re ready to stay ahead of your competition out on that field.

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