Stop Uterine Fibroids Naturally
This procedure is undertaken with an awake patient, in the X-ray department. Catheters are passed through the femoral arteries to the uterine artery and into the vessels supplying the fibroids, and the vessels are embolized. Pain is experienced as the fibroid tissue becomes ischaemic. Administration of regular NSAIDs and paracetamol is advisable both before and after the procedure. A bolus dose of opioid drug is often required after embolization. Severe pain may last for several hours and a PCA may be needed for 1 or 2 days.
Uterine leiomyomata, usually referred to as fibroids, are the most common benign tumors of reproductive age women. The annual incidence of diagnosed leiomyomata in a cohort of U.S. women aged 25 to 44 was 12.8 1000 women years (3). Estimates show that between 140,000 and 180,000 hysterectomies are performed annually with the majority being performed for uterine leiomyomata (4). The majority of uterine fibroids are asymptomatic and will not require interventions or further investigations. In the properly selected woman with symptomatic fibroids, the result from selected treatment should be an improvement in the quality of life (5). The symptoms usually include abnormal bleeding, dysmenorrhea, or noncyclic symptoms such as pelvic pressure. Leiomyomata may be located anywhere on the uterus, uterine cervix, or even retroperitoneal space. If large enough, fibroids can result in ureteral compression laterally against the pelvic sidewall. Pelvic exam should be performed preoperatively in an...
R Obviously something was not as it should be. Stephanie was focused on her career as a lawyer in Washington, D.C., as she had been for years, but when she reached her early forties, she could no longer ignore her physical symptoms. She had heavier periods than usual and vaginal bleeding between periods. She was severely constipated and felt pressure on her bladder all the time. She assured herself that the intensity of her work was causing physical symptoms, but finally she had to admit that something was going on, and she consulted her primary care doctor. After a physical exam and an evaluation of her symptoms, her internist told her she had fibroids. Stephanie knew she wanted to see someone who specialized in treating fibroids before she made decisions that would affect the rest of her life. She consulted one of the experts in the field and was not surprised when, after talking to her, examining her, and doing some tests, he recommended hysterectomy. It seemed the commonsense...
After years of suffering severe and painful symptoms from fibroids, Rebecca also had fibroids and had tried for years to become pregnant but never conceived. Emotionally, she found the hysterectomy decision to be gut-wrenching. Once her surgery was scheduled, she couldn't bear to see a woman with a baby. The finality of what she was going to do was nearly overwhelming.
For four years, Christa's fibroids had been a problem. As the months went by, the pain in her abdomen and the bleeding got worse, and then she developed anemia and weakness because of the bleeding. The pain was not incapacitating, but every time she moved, she felt tugging sensations in her abdomen. She was ready for a hysterectomy. She was 52 years old with nearly grown children, and she didn't want to be bothered with gynecologic concerns anymore. She wanted her uterus, cervix, and ovaries removed in addition to getting relief from her current problems, she didn't want ever to have to worry about getting cancer in any of these organs.
Leslie, in her own words, freaked out when her doctor told her it was time for her to have a hysterectomy. Her doctor had been monitoring Leslie's fibroids for seven years, and as Leslie went through menopause, she expected them to shrink. She never had any symptoms, but even after menopause, the fibroids continued growing, and her doctor told her they would soon interfere with the functioning of some of her organs.
The main impact of interstitial cystitis is on quality of life. Patients often express somatization and depression or anxiety as with other somatic pain syndromes, its pathogenesis is unclear. Differential diagnosis includes other somatic syndromes such as fibromyalgia, irritable bowel, and chronic pelvic pain, as well as UTI, overactive bladder, uterine fibroids, and endometriosis. Interstitial cystitis should be considered in any patient presenting frequently with UTI symptoms. There may also be association with autoimmune disorders.
Although cesarean hysterectomy may have been done in the past on an elective basis for women who desired sterilization, to treat uterine fibroids, and to treat cervical carcinoma in situ, rarely is this procedure performed electively today because of the increased risk of complications.
In Nigeria, as in other parts of the world, post-partum hemorrhage is most commonly caused by uterine atony. Other causes include retention of placenta or placental fragments, trauma to the genital tract, prolonged second stage of labor, multiple gestations or hydramnios, past history of postpartum hemorrhage, antepartum hemorrhage, uterine fibroids, mismanaged third stage of labor, and Cesarean section. All are recounted in detail in later chapters of this book. However, poverty, illiteracy, and unavailability of trained medical personnel combine to accentuate these problems in Nigeria, as do dwindling health resources as a result of bad governance.
228-229 sciatica, 86 shiatsu, 23-24 sinusitis, 60 stress, 203 techniques, 104 tennis elbow, 71-74 tinnitus, 230-231 uterine fibroids, 179-181 weight management, 233-234 wony, 205-206, 211 acu-pros, 4, 10-13, 18-20, 39-40, 59, 239, 244-246, 250 acupuncture, 39-40 allergies, 116-117 228-229 sciatica, 86 sinusitis, 60, 128-131 skin, 199-200 smelling, 15 stress, 203 strokes, 108-112 tennis elbow, 71-74 tinnitus, 230-231 uterine fibroids, 179-181 visits, 239-241 vomiting of milk, 144-145 weight management, 233-234 worry, 205-206 acu-woman, 25 tennis elbow, 71-72 tinnitus, 230-231 treatments, 18-20, 98-99 trigeminal neuralgia, 111-112 uterine fibroids, 179-181 visits, 239-241 wony, 205-206 Acupuncture Efficacy A Summary of back pain, 82 bursitis, 70-71 neck pain, 64 ovarian cysts, 179-180 sciatica, 86 tennis elbow, 71-72 uterine fibroids, 180
Many women who come to my practice are opting to use acupuncture and Oriental Medicine to stop the pain and excessive bleeding from fibroids and cysts. I make sure that they have been properly examined and diagnosed by their conventional physician to rule out any malignant growths. Over 30 percent of all hysterectomies (removal of the uterus) in the United States are done to remove uterine fibroids. Since these growths shrink after menopause, avoiding surgery is an option some women are choosing, and Oriental Medicine is a helpful partner. To shrink the cysts or fibroids, acupuncture is often accompanied by herbal medicine or moxibustion (see Chapter 5, Acupuncture Tools of the Trade ). Cysts and fibroids vary in their oriental diagnosis according to your body's health and general well-being. According to traditional theory, emotional stress is the most common cause of abdominal masses. Anger and worry tend to slow down the flow of Qi and blood in the lower abdomen. Consumption of...
Fibroids are associated with primary postpartum hemorrhage. They cause uterine enlargement and prevent involution of the uterus, therefore leading to prolonged bleeding from the placental bed. More rarely, they can be associated with secondary postpartum hemorrhage. Fibroids have usually been identified by ultrasound in the antenatal period.
Surgeons began using laparoscopy to assist in vaginal hysterectomy in the late 1980s. In performing laparoscope-assisted vaginal hysterectomy, your doctor can combine the advantages of vaginal hysterectomy with the enhanced visualization of the pelvic organs that the laparoscope provides. LAVH is done today to treat many conditions that would have required an abdominal hysterectomy in the past, including uterine fibroids and endometriosis.
Getting pregnant isn't as easy as it looks. Indeed, there are a host of intricate processes that must be completed during ovulation, fertilization, and implantation of eggs into the uterus. Most of the couples I see have already been through a battery of tests to determine the possible causes of infertility. These conditions range from failure to ovulate properly to polycystic ovaries, blocked fallopian tubes, endometriosis, uterine fibroids, sexually transmitted disease, and pituitary, thyroid, or adrenal disorders. Emotions such as fear, anxiety, anger, and resentment are often by-products of this stressful time in a couple's inability to conceive.
Rates of dysmenorrhea range from 20 to 90 . ' Dysmenorrhea can be associated with significant interference in attendance at work and school for 15 of women affected by the most severe form.25 Risk factors for dysmenorrhea include young age, heavy menses, and nulliparity.11 Causes of secondary dysmenorrhea may include cervical stenosis, endometriosis, pelvic infections, pelvic congestion syndrome, uterine or cervical polyps, and uterine fibroids.26
Failure of the uterus to contract may be associated with retained placenta or placental fragments, either as disrupted portions, or more rarely a succenturiate lobe. The retained material acts as a physical block against strong uterine contraction, which is needed to constrict placental bed vessels, but, in most cases, dysfunctional postpartum contraction is the primary reason for placental retention. It is more likely for the placenta to be retained in cases of atonic postpartum hemorrhage, and so the contraction failure often becomes self-perpetuating. The reasons for this contractile dysfunction are unknown. The exception is uterine fibroids, where the source of distension cannot be removed by uterine contraction, and must therefore cause the atony. However, the uterus does not even have to be distended during the third stage for contractile dysfunction to occur. Distension prior to delivery, which occurs with multiple pregnancy and polyhydramnios, also affects the ability of the...
Kristine was so delighted that her hysterectomy relieved her many symptoms from fibroids that she tried to resume some of her previous activities a bit too quickly. She waited six weeks to go back to work, as her surgeon had advised. But her job as a medical researcher required that she be on her feet a great deal, and after only half a day Kristine knew she wasn't ready for it. She worked a couple of half days and was much more tired than she'd expected. Her boss was sympathetic when she told him she needed more time off, and she stayed home for another week. When she returned to work the second time, she felt much stronger and had no trouble working full days and doing her job.
Sex definitely got better for Kristine after her hysterectomy. For years she had had large fibroids that caused pressure, bleeding, and pain during intercourse. After surgery, she was much more relaxed about sex than she had been before the surgery, and that new attitude translated to a much improved sex life for her and her husband.
Infertility is defined as failure of conception after 1 year of unprotected intercourse. From 15 to 20 of all couples are infertile. In women, fertility peaks between ages 20 and 24. After this, there is progressive decline in fertility until about age 32, followed by a steep decline after 40. Causes of infertility in couples tend to be one-third male factors, one-third female factors, and one-third combination. Female causes of infertility include ovarian dysfunction (40 ), tubal factors (20 ), cervical factors (infection, stenosis), uterine factors (infection, fibroids), and other (endometriosis, adhesions). The course of investigation for infertility should be based on a couple's wishes for fertility, their age, duration of infertility, and unique features in the history and physical examination.
A major factor in spontaneous uterine rupture is obstructed labor, especially in the developing world when women routinely delivery without the benefit of the presence of trained health-care providers. Rupture may be due to maternal or fetal causes (generally macrosomia). Examples of maternal causes are cephalopelvic disproportion from pelvic contraction due to developmental, constitutional or nutritional causes, abnormal presentation such as shoulder presentation, breech or brow, persistent mentoposterior face presentation, transverse lie, fetal abnormality, hydrocephalus, fetal tumor, fetal ascites, conjoined twins, maternal tumors, intrinsic cervical lesions, extrinsic fibroids or tumor, locked twins, and rarely uterine misalignment such as incarcerated retroverted uterus, and pathological uterine anteversion. Additionally, grand multiparity, the use of uterotonic drugs to induce or augment labor, placenta percreta, and intrauterine manipulation have all been implicated as causes of
Among the cases seen in the 1920s by Sherwood Hall were the following gangrene, enlarged spleen due to chronic malaria, enlarged liver due to liver abscess, ascites, pleural effusion, edema, distomiasis due to lung flukes, and many forms of tuberculosis, often advanced cases. Hall thought that the use of unsterilized needles in acupuncture and moxa often led to infection and painful inflammation. Among women patients, Marian Hall encountered abdomens swollen from enlarged uterine fibroids, tumors, and ovarian cysts (Hall 1978).
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