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Uterine fibroids: Benign growths in the uterus in women

  1. Fibroids are muscular growths that grow on the uterus. This common benign condition usually doesn't cause any symptoms. But occasionally, changes in menstruation and urination are associated with fibroids, among other things. The doctor does not always treat a fibroid when a patient does not experience symptoms. Numerous other non-invasive and invasive treatment techniques are still possible to remove fibroids. The fibroids do occasionally cause (serious) complications, so women should therefore be regularly monitored by the doctor to prevent or treat them in time.

Causes: Hormonal and genetic

  1. It is not clear exactly why fibroids develop. Hormones in the body (estrogen and progesterone) thicken the lining of the uterus every month. These hormones may contribute to the growth of fibroids. During menopause, a reduced production of hormones occurs, which causes many fibroids to shrink. In addition, small fibroids are sometimes present in premenopausal women. Certain genetic factors

Risk factors of fibroid in uterus

  1. Women are more likely to experience fibroids when this condition is already present in a family. Early onset of periods, use of contraception, vitamin D deficiency, excessive alcohol consumption, and excessive consumption of red meat and little green vegetables, fruits, or milk are other contributing factors for the development of uterine fibroids. The condition acromegaly is another risk factor. In this rare disease an overproduction of growth hormone takes place due to the presence of a pituitary tumor. The condition is associated with bone and facial abnormalities

Symptoms: Absent or abnormal bleeding

  1. Symptoms are not always present in fibroids, because in some women a doctor will only detect this during a standard examination or an ultrasound

Diagnosis and investigations

  1. Diagnostic study A gynecological exam will reveal changes in the shape of the uterus. However, detecting uterine fibroids is a clinical challenge and is also more difficult in overweight (obese) women. A hysteroscopy is an internal visual examination that is necessary to inspect the uterus. The doctor also uses a transvaginal ultrasound (examination via a probe in the vagina) to create an image of the uterus using sound waves. An MRI scan can also be used, in which powerful magnets and radio waves can be used to take a picture. In addition, the doctor may perform hysterosalpingography (radiographic image of the uterus and fallopian tubes). In other women, the doctor will use an endometrial biopsy to take a tissue sample (biopsy) from the lining of the uterus to rule out cancer or other conditions. In rare cases it is necessary to perform a (diagnostic) laparoscopy

Prognosis myoma uteri

  1. When a woman has no symptoms, treatment is not always necessary. During pregnancy, uterine fibroids grow due to the higher estrogen levels. The fibroids usually regain their original size after the baby

Prevention of uterine fibroids

  1. Fibroids cannot be prevented, but reducing dietary sugar reduces the development of fibroids in some women. The following foods also have a preventive effect: fresh fruit and cruciferous vegetables such as arugula, broccoli, cabbage, cauliflower, kale and turnip greens. Cruciferous vegetables are rich in beta-carotene, folic acid, vitamins C, E and K and other minerals. They are also packed with fiber. Finally, regular exercise lowers the chances of fibroids.



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