-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