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Uterine Fibroids (Assessment and common findings (A history of irregular…
Uterine Fibroids
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Pathophysiology
Fibroids begin as single or multiple seedling in the myometrium and grow gradually over a long period.
They may cause pressure in pain, urinary frequency, urgency and constipation.
The intramural fibroids may also interfere with uterine contractions resulting in abnormal bleeding during menstruation, this may lead to aneamia and inablility to conceive.
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In fibroids located in the uterine cavity the risks of infertility, placenta abruptio and premature labour are high
Introduction
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Their size ranges from small nodular structures to that of a pregnancy of a few weeks.The fibroids may remain in the uterine cavity or on the uterus.
Medical management
Management depends on the size location and symptoms, large tumours that produce pressure in a patient who still plans to have children may be removed the operation is known as myomectomy.
This procedure relieves the symptoms and allows for pregnancy to occur in cases where the symptoms are a threat to a woman's health and therefore life threatening and the patient does not plan to have children the yterus may be removed.