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Uterine FibroidA fine evening a middle aged lady entered the clinic with her medical file in hand. She looked dazzled, confused and was filled with anxiety. She looked pale and tired lost in her own thoughts. As she entered the chamber she placed the report in my hand and said “Doctor has told me to undergo surgery”. That one sentence cleared me the reason for her anguish feeling. When we went ahead, taking her case it was evident that she was suffering from multiple fibroids of the uterus. But was the surgery must? When was it recommended to her? Can she be treated medically? Let’s understand more in the following article
Uterine fibroids are non cancerous i.e. benign growth in the uterus. They can be solitary or multiple.
They vary in size and only in unusual cases become very large. Fibroids are most common in women between ages 40-50 years and may be dormant without any symptoms or may cause excessive bleeding and pressure symptoms leading to frequent urination and rectal pressure. Fibroids are common in women in the child-bearing age group. 20 – 40 percent of women have fibroids but not everyone presents with symptoms.
The exact cause is not known. But growth appears to depend on increases oestrogen hormone levels. The evidences are - • Myomas are rarely found before puberty, and they generally cease to grow after menopause. • New myomas rarely appear after menopause. • Myomas are known to increase in size during pregnancy and with oral contraceptives.
As many as 50% women are asymptomatic. These fibroids are detected during gynaecological check-up or ultrasound done for unrelated symptoms. The women may have a single symptom or present with several complaints depending upon the number, size and location of the tumours. The fibroid is seen in women of childbearing age group, 30 to 40 years (rarely before 20 years), nulliparous or of low parity (only 20-30% women are multiparous). 1. Menorrhagia, polymenorrhoea, metrorrhagia :- excessive bleeding is observed in many patients with fibroid. 2. Infertility, recurrent abortions - Fibroids do not necessarily cause infertility. Submucous myoma is responsible for recurrent pregnancy loss. 3. Pain- Most women complain of heaviness in the lower abdomen. Congestive and spasmodic dysmenorrhoeae are often a symptom of fibroid, or due to associated pelvic diseases. 4. Abdominal lump 5. Pressure symptomps- Frequency and retention of urine. 6. Vaginal discharge.
Ultrasound : - A fibroma shows specific features of a well defined rounded tumour.
Small and asymptomatic uterine fibroids do not require removal. They can be observed every 6 months. Rapid growth of a fibromyoma in a menopausal woman implies malignancy and requires surgery. Removal of uterus leads to surgically induced menopause which brings more problems such as abrupt onset of hot flashes, headaches, mood changes, sleep disruption, insomnia, night sweats, emotional labiality, loss of libido or desire for sex, vaginal dryness, weight gain, malaise, acne, unwanted hair growth, deeper voice and osteoporosis (bone loss). In the end the lady regrets her decision to go under the surgeon's knife.
Fibroids are not in any way associated with an increased risk of uterine cancer, and tend to shrink after the menopausal period sets in in a woman. This is due to a drop in the reproductive hormone level in the woman at this stage. Homeopathic remedies are natural and completely safe, with no side effects. They work by balancing the hormone level in the body and shrinking the fibroids. The length of treatment varies from woman to woman and essentially depends on the size and number of fibroids. Homeopathy, being a holistic treatment method, not only aids the treatment of the discomforts caused by uterine fibroids but also has a positive effect on the overall health of the woman.
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