fibroid

Management of fibroids includes investigations and treatment Investigations •Hb, blood group •Ultrasound: location, size, number,for follow up of fibroids after menopause and during GnRH therapy •Hysterosalpingography and salpingography: to identify submucous fibroid and to check patency of fallopian tubes in infertility. •Hysteroscopy: to identify a submucous polyp and excising it under direct visualisation. •D and …

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Clinical features of uterine fibroids include : Symptoms -About 50% fibroids are asymptomatic –Menorrhagia, polymenorrhea, metrorrhagia, continuous bleeding. postmenopausal bleeding –infertility -Pregnancy complications: recurrent abortions, malpresentation, preterm labor, obstructed or prolonged labor, IUGR. -pain: abdominal pain, backache, spasmodic dysmenorrhea -abdominal lump, mass protruding at introitus –pressure symptoms: on bladder, ureters, rectum -vaginal discharge Signs –Anemia …

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Fibroids are also called myoma/leiomyoma/fibromyoma Features of fibroids: -benign smooth muscle tumour of the uterus -estrogen dependent -whorled appearance -pearly white in colour Anatomy of fibroids -well circumscribed -pseudocapsule (contain blood vessels) -cut surface: whorled appearance, pinkish white Types of uterine fibroids a. Cervical– anterior, posterior, central, lateral b. Body of uterus– intramural: the tumour …

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