Fibroid Uterus

Fibroid Uterus

Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. It is also called leiomyomas or myomas.

Definition

The benign tumors that originate in the uterus.

Classification

•               Submucosal (submucous) fibroids

•               Intramural fibroids

•               Subserosal fibroids

Signs and Symptoms

•               Abnormal uterine bleeding

•               Spotting between menses

•               Iron deficiency anemia

•               Mild or severe, localized pain in lower abdomen or back during / after sexual contact

•               Pelvic pain, including pain during sexual contact

•               Pressure on the bladder

•               Obstructed urination

•               Painful or difficult defecation

Diagnosis

•               Pelvic exam

•               Ultrasound.

•               Hystero Salpingo Graphy (HSG)

•               MRI, CT Scan

Management

Management in general

•               Preventive

•               Conservative

Medical

•               Hormonal Therapy

•               Low dose of oral contraceptives

•               Analgesics for pain

Surgical

•               Hysterectomy,

•               Myomectomy

•               Cryosurgery

Preventive

•               Effective antenatal care

•               Adequate intranatal care

•               Adequate postnatal care

Conservative

•               Assurance

•               Improvement of nutritional status

•               Pelvic floor exercises.

Nursing management

•               Assess the blood loss

•               Assist and teach the pain relieving techniques

•               Educate about hormonal therapy

•               Advice calcium rich diet to prevent osteoporosis

•               Advice to consult doctor in case of bleeding per vagina during Hormonal therapy

•               Advice to do yoga and meditations