A. In conventional medicine
According to the study of "Uterine Myomas: An Overview of Development, Clinical Features, and Management" by Wallach, Edward E. MD; Vlahos, Nikos F. MD, researchers indicated that Treatment choices are wide and include pharmacologic, surgical, and radiographically directed intervention. Most myomas can be followed serially with surveillance for development of symptoms or progressive grow. The past century has witnessed development of highly sophisticated diagnostic and therapeutic technology for myomas. The tools currently at our disposal permit greater management flexibility with safe options, which must be tailored to the individual clinical situation.
1. Oral contraceptive pills
a. According to the article of "American Society of Reproductive Medicine Patient Booklet: Uterine Fibroids, 2003" Published by the American Society for Reproductive Medicine under the direction of the Patient Education Committee and the Publications Committee., Oral contraceptive pills can be prescribed to reduce uterine bleeding and cramps.
b. Levonorgestrel (a progestin)
With the implant of the Mirena if the fibroids are small enough to keep the device in place, Levonorgestrel release from the device can effectively shrink the fibroids. According to the study of "The effectiveness of the levonorgestrel-releasing intrauterine system in menorrhagia: a systematic review" by Antony Stewart, Carole Cummins, Lisa Gold, Rachel Jordan, Wendy Phillips researchers found thatEffectiveness and cost effectiveness relative to other treatments and the effect on surgical waiting lists can only be established in larger trials measuring patient-centred outcomes in women with menorrhagia.
2. GnRH(Gonadotropin-releasing hormone) agonist
GnRH agonist, Lupron is effective to decrease in GAGs, leading to the shrinking of the fibroids by dehydrating them. Some researchers suggested that Lupron increase the production of estradiols thus reducing the production of estrogen that cause fibroid to shrink.
b. Risk and side effect
b.1. Surgerical and anesthesia risk
b.2. New fibroid develop
b.3. Scar tissue that may cause infertiltiy
b.4. Childbirth complcation.
b. Risks and side effects
b.1. Surgical and anesthesia risks
b.3. decreased sexual desire
Approximately 50 pregnancies have been reported in women who have had UAE. Nearly 60% of the resulting births were delivered by cesarean, 28% were preterm births, and 13% of patients had postpartum hemorrhage. According to ACOG, this procedure is still considered investigational for patients who may want to become pregnant, as further data are needed to draw conclusions about the safety of UAE in these patients.
4. Surgery with the guide of MRI (magnetic resonance image)
These 2 techniques are new and required further study
a. Ultrasound waves
With the guide of MRI to the precised location of the fibroids in the uterus, then using utrasound waves to destroy them
b. Laser beams
With the guide of MRI to the precised location of the fibroids in the uterus, then using laser beam to destroy them
Show You How To Permanently Eliminate
All Types of Uterine Fibroids Within 2 Month
Super foods Library, Eat Yourself Healthy With The Best of the Best Nature Has to Offer
Back to Women Health http://kylejnorton.blogspot.ca/p/women-health.html
Back to Kyle J. Norton Home Page http://kylejnorton.blogspot.ca