A 39 year-old woman presented with urinary frequency and pelvic pressure. On pelvic examination, a large pelvic mass was felt adjacent to the uterus, deep in the pelvis. MRI showed a 12 cm subserosal fibroid adjacent to the right side of the uterus.
Although uterine leiomyomas are benign tumors, its symptoms, including anemia, excessive vaginal bleeding, pelvic pain, pressure-related bowel and bladder dysfunction, recurrent miscarriage and preterm labor, can severely negatively impact patients’ quality of life. Since uterine leiomyomas are three to four times more common in African-American patients, and since African-American women have 10 times higher incidence of hypovitaminosis D than white women, researchers sought to explore the impact of vitamin D3 on uterine leiomyomas.
Ulipristal is a safe and effective option for women with uterine fibroids, according to two new studies published in the New England Journal of Medicine. In both studies, the oral selective progesterone receptor modulator was well-tolerated, rapidly reduced excessive bleeding, and decreased the size of uterine fibroids.
A 68 year old woman had been referred for treatment of a fibroid tumor. Due to the size she was unable to stand or walk, had dyspnea and dysuria.
William Parker, MD discusses the use of MRI in diagnosing and managing uterine fibroids. Dr. Parker's upcoming Clinical Opinion article, “The utility of MRI for the surgical treatment of women with uterine fibroid tumors”, will be published in the American Journal of Obstetrics and Gynecology in 2012.
What is your diagnosis of this ultrasound image?
The VizAblate System is a device that is inserted through the cervix into the endometrial cavity, and uses radiofrequency energy to ablate individual fibroids while seeing what he or she is doing with intrauterine sonography.
In a recent study of women with repeated miscarriages and fibroids, researchers found that removing them significantly increased the live birth rate. This increase was noted with both fibroids that distorted the uterine cavity as well as those that did not.
By some estimates, as many as 80% of women will have fibroids at some point in their lives. And, although many women are asymptomatic, their presence can cause extreme pain in some women and also may be a factor in infertility issues, with submucosal, intramural and subserosal fibroids (in a decreasing order of importance) impacting infertility. Moreover, some research has linked the presence of uterine fibroids with recurrent miscarriage in women, but the data thus far had been inconclusive.
A 35-year-old nulliparous woman with a giant uterine myoma is described. During the past three years she had developed a intramural myoma and a subserous myoma. Although the lesions were excised, both reappeared and were treated with GnRH analogues for 6 months.