Evaluation of uterine fibroids as a cause of AUB by pelvic ultrasound

Uterine fibroids is an extremely common tumor of the female reproductive system, among whose manifestations are infertility, spontaneous abortions, incorrect fetal position, placenta previa, premature delivery, bleeding during and after delivery, and an increased risk of cesarean section. According to the literature, myomas are changing in size during pregnancy and in the postpartum period. Aim of the study. To assess the dynamics of uterine fibroid size change during pregnancy and the effect of an existing uterine fibroid on the course of pregnancy and labor. Materials and methods. Outpatient records of patients aged 24 to 45 years (mean age 33.36 ± 4.63 years) who were diagnosed with Pregnancy and uterine fibroids from 2016 to 2021 at Verum Medical Center were evaluated (n = 57). The size of the fibroids (volume and diameter) before, during (I or II prenatal screening) and after pregnancy (first pelvic ultrasound after delivery) was used for statistical analysis. Forty-one of the 57 patients had pelvic ultrasound before, during, and after pregnancy and were included in the statistical analysis of changes in uterine myoma size. Results. Among the patients included in the statistical analysis, uterine fibroids increased in volume by 194.38% ± 86.9 (40.98% ± 18.4 in diameter) during pregnancy, and decreased by 53.98% ± 14.93 in diameter and by 54.28% ± 29.62 of baseline in the postpartum period. A significant number of fibroids (39.47%) did undergo involutionary changes and were not visualized in the first postpartum ultrasound. The live birth rate was high at 90% (64% of deliveries were through natural childbirth and 26% through cesarean section). Conclusions. There was no effect of intramural, intramural-subserosal, and subserosal uterine fibroids with an average diameter of £20 mm on pregnancy and live birth in women. A great amount of uterine fibroids nearly triple in size during pregnancy, but after delivery they return to their original size and even halve in size. This can be regarded as a confirmation of the absence of a negative effect of pregnancy, or, possibly, a positive effect on uterine fibroid size, which requires further investigation.

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Breast fibroadenomas are less frequent in women with uterine fibroids

Breast Disease ◽

10.3233/bd-210009 ◽

2021 ◽

pp. 1-4

Author(s):

Ashraf Moini ◽

Bita Eslami ◽

Sadaf Alipour

Keyword(s):

Sex Hormones ◽

Uterine Fibroids ◽

Breast Ultrasound ◽

Breast Mass ◽

Pelvic Ultrasound ◽

Histologic Diagnosis ◽

Gynecological Disorders ◽

The Mean ◽

Criteria For Diagnosis ◽

Selective Effects

BACKGROUND: The etiology and incidence of Fibroadenoma (FA) as the most frequent benign breast mass and uterine fibroma (UF) as the most benign gynecological disorders are unknown. OBJECTIVE: Considering the dependency of FA and UF to sex hormones, our objective was to investigate the association of these two neoplasms. METHODS: Among women attending the hospital Gynecology Clinic, those with typical uterine fibroids in their pelvic ultrasound constituted cases and those with no pathology the controls. All participants underwent breast ultrasound for FA. Criteria for diagnosis of FA were a typical image for lumps <2 cm in women aged <40 and <1 cm in ages ≥ 40, and a histologic diagnosis for all other participants or larger lumps. RESULTS: The mean age of cases and controls was 42.4 and 41.7 years, respectively. FA were detected in 140 (23%) of all participants; 19.7% of the cases, and 26.2% of the controls (p = 0.07). FA and UF had a borderline reverse association (OR = 0.69, 95% CI = 0.46–1.02, p = 0.07). CONCLUSION: The incidence of FA is lower in patients with UF. Further studies are needed to find the selective effects of estrogen and progesterone on hormonal receptors of these two tumors.

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Abnormal Contour Huge Uterine Fibroids

Medicine Today ◽

10.3329/medtoday.v27i2.30047 ◽

2016 ◽

Vol 27 (2) ◽

pp. 49-50

Author(s):

Parveen Ahmed ◽

GM Farid ◽

Tanveen Ishague ◽

Ayesha Siddiqua

Keyword(s):

Genital Tract ◽

Benign Tumor ◽

Female Genital Tract ◽

Uterine Fibroids ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy ◽

Pelvic Ultrasound ◽

Benign Leiomyoma ◽

History Of ◽

Female Genital

Uterine fibroids represent the most common large solid benign tumor of the female genital tract. This 35 years old lady, mother of one child represented to our clinic with a history of progressive abdominal swelling that had rapidly increased in the last two years. There were associated abdominal pain, easy fatigability, heavy menstrual loss and prolong secondary subfertility of about ten years. On examination abdomen was enlarged and the mass measuring about 25cm from xiphisternum, firm, irregular and fairly mobile. Pelvic ultrasound scan revealed features of huge multiple uterine fibroids and the size of the largest one was about 20x25cm,moderate bilateral hydro-nephrosis. Intraoperative findings were moderate pelvic adhesions, huge multiple fibroids and the largest measuring about 18x20cm. Total abdominal hysterectomy with preservation of both ovaries were done. Histopathological report confirmed benign leiomyoma with no evidence of malignancy.Medicine Today 2015 Vol.27(2): 49-50

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Uterine Fibroids May Increase Risk for Stillbirth

Internal Medicine News ◽

10.1016/s1097-8690(10)70329-2 ◽

2010 ◽

Vol 43 (6) ◽

pp. 34

Author(s):

PATRICE WENDLING

Keyword(s):

Uterine Fibroids ◽

Increase Risk

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History of uterine fibroids reported by California women

PsycEXTRA Dataset ◽

10.1037/e554732009-017 ◽

2008 ◽

Author(s):

Zipora Weinbaum ◽

Terri Throfinnson

Keyword(s):

Uterine Fibroids ◽

History Of

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Ayurvedic management of uterine fibroids: a case report

International Journal of Complementary & Alternative Medicine ◽

10.15406/ijcam.2020.13.00483 ◽

2019 ◽

Vol 12 (6) ◽

pp. 257-260

Author(s):

Shubhashree MN ◽

Doddamani SH ◽

Bhavya BM ◽

Bharali B K

Keyword(s):

Case Report ◽

Uterine Fibroids

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Modern approaches to the prevention and treatment of alterations in reproductive health in women with somatoform disorders and autonomic homeostasis

HEALTH OF WOMAN ◽

10.15574/hw.2016.116.98 ◽

2016 ◽

pp. 98-101

Author(s):

Vl.V. Podolsky ◽

◽

V.V. Podolsky ◽

Keyword(s):

Reproductive Health ◽

Hormonal Regulation ◽

Preventive Measures ◽

Somatoform Disorders ◽

Emotional Health ◽

Uterine Fibroids ◽

Reproductive Function ◽

Epidemiological Studies ◽

Prevention And Treatment ◽

Artificial Abortion

The objective: the developing of a system of preventive measures and principles of pregravid preparation for women with somatoform disorders and violation of autonomic homeostasis (VAH), in which observed changes in reproductive health (CRH) in the shape of states after undergoing artificial abortion, infertility and uterine fibroids. Patients and methods. Conducted clinical and epidemiological studies in the population of women of fertile age (WFA) allowed identifying for further examination of women with CRH in the form of state after undergoing artificial abortion, infertility and uterine fibroids in women with VAH. Further women were examined, in particular the conducted clinical and instrumental methods of research; determined the state of autonomic homeostasis and psycho emotional health of the biotopes of the organism, immunity; analyzed the hormonal regulation of the menstrual cycle; performed genetic studies and determined the morphofunctional state of reproductive system. Results. The most frequent complications during pregnancy in women who had CRH in history in the form of abortions, infertility and uterine fibroids and in the background of the PAF, there was a threat of interruption of pregnancy (often in I and II trimester – 56%) and preterm delivery (21%). The study of the catamnesis of further reproductive health found that in the case of well-conducted therapeutic measures in women undergoing artificial abortion, had infertility and uterine leiomyoma in the background of VAH, restore reproductive function, and in 82% of cases occurred a pregnancy. Conclusion. The the provided study of reproductive health, and state of various organs and systems of fertile aged women with somatoform disorders and violations of the autonomic homeostasis allowed to develop preventive measures for these women and pregravid preparation with the inclusion to the therapy Magnesium and vitamins (Magne-В6®). Key words: somatoform disorders, violation of autonomic homeostasis, changes in reproductive health, prevention and treatment, women of fertile age, Magne-В6®.

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