Uterine fibroids are benign tumors that develop in the uterus. They are the most common tumors in women. While many women have no symptoms, others experience heavy periods, painful periods, pressure or swelling in the lower abdomen, pain during sex, difficulty emptying the bladder, and lower back pain. Risk factors include obesity, family history, black or African American ethnicity, and eating a diet high in red meat. Magnetic resonance guided focused ultrasound (MRgFUS) is a non-invasive treatment option that uses ultrasound waves guided by MRI to destroy or shrink fibroids without surgery.

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Look Pregnant & Heavy Periods? Could Be Fibroids.

2. Meaning of Uterine Fibroids :
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 Uterine fibroids is perhaps the most common
tumor in women.
 Uterine fibroids, also known as uterine
leiomyoma.
 They are benign smooth muscle tumors of
the uterus.
 Most women have no symptoms while others may
have painful or heavy periods.
 If large enough, they may push on the bladder
causing a frequent need to urinate.
 They may also cause pain during sex or lower back
pain.
 A woman can have one uterine fibroid or many.
 Occasionally, fibroids may make it difficult to
become pregnant, although this is uncommon.
 The exact cause of uterine fibroids is unclear.
 Risk factors include obesity and eating red meat.
 Diagnosis can be performed by pelvic
examination or medical imaging.

3. Symptoms of uterine Fibroids :
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Some women with uterine fibroids do not have
symptoms. Symptoms are:
• Abdominal pain,
• Anaemia
• Increased bleeding can indicate the presence of
fibroids
• Pain during intercourse, depending on the location
of the fibroid.
During pregnancy, they may also be the cause of :
• Miscarriage
• Bleeding
• Premature labour
• Interference with the position of the foetus[citation
needed]
• A uterine fibroid can cause rectal pressure.
• The abdomen can grow larger mimicking the
appearance of pregnancy.
• Some large fibroids can extend out through the
cervix and vagina.

4. Risk factors related to uterine fibroids :
There is a non-surgical alternativeas well which has been found to bequiteeffectivein therecent years which is known as Magnetic Resonance-guided Focused Ultrasound (MRgFUS). This is a non-invasivetechniqueand requires no cuts or incisions. Heat generated through ultra soundwaves areused to destroy or shrinkthefibroids.
© 2017-18 Aaapke Doctors Services LLP. All Rights Reserved.
There is a non-surgical alternativeas well which has been found to bequiteeffectivein therecent years which is known as Magnetic Resonance-guided Focused Ultrasound (MRgFUS). This is a non-invasivetechniqueand requires no cuts or incisions. Heat generated through ultra soundwaves areused to destroy or shrinkthefibroids.
 Some risk factors associated with the development
of uterine fibroids are modifiable.
 Fibroids are more common in obese women.
 Fibroids are dependent on oestrogen and
progesterone to grow and therefore relevant only
during the reproductive years.
 Most fibroids do not require treatment unless they
are causing symptoms.
 After menopause fibroids shrink and it is unusual for
them to cause problems.
Uterine fibroids treatment includes :
• medication to control symptoms
• medication aimed at shrinking tumors
• myomectomy or radio frequency ablation
• hysterectomy
• uterine artery embolization
• Uterine artery embolization
• Surgical options
• Non surgical treatment includes – Magnetic
resonance guided focussed ultrasound

5. Magnetic resonance guided focussed ultrasound
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 Magnetic resonance guided focused ultrasound, is a non-surgical method that uses high intensity
focused ultrasound waves to destroy tissue in combination with magnetic resonance imaging (MRI), which guides
and monitors the treatment.
 During the procedure, delivery of focused ultrasound energy is guided and controlled using MR thermal imaging.
 Patients who have symptomatic fibroids, who desire a non-surgical treatment option and who do not have
contraindications for MRI are candidates for MRgFUS.
 It takes one to three hours depending on the size of the fibroids. It is safe and about 75% effective. Need for
additional treatment varies from 16-20% and is largely dependent on the amount of fibroid that can be safely
ablated; the higher the ablated volume, the lower the re-treatment rate.
 About 20% to 80% of women develop fibroids by the age of 50. They are typically found during the middle and later
reproductive years. After menopause they usually decrease in size.
 Surgery to remove uterine fibroids occurs more frequently in women in "higher social classes” . Adolescents
develop uterine fibroids much less frequently than older women. About half of the women with uterine fibroids
have no symptoms. The prevalence of uterine fibroids among teenagers is very less.

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