Tuesday, February 24, 2009

What Are Subserous Fibroids

By Shola Oslo

Subserous fibroids are those that grow on the outside of the uterus, and cause the uterus to appear larger than it is.

They typically grow during menstruation, as this is when their blood supply to the uterus is greatest. The blood supplies the subserous fibroids with nutrients and oxygen, which causes them to accelerate their growth.

Subserous fibroids have the potential to grow very big, and can even expand to the size of a six month pregnancy. They can cause a feeling of bulkiness and constant discomfort.

They will affect sensory nerves connected to lower back or back of the legs and hence results in pain in these areas.

There are certain sysmptoms for subserous fibroids. They are abdominal bloating during mensuration cycle and looking like a pregnant woman.

These fibroids can cause more than discomfort, they can also inflict damage on the connecting tubes between the kidneys and the bladder, resulting in kidney problems. Also, they can place pressure on nearby organs such as the colon and bladder causing irregularity and difficulty in urination, or incontinence because of their close proximity.

An additional adverse condition that causes extreme pain is tissue death of the internal areas of the fibroids which is caused by the lack of a large blood supply that they demand and sometimes can not get enough of in order to stay alive.

Subserous fibroids are sometime treated as ovarian cysts when subserous fibroids present outside of uterus by a stalk. Doctors can differentiate between a subserous fibroid and ovarian cysts only with the help of an MRI scan. MRI is a abbreviation for Magnetic Resonance Imaging and it is a way of getting pictures of various parts of your body without the use of x-ray.

According to doctors, subserous fibroids are easier to remove surgically than most other types of fibroids, as they are on the outside of the uterus. The most common surgical option is a laparoscopic myomectomy. This is a form of keyhole surgery, where the surgeon makes small incisions in the abdomen in order to surgically remove the fibroid.

The Third Military Medical University in China conducted a study about the effectiveness of myomectomies and Uterine Artery Embolization, which is a method that surgically blocks the blood flow to the fibroids, thus shrinking them through preventing them access to blood and nutrition.

Both methods of treatment were used on 142 women who had fibroids that were 2 cm to 12 cm. After follow up 16 months later, five women experienced the reappearance of fibroids indicating that surgical treatment is not 100 per cent successful.

Even though surgery can produce quick results, there are serious risks to consider such as damage to blood vessels the intestines by a laparascopic myomectomy. Plus, this type of surgery can produce scar tissue and adhesions that may adversely affect fertility and digestion. On the other hand, Uterine Artery Embolization can ignite serious infections in the uterus, spreading to other areas of the body because of the tissue death. Not only does the dying tissue cause intense pain, but also produces a very unpleasant vaginal odor.

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