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Symptoms generally include heavy bleeding from the vagina that doesn't slow or stop over time. [11] Initially there may be an increased heart rate, feeling faint upon standing, and an increased respiratory rate. [1] As more blood is lost, the patient may feel cold, blood pressure may drop, and they may become unconscious. [1]
The main side effects are transient postmenopausal symptoms. In many cases the fibroids will regrow after cessation of treatment, however, significant benefits may persist for much longer in some cases. Several variations are possible, such as GnRH agonists with add-back regimens intended to decrease the adverse effects of estrogen deficiency.
Treatment depends on diagnosis and may include hormonal therapy, iv fluids, blood transfusion, and/or a dilation and curettage. Internal bleeding requires laparoscopy or abdominal surgery, in rare and extreme cases a hysterectomy is performed.
The side effects of surgical approaches to heavy menstrual bleeding. [ 57 ] [ 58 ] [ 42 ] [ 56 ] [ 59 ] NICE guidelines says that for individuals with HMB and no identified pathology or fibroids less than 3 cm in diameter who do not wish to have pharmacological treatment and who do not want to conserve their fertility, surgical options could be ...
Symptoms (viz., heavy bleeding and pain) and the estimated percent affected may include: [6] Heavy menstrual bleeding (40–60%), which is more common in women with deeper adenomyosis. Blood loss may be significant enough to cause anemia , with associated symptoms of fatigue, dizziness, and moodiness.
Every few years, my cycle and symptoms would change and worsen, too. So, three years ago, after repeatedly complaining of heavy bleeding, I got an ultrasound, which revealed fibroids. In some ways ...
For women who are not candidates for surgery, a clinical diagnosis can be made based on the symptoms and levels (follicle-stimulating hormone and estradiol, after bilateral oophorectomy) and/or findings consistent with the presence of residual ovarian tissue. [3] Laparoscopy and histological assessment can aid in diagnosis. [4]
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