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Leiomyoma enucleated from a uterus. External surface on left; cut surface on right. Micrograph of a small, well-circumscribed colonic leiomyoma arising from the muscularis mucosae and showing fascicles of spindle cells with eosinophilic cytoplasm and elongated, cigar-shaped nuclei Immunohistochemistry for β-catenin in uterine leiomyoma, which is negative as there is only staining of cytoplasm ...
A very large (9 cm) fibroid of the uterus which is causing pelvic congestion syndrome as seen on ultrasound. Diagnosis can be made using ultrasound or laparoscopy testing. The condition can also be diagnosed with a venogram, CT scan, or an MRI. Ultrasound is the diagnostic tool most commonly used. [8]
Surgery to remove uterine fibroids occurs more frequently in women in "higher social classes". [12] Adolescents develop uterine fibroids much less frequently than older women. [7] Up to 50% of people with uterine fibroids have no symptoms. The prevalence of uterine fibroids among teenagers is 0.4%. [7]
The underlying causes may include ovulation problems, fibroids, the lining of the uterus growing into the uterine wall, uterine polyps, underlying bleeding problems, side effects from birth control, or cancer. [3] More than one category of causes may apply in an individual case. [3] The first step in work-up is to rule out a tumor or pregnancy.
Menometrorrhagia, also known as heavy irregular menstrual bleeding, is a condition in which prolonged or excessive uterine bleeding occurs irregularly and more frequently than normal. It is thus a combination of metrorrhagia (intermenstrual bleeding) and menorrhagia (heavy/prolonged menstrual bleeding).
Abnormal uterine bleeding in the reproductive years comprises a complex set of disorders that include abnormalities in endocrine, endometrial and hemostatic function and a number of structural anomalies that include polyps, adenomyosis and leiomyomas or fibroids.
Menopause can be broken down into three stages, though Tang notes that menopause and perimenopause are typically grouped together. Perimenopause: Symptoms like hot flashes and mood swings start as ...
For uterine leiomyomas, complete removal of the uterus is required. [27] There is minimal evidence to support the use of myomectomy to preserve fertility. [ 28 ] Evidence shows that preoperative use of gonadotropin-releasing hormone agonists, which prevents or lessen the production of hormones like progesterone, estrogen, and testosterone, can ...