How to Handle Fibroids after menopause

How to Handle Fibroids after menopause

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Fibroids are seen in many women of reproductive age. They may occur even after menopause. These care non-malignant tumours which grow inside the wall of the uterus. They are not likely to grow into a cancerous mass. However, they can cause pain and discomfort. They may develop in women at the tender age of onset of periods.

Hormones influence on fibroids

The imbalance in the level of Estrogen and progesterone can lead to fibroids. If these hormones drop, there is a decreased risk of having new fibroids. The drop in hormones may also reduce the pre-existing fibroids.

Medical conditions and fibroids 

Fibroids may be a result of certain medical conditions like –

  1. Hypertension
  2. History of fibroids in the family
  3. Obesity
  4. Low level of vitamin D
  5. Extreme stress
  6. No history of pregnancy

Women above 40 and women belonging to the African-American region are more susceptible to getting this condition.

Symptoms

Sometimes the symptoms may be absent. The symptoms of the premenopausal and postmenopausal women differ. The only sure way to detect fibroids is to go for a medical check-up.

Postmenopausal women 

Women usually experience the following symptoms –

  • Heavy menstrual  bleeding
  • Spotting in between the cycle
  • Anemia due to loss of blood
  • Cramping in the pelvic area
  • The feeling of fullness in the lower belly
  • Swelling in the abdominal area
  • Pain in the lower back
  • Frequent  urge to urinate
  • Bladder incontinence
  • Pain during sexual  intercourse
  • Fever
  • Feeling nausea
  • Frequent headaches

These symptoms are caused due to the pressure exerted by fibroids on the uterine wall.

Treatment of  fibroids after menopause

Fibroids treatment can be effectively carried out  by using oral contraceptives.

The doctor may suggest myomectomy. It is a procedure in which the fibroids are surgically removed. The doctor may also suggest the surgical removal of the uterus.

Birth control pills

Oral contraceptives are one of the best medicines for treating fibroids. These are effective in discouraging the development of future fibroids. One has to be careful about the chemical composition of the birth control pills though. The pills containing Progestins can prove to be effective against fibroids.

Myomectomy

It may be performed before a hysterectomy. It ensures that the fibroids are removed while keeping the uterus intact. The doctor makes an incision in the lower abdomen for performing this surgery. The incision is similar to the one used for caesarean delivery. It requires a recovery period of 4-6 weeks.

The surgery may also be performed through laparoscopy surgery. The incision is smaller and the recovery period is faster in this case, but such a surgery will be suitable only in case of small fibroids.

Hysterectomy

If the symptoms are severe, Hysterectomy is recommended. It is usually recommended for women of most menopausal age. It involves the removal of a part of the uterus or the complete uterus.

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