Hello, i am looking for Dr. who is having experience in treating intramural fibroids. Dr. who can give me comfort zone and further help me in my pregnancy treatment. It will be great if i get good suggestions who are aware about it... Thanks in advance..
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Hi, intramural fibroids are commenest type.overweight, pregnancy, age above30 are the commonest risk factors. Symptoms of fibroids may include:
heavy bleeding between or during your periods that includes blood clots
pain in the pelvis and/or lower back
increased menstrual cramping
pain during intercourse
menstruation that lasts longer than usual
pressure or fullness in your lower abdomen
swelling or enlargement of the abdomen. Medications to regulate your hormone levels may be prescribed to shrink fibroids. Gonadotropin-releasing hormone (GnRH) agonists, such as leuprolide (Lupron), will cause your estrogen and progesterone levels to drop. This will eventually stop menstruation and shrink fibroids.
Other options that can help control bleeding and pain, but will not shrink or eliminate fibroids, include:
an intrauterine device (IUD) that releases the hormone progestin
over-the-counter anti-inflammatory pain relievers, such as ibuprofen
birth control pills
Surgery to remove very large or multiple growths (myomectomy) may be performed. An abdominal myomectomy involves making a large incision in the abdomen to access the uterus and remove the fibroids. The surgery can also be performed laparoscopically, using a few small incisions into which surgical tools and a camera are inserted.
Your physician may perform a hysterectomy (removal of your uterus) if your condition worsens, or if no other treatments work. However, this means that you will not be able to bear children in the future.
Minimally Invasive Procedures
A newer and completely noninvasive surgical procedure is forced ultrasound surgery (FUS). You will lie down inside a special MRI machine that allows doctors to visualize the inside of your uterus. High-energy, high-frequency sound waves will be directed at the fibroids to destroy (ablate) them.
Similarly, myolysis shrinks fibroids using an electric current or laser, while cryomyolysis freezes the fibroids. Endometrial ablation involves inserting a special instrument into your uterus to destroy the uterine lining using heat, electric current, hot water, or microwaves.