Intramural Fibroids
An intramural fibroid develops in the middle of the uterine wall. Intramural fibroids make the uterus apparently bigger in size and the woman may look pregnant or have a rounded stomach that she cannot get rid of by going on a diet or exercising.
The growth of this fibroid exerts pressure on neighboring organs causing acute menstrual bleeding/clotting, painful menstrual cycles clubbed with pain in the pelvis. Bulky feeling, constipation, frequent urination (or lack of it) and bladder/colon problems are some of the other common associated symptoms.
Larger fibroids may even block supply of blood, oxygen and nutrients to kidneys and sometimes cause irreversible damage.
According to Mount Sinai School of Medicine, New York the number of women, with intramural fibroids, becoming pregnant was 11% lesser as compared to those with sub-mucosal fibroids. Also, women with intramural fibroids had 58% more miscarriages and ran a higher risk of caesarean and pre-term deliveries.
University of Valencia, a Spanish University ruled out any relation between the chances of pregnancy, in women undergoing IVF, and intramural fibroids. Baskent University, Turkey, however, opined that IVF drugs, used to trigger ovulation, increased the size of intramural fibroids.
Abdominal myomectomy is the general treatment for intramural fibroids. When the fibroids grows more than 5 or 7 centimeters in size, or more fibroids are to be removed, then the above treatment is suggested.
In the procedure of abdominal myomectomy, the fibroids are removed surgically by making a cut through the abdomen. The uterus is pulled out through the cut and the fibroid is removed. The uterus is then stitched up and reinstated. As is the case with all other surgeries, there are chances of bleeding and infection in this procedure but it is important to have knowledge about adhesions and scar tissue. Some women have complained of the scar tissue sticking to the organs which can aggravate problems, for example, the fallopian tubes may get blocked.
An alternative to the above is the Uterine Artery Embolization-a surgical procedure in which the blood supply to the fibroids is blocked so that the tissue dies out of shortage of blood, oxygen and nutrients.
A research was done by Leeds Teaching Hospital on 10 women suffering with intramural fibroids of 11 centimeters in size. All of them had undergone the surgery of Uterine Artery Embolization. A follow up by the doctors after 12 and 36 months showed them that most of the women’s symptoms settle down, except two who were still feeling bulky, and two who needed additional surgery because their kidneys got damaged. A patient required hysterectomy after a period of 7 months. The doctors conclusion stated that Uterine Artery Embolization was a secure method. But if you have a glance at the statistics reports, one of the report stated 20% of the women required additional surgery, another stated 30% have got back the same symptoms within five years.
Another secondary condition experienced with Uterine Artery Embolization is excessive bleeding from the vagina. Two women were studied by the McGill University in Canada who were having excessive bleeding after undergoing this procedure. An endometrial biopsy was performed by the surgeons and both the women were found to have necrotic fibroids (a condition when the tissue becomes dead in the absence of blood supply).
After a short time of doing biopsy, septic formed in both womens uterus which needed a hysterectomy. From the biopsy report, the doctors came to a conclusion that Uterine Artery Embolization, when done to an women, has a high chance of getting infected, if their intramural fibroids appear closer to the uterine lining. It is sensible that dead tissues easily attract more bacteria.
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- How to Treat Fibroids For some women, the intense pain of uterine fibroids, or...
- Submucosal Fibroids The growth of submucosal fibroid. occur just below the endometrium...
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