What is the epidemiology of fibroids? The occurrence of uterine fibroids, the number of new cases in the population in a given period, is difficult to calculate because 30-50% of cases are asymptomatic. However, the frequency has been estimated at 26.8% in women of all ages when reviewing the number of women who annually undergo treatment for fibroids.
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According to our top fibroid specialist in the district of Columbia, the prevalence of fibroids is data that offers greater security when calculating the number of women with this condition in the population. However, arriving at this entity’s diagnosis can make the percentages vary; for example, a systematic pathologic examination may underestimate the prevalence of fibroids in hysterectomized women.
In the US, 30% of 60-year-old women have had a hysterectomy; of these, 60% underwent surgery due to uterine fibroids. So, what are you still waiting for? Get your diagnosis at the USA Fibroid Centers in Columbia today!
Clinical manifestations:
It is considered that between 50 and 70% of uterine fibroids may be symptomatic. Symptoms can be highly variable, often minor, and generally not pathognomonic. The most common are menstrual disorders and abdominal pain with compression symptoms.
Some of the leading and top fibroid specialists in the district of Columbia point out that all symptomatic presentations are complications related to the place of origin and development of fibroids in the uterus rather than an inevitable consequence of their presence. The truth is that the most frequent symptom is the menstrual disorder, hypermenorrhea, which is observed in 30% of women with fibroids. However, the mechanism of abnormal blood loss has not been definitively clarified.
Menstrual disorders
Although hypermenorrhea has classically been associated with the presence of uterine fibroids, the proportion of these that are caused by fibroids is not well known. This is because menorrhagia-hypermenorrhea in the absence of dysfunctional uterine bleeding is also more frequent in that period of a woman’s life when fibroids are observed, and therefore it is difficult to be sure that they are not an accidental find and coincidence.
The reason for consultation at USA Fibroid Centers in Columbia isthe presence of hypermenorrhea. It is seen that the primary or secondary diagnosis of fibroids is often accompanied by iron deficiency anemia, exclusively attributable to the fibroid. Therefore, although classically, the association of uterine myoma and abnormal uterine bleeding has been accepted, it does not seem that the data in the literature are conclusive.
The pathogenic mechanism by which uterine fibroids cause abnormal uterine bleeding is also unclear. Alterations in endometrial function and increases in uterine contractility have been related to this, although no data can explain it clearly.
Compression pain and symptoms
Fibroids are usually painless, and in most cases, the accompanying pelvic pains are symptoms of compression, which depend on the volume and location of the tumor. As for the pain produced by the fibroid, it is usually due to its complications, such as the torsion of a pedunculated subserous fibroid. It could be the degeneration of an intramural fibroid or the “delivery” of pedunculated submucous fibroids.
Our top fibroid specialist in the district of Columbia state, compression symptoms depend on the place of origin and the location of the fibroid. Intestinal complications have rarely been reported, but urinary symptoms, including frequency and urgency in fibroids of the anterior face of the uterus, urinary retention in those that grow from the anterior face of the cervix, or acute urinary retention in incarceration are common—pelvis of the myomatous uterus. Ureteral obstruction (hydronephrosis) in cervical fibroids and in large ones that grow within the broad ligament may be another complication that should be evaluated.
Intraligamentary fibroids can compress the pelvic veins and lymphatics, with difficulty in the return circulation of the extremities, favoring edema, varicose veins, and thrombosis in the legs.
Due to its location, there is a certain predisposition to present specific clinical manifestations. Thus, for example, submucosal fibroids are preferably accompanied by hemorrhagic manifestations. Subserosal fibroids by abdominal pain and intramural fibroids, depending on their size, will preferably present one or another symptomatology.
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