June 14, 2004 |
Fibroids & Endometriosis What Are Fibroids?
Fibroids are one of the most common female health problems affecting women during their reproductive years. They occur primarily in women in their mid-thirties through their early fifties. They are occasionally seen in women in their twenties, as well as women past midlife who are on estrogen replacement therapy (a potent stimulator of fibroid growth). Fibroid tumors of the uterus are found in at least 40 percent of American women who reach menopause. Not all fibroids require medical intervention. In fact, many women have asymptomatic fibroids. They go through years of annual pelvic exams in which the physician merely makes note of the fibroids in their chart. However, approximately 50 percent of women with fibroids develop symptoms severe enough to have a major impact on their quality of life. In my practice, I’ve seen fibroids coexisting with other gynecological complaints such as PMS, ovarian cysts, and endometriosis. The word fibroid is a misnomer, because it implies that these tumors arise from fibrous tissue. The correct medical term used for these growths is leiomyoma or myoma, since these tumors develop from the smooth muscle layer of the uterus (also called the myometrium). Fibroids are benign growths that can actually arise in muscle tissue anywhere in the body, but are commonly found in the uterus. Unlike cancerous tumors, they do not invade surrounding tissue or the organs. Further, untreated fibroids are unlikely to kill youless than one half of one percent of fibroids ever become cancerous. (Typically, this only occurs in postmenopausal women.) Instead these benign muscular tumors tend to remain within the confines of the uterine tissue. However, if they grow to be too large, they can put pressure on neighboring organs and tissue, which causes discomfort.
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