In many circumstances, you can carefully observe if and how the condition changes or is, hopefully, naturally eliminated. There are many treatment options for shrinking or removing uterine fibroids without removing reproductive organs. These include using anti-estrogen drugs, uterine artery embolization UAE laser ablation of uterine fibroids, cryosurgery, and myomectomy.
Read our Fibroids Fact Sheet for more information. Hysterectomy is often necessary and life preserving when invasive cancer is diagnosed; however, hysterectomy is frequently recommended when cancer is neither invasive nor life threatening. For pre-cancerous cells, there are a few options that you and your health care provider should discuss.
Loop Electrosurgical Excisional Procedure LEEP can be used to remove pre-cancerous cells, and cryosurgery can be used to treat non-cancerous growths and abnormal tissue. For early invasive cervical cancer that has not spread to other regions, a radical trachelectomy the removal of the cervix or the neck of the uterus can be performed in lieu of a total hysterectomy.
Endometrial ablation can be used to remove the excess endometrial lining. Vaginal pessaries can be used for cases of uterine prolapse. Operative laparoscopy is a surgical procedure that can generally be done on an outpatient basis to remove endometrial growths and adhesions.
Pain medication, hormone therapy, and other conservative surgical procedures can also be used to control any discomfort associated with endometriosis. Read our Endometriosis Fact Sheet for more information. According to MedlinePlus, an information service of the National Institutes of Health NIH a vaginal pessary an object inserted into the vagina to hold the uterus in place can be used as a temporary or permanent form of treatment for a prolapsed uterus MedlinePlus.
Vaginal pessaries are available in many shapes and sizes and must be individually fitted. Health practitioners suggest that Kegel exercises can be a powerful prevention and treatment tool for strengthening uterine muscles and avoiding prolapse. Often when getting a hysterectomy, doctors might suggest removing the ovaries to prevent ovarian cancer down the road.
This, however, is not always medically necessary unless you are at risk for ovarian cancer or have a family history of ovarian cancer. While removing the ovaries does eliminate the risk of ovarian cancer, it may contribute to increased risks of heart disease and death. Women with endometrium issues like polyps, fibroids, and heavy bleeding may choose to have the surgery to relieve discomfort.
A prolapsed uterus happens when the pelvic organs descend due to weakened ligaments or muscles. This can lead to problems with intercourse, increased discharge, constipation, cosmetic issues, and discomfort. Women can choose to have a uterine suspension or a hysterectomy to correct the problem. In cases involving cancer, a hysterectomy may be deemed medically necessary if the patient has progressed to an advanced stage. The procedure can be used to treat cervical, ovarian, uterine, and fallopian tube cancer.
Sometimes heavy periods can be caused by fibroids, but in many cases there's no obvious cause. In some cases, removing the womb may be the only way of stopping persistent heavy menstrual bleeding when:. If detected early, the infection can be treated with antibiotics. But if it spreads, it can damage the womb and fallopian tubes, resulting in long-term pain. A hysterectomy to remove the womb and fallopian tubes may be recommended if a woman has severe pain from PID and no longer wants children.
Endometriosis is a condition where tissue similar to the lining of the womb starts to grow in other places, such as the ovaries and fallopian tubes. This can lead to pain, heavy and irregular periods , and infertility. But it'll usually only be considered if other less invasive treatments have not worked and the woman decides not to have - or is unable to have - any children.
Fibroids are non-cancerous growths in or around the womb uterus. The growths are made up of muscle and fibrous tissue, and vary in size. Your doctor may try other procedures, like endometrial ablation or myomectomy, before a hysterectomy. Heavy Periods- Infection, changes in hormone levels, or cancer can cause heavy periods. Some women lose a large amount of blood during their periods. They may also experience other symptoms, such as stomach cramps and pain.
For some patients, the symptoms can have a significant impact on their quality of life. In some cases, removing the uterus may be the only way of stopping heavy or prolonged vaginal bleeding. Uterine Prolapse- Uterine prolapse, which is a sliding of the uterus from its position into the vaginal canal.
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