Uterine Fibroids Treatments and Drugs

During your routine pelvic examination, your doctor may incidentally find the presence of uterine fibroids. If the doctor notices some irregularities in the form and figure of your uterus, he or she (the doctor) may inquire from you about your symptomatic experiences of having uterine fibroids, if any.

If your answers to his or her queries related to the symptoms are found to be in the affirmative, you may be advised to undergo the diagnostic tests, like:

  • Ultrasound

In order to get the confirmation of the presence of uterine fibroids, your doctor may perform an ultrasound examination. In this test, sound waves are used to take pictures of your uterus on the monitor.  This is done for diagnosing, mapping and measuring the fibroids.

The technician moves the transducer (ultrasound device) above your abdomen.  This is known as transabdominal ultrasound. Alternatively, the transducer is placed within your vagina to take pictures of your uterus onto the monitor. It is called transvaginal ultrasound.

  • Laboratory tests

In case you have been experiencing abnormally heavy vaginal bleeding during your menstruation/periods, your doctor may advise you some laboratory tests to know the probable causes.  These laboratory examinations may include a Complete Blood Count to establish in case you have been suffering from anemia owing to persistent loss of blood.

Your doctor may also advise you to undergo some other blood diagnosis for ruling out the possibility of you suffering from any kind of bleeding disorder or a thyroid issue.

Imaging Tests

The traditional ultrasound is an elementary imaging apparatus for fibroids. It does not often provide you other underlying or essential diseases and the presence of all the fibroids.

If the information provided by the traditional ultrasound is not good enough for the doctor to arrive at a specific conclusion, your doctor may order other imaging studies, such as:

  • Magnetic Resonance Imaging (MRI)

MRI is the typical imaging apparatus that is used by Interventional radiologists. With the MRI imaging examination, your doctor will be able to determine the size and exact position of fibroids where they are located. The doctor will classify unusual types of growth and suggest resolutions with suitable and preferred treatments.

A hysterosonography is also known as transvaginal ultrasound examination.  In this procedure, images of the inner portion of your uterus are captured. The method is used for evaluating uterine irregularities in those women, who are facing difficulties in achieving pregnancy, or have had multiple miscarriages.

The investigation is also useful for examining inexplicable heavy vaginal bleeding during your periods, known as Menorrhagia, which could be happening because of some inherited defects, atrophy, masses, polyps, scarring (i) or fibroids.

You may be asked to change into a clinic gown and lie down on the examination table. A sterile speculum is placed into your vagina to widen the entry. Your cervix is properly cleaned and the catheter is placed into your uterine cavity. After placing the catheter, the speculum is detached. A small transducer affixed to a probe is placed into your vagina.

Sterile saline is introduced into your uterus through the catheter, which enlarges your uterine cavity.

Often, saline and air are introduced into the uterus to enable the radiologist to see air bubbles that may be passing through your Fallopian tubes to know blockages, if any, in your Fallopian Tubes.

Some patients may complain about pelvic cramping or pain after the procedure is performed, but don’t you worry, the cramping disappears soon.

The examination process takes about 90 to complete.

  • Hysterosalpingography

Hysterosalpingography is also known as Utero-salpingography. It is an X-Ray assessment of your Uterus and Fallopian Tubes.  In this examination, a special kind of X-Ray is performed, known as Fluoroscopy.

Radiograph (X-Ray) is a non-invasive clinical examination, with which physicians normally diagnose medical issues and offer their appropriate treatment. X-ray imaging entails exposing a particular organ of the body to a small quantity of ionizing radiation to get pictures of the inner part of that particular organ of your body. X-ray is the oldest form of clinical imaging that is frequently used by the doctors.

Fluoroscopy is an unusual X-Ray procedure which makes it possible for the doctor to visualize  your internal organs performing their activities. In the hysterosalpingogram examination, both your uterus and Fallopian Tubes are loaded with the contrast material that is soluble in water. And, the Radiologist is able to view the anatomy and functioning of both the organs.

Hysterosalpingography examination is largely used to clinically investigate the women, who are finding it difficult to get pregnant.  The Radiologist, thus, evaluates the structure and shape of your Uterus, the blockages of your Fallopian Tubes, besides adhesions (scarring) inside the uterine or abdominal (peritoneal) cavity.

The investigative procedure is performed on women who have had repeated miscarriages resulting from inborn or acquired irregularities in their uterus.  The procedure is also used to know the presence and abnormalities of the uterus and to ascertain the presence and severity of the irregularities, such as:

  • Scarring (Adhesions)
  • Tumor masses
  • Uterine Fibroids

Besides, Hysterosalpingography procedure is performed to assess the openness/blockage of your Fallopian Tubes.  Sometimes, the procedure is done for keeping an eye on the:

  • Blockage in the Fallopian Tubes due to either infection or scarring
  • Tubal ligation or its reversal
  • Obstruction in the Fallopian tubes either in a sterilization method or the sterilization reversal
  • Fallopian tubes reopening after the sterilization procedure or the blockage because of some disease
  • Hysteroscopy

Hysteroscopy is the procedure wherein the doctor examines your uterine lining.  For performing this examination, he/she uses a lighted telescope, known as hysteroscope. The rounded end of the hysteroscope is placed into your vagina and gently pushed through the cervix into your uterus. Since the hysteroscope is lighted instrument and fitted with a small camera, the doctor is able to see the uterine lining (endometrium) on the monitor attached to it.

The hysteroscopy is performed to:

  • Ascertain the probable reason of your repeated miscarriages.
  • Examine the uterine openings to your Fallopian tubes. If the tubes are found to be blocked, your doctor may open the tubes with the special tools passed using the hysteroscope.
  • Verify and take out the mislaid intrauterine device (IUD).
  • Find the presence of  either small fibroids or polyps
  • Check the presence of endometrial cancer
  • Implant a contraceptive, like Essure, in the opening of your Fallopian Tubes.  This kind of inserting the contraceptive into your Fallopian Tubes brings permanent birth control.
  • Know any issue in the size and shape of your uterus, besides the presence of scar tissue in your uterus that is causing infertility.
  • Apply heated tools for eliminating problem areas in the uterine lining.  The procedure is known as endometrial ablation.
  • Know the reason of your painful cramping in your pelvis or unusual heavy bleeding. For stopping the bleeding, your doctor may pass heated tools using the hysteroscope.
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