₦airaland Forum

Please can someone apply twice/ re-apply? Assuming you wanted to apply under health but made a mistake and applied under Agro.

Nice one!

Igboblog:
For beating up a journalist Abi? WHAT SHALL IT PROFIT HIM TO BEAT UP JOURNALIST AND RECEIVE AWARD IN RETURN. There should be a freedom of press in Ebonyi. Everybody should be allowed to air his views and without criticism in any government, that government is bound to do as they like.

Dave Umahi should call the journalist and apologize to him

Don't you think that the information is a big propaganda from people that feel they are not getting stomach infrastructure from the government ?

Ask ur self one thing! With the very low federal allocation and seemingly petite IGR, the Ebonyi State government pays salaries on or before 20th of every month consistently since inception and yet meaningful projects are going on simultaneously...yet, his government is greatly criticized!

Have u asked ur self what is happening with other sister states in Nigeria? Let's not go there now.

Believe u me if the governor has the kind of money at the disposal of the previous regime(s), he would be possibly doing better than he is doing now.

Pls, let's be patient with the government.

With God, it shall be well.

Congratulations to the wonder working governor.

U are unbiasly the best so far in Ebonyi State.

Together, we will get there.

#EbonyiOnTheRise

This is very informative.

I was about creating a similar thread only to notice that this one has been in existence but never made it to front page.

I stumbled on a patient yesterday who was discovered to be AC for the very first time and she didn't know what it means because it is not as common as other regular genotypes known to us...lalasticlala, kindly move this to front page.

Thank u

To lalasticlala!

My man....you too much bro.

Don't mind them snake crew...just enjoy ur day and flex as much as u can.

HBD super Mod.

Wishing u a fat bank account to enable u buy enough snake leather shoes.

Chelsea will win the day. 3:1

Wow! This is amazing...

Congratulation guys, it is not easy.

God will really bless your home because that is what u deserve.

Keep the fire of love burning ooh and always put God first.

Thank you everyone for your kind words and love, I appreciate you all.
................

http://invite.wedivite.com/julietodi170575

Thank you everyone for your kind words and love, I appreciate you all.
................

http://invite.wedivite.com/julietodi170575.

#JuzzieOdi2016
#preweddingpictures

Love they say is a beautiful thing.

But when you are in love with your best friend, the feeling is just awesome.

A Nigerian woman will take her needle when going to the salon so she does not get infected with HIV but will do nothing when she finds out her husband is cheating. You are much more likely to get HIV from an infected partner than from the needles used in fixing your weave-on.

Some people will tell you to stay with a cheating partner because other women are doing it. They will tell you to stay because those telling you to leave a cheating partner will tolerate worse. What they do not tell you is that when you do get infected, you will have to take medication for the rest of your life. Nobody will take the medication for you. They will also not tell you that they will RUN from you.

A hair dresser told me about her experience. She always knew her husband was cheating. When she felt it was too much, she tried to take a walk but her friend told her to stay and fight for her marriage. She got infected with HIV and confided in her friend. The same friend refused her making her and her daughters hair.

I have also heard of church members that encouraged a woman to pray for her cheating husband. When she got infected, the church members did not want to sit near her so they don’t get infected.
Some men do find out and treat themselves without letting their wife know. The woman might get to find out when it is already too late.

From what I am hearing now, some married women in Nigeria are now more likely to get infected than single girls. Women need to start asking themselves questions. Do we really as women have to keep suffering?
I am sharing this post to create a bit of awareness.

Read the comments section too as there is a good discussion going on there. I have shared two eye-opening comments for those that cannot go through the comments.
Aishatu Ella John says "This is why I am always shouting about cheating because I have worked in a HCT centre as a counsellor and it is heart breaking. The highest rates of new infections is among married women who are pregnant. It's sad because most times it is during a second or third pregnancy they test positive.

It is for this reason I am very anti adultery, the innocent kids get to suffer for it all as most times the men are not even open to getting tested and commencing treatment.
It is a heart breaking trend.

Even commercial sex workers are more protected than some married women"
Josephine Effah-Chukwuma says "I knew that 12 years ago when I did a qualitative research (focus group discussion) with 24 HIV/AIDS positive women. 75% or 18 of them were married. 90% of the 18 contracted the virus during the marriage after the second - fourth child. The remaining 10% knew both their status as being positive and decided to marry. The inability of married women to negotiate safe sex with their husbands, exposes them more to the virus.

A smart unmarried girl will refuse to have sex without a condom. For how long can a married woman ask her promiscuous husband to use a condom? Besides she wants to get pregnant. Also the insistence on condom use all the time could end in acts of physical domestic violence. It's a tough one for married women indeed."
Olubunmi Ajai Layode

I was talking to a HIV specialist a few days ago. The group with the highest infection rate is married women in heterosexual marriages.

Next time your community penis comes back to be romancing you without protection - bear that in mind.

mpu0001:
for those of u who castigate the Dr without knowing the case in question. it is more grievous for the hospital to have a case of severe uterine rupture with complication and fail to do total hysterectomy it is an error without pardon, if the woman dies. so if he want to sue let him sue the maternity where the woman was given antenatal care and labour. no matter how u hate the doctors you will always need them.

Well spoken my dear...and also considering the woman's parity (the number of children), u would just go for hysterectomy.

The pastor should go and rest joor

You know there was a period when the spread of blood borne diseases was at an alarming rate...when you go to a patent medicine dealer for injections, he boils his used syringes and uses it on new patients...little did they know that it was an ineffective way of sterilising materials used in hospitals.

Matter of fact there were public enlightenment programmes like injection safety classes which frowned at such practices...the teaching is you are not even supposed to recap your needles, you discard all sharps not to talk of reusing them.

In order to make this practice feasible, syringes became readily available and very cheap...this was well imbibed by the society and it brought about a significant decline in the rate of transmission of blood borne diseases like HIV, HBV, HCV.


With N500, you could get a carton of syringes (100 syringes with needles), you can afford to waste 10 on a patient and you wont even bother because it is just like N50, no sweats...as of this afternoon, a carton of syringes goes for N4,000...
‪#‎yawa‬#


I cant help but ask,where did we go wrong, what is happening? It is quite understandable that one has to buy a bag of rice for 20k, no wahala, we will manage but when it has gotten our basic medical needs like common syringes...would you be surprised if d hungry desperate patent medicine dealer goes back to the old ways of recycling used syringes so he can make profit?


Now how many people can even afford health care?
Many atimes you are just at work chilling, lets say you are less busy, your surfing the net with your pad, slamming Jidenna 'little bit more' with your Dre beats head phones, having a time of your life...next a surgical or medical emergency is rushed in, almost all of such cases do not have a dime on them but your obliged by your conscience and profession to save lives, so you have no choice...most times such patients get well and can't pay their bills, they stay as long as you allow then to stay, some run away, some stay for months in your hospital, get used to the hospital routine, they know the doctor consulting each day, know the names of all the nurses, become senior patients that welcome new patients and show dem around, friends and family come to visit them, their bed becomes a spot where relatives and friends come to kill tons of gist, some bring food, relax,watch tv and even encroach on other patients bed space.

When you look at the cost of keeping such a patient considering the nuisance plus the bed space he or she is occupying, you mite have no choice but to send the person home at your own loss.


What am I saying in essence, story no suppose enter some kine matter, no matter what, things like our immunisation programs, break in the cold chain because of erratic supply of power, stuff like that make you want lose your mind...


It is painful o,its like diabetes melitus,suffering in the midst of plenty,we are a rich and blessed nation yet the people are so wretched...


Well,to sum it up, lets stay positive,as long as there is life,there is hope...we have worked so hard to get here,lets be optimist no matter how bleak the future looks and keep praying that God should intervene in our pathetic situation!

Dr. Iroha

You forgot to tell us the year of production.

Don't worry, God will make a way and it will be recovered intact.

anonimi:
Thanks for raising that point.
Moreover is it that the salary of these legisLOOTERS is not enough compared to the minimum wage of N18,000 to warrant dashing them SUVs on top?
Anyway if the people of Ebonyi are so carefree about how their:

- federal allocation
- taxes/IGR
- loans

are spent while they do not have:

- TAP water
- education for all children
- good roads
- clinics and hospitals

that can create EMPLOYMENT for their people so they don't flood into Lagos state to be abused by Yorubas, na them sabi oh!



[img]https://www.nairaland.com/avatars/74vc52ydm52c5t07ebvrac20n353e0oy19384[/img]

The cars are not for DASH / FREE...
The money will be deducted gradually from their allowances for a period of say 4yrs.

So nobody should criticise the government.

Meanwhile, these lawmakers have been without official vehicles since one year in office.

Meanwhile, other states like Delta bought land cruiser for each of her lawmaker and I believe it is more expensive.

It is the duty of every government to provide vehicles for her lawmakers PMB did same for federal lawmakers. So I don't see how Dave Umahi erred. After all, he is not owing workers.

anonimi:
Thanks for raising that point.
Moreover is it that the salary of these legisLOOTERS is not enough compared to the minimum wage of N18,000 to warrant dashing them SUVs on top?
Anyway if the people of Ebonyi are so carefree about how their:

- federal allocation
- taxes/IGR
- loans

are spent while they do not have:

- TAP water
- education for all children
- good roads
- clinics and hospitals

that can create EMPLOYMENT for their people so they don't flood into Lagos state to be abused by Yorubas, na them sabi oh!



[img]https://www.nairaland.com/avatars/74vc52ydm52c5t07ebvrac20n353e0oy19384[/img]

The cars are not for DASH / FREE...
The money will be deducted gradually from their allowances for a period of say 4yrs.

So nobody should criticise the government.

Meanwhile, these lawmakers have been without official vehicles since one year I office. Meanwhile, other states like Delta bought land cruiser for each of the lawmakers and I believe it is more expensive.

It is the duty of every government to provide vehicles for her lawmakers PMB did same for federal lawmakers. So I don't see how Dave Umahi erred.

eolawale1:
Difference between I am and am I?

I am is used to make a statement, like "I am a teacher", or "I am a member of the book club".

Am I is usually used for:
1. Questioning. "Am I supposed to be here tomorrow?"
2. Challenging (expressing disbelief) a statement. "You are very beautiful." "Am I?"
3. Rhetoric sentence. "Wow, I am a good mentor, am I now?"

Perfect answer!

u should be Buhari's English tutor.

haywhy17:
This is how the Nigerian corpers queue for meals....this country sef

Pls, which camp is this? Looks like Delta camp, isseluku

I can even see RSM's sienna.

Hey! Are u 14B?

Op

richardjemedafe1:
Jesus!! If diz is true, then this is a gud news..

Happy May day/workers day.. But why did it take hIm so long to dicide?

Nthing special about diz FTC

Pls, this is evil. Why didn't he increase it during his 8 year rule? Because he is about to hand over to the next government he increased it just to cause problems for the incoming Governor.

This is political wickedness! He hasn't sat down to map out how IGR will increase to cushion the effect of the small state allocation.

If the incoming Governor comes in and reverses the minimum wage, he will be termed 'wicked' and OshoBaba 'Saint'

We know all these things, forget!

Mtcheeeew

Let's just pray against the spirit of accident.

May God hear our prayers in Jesus name!

I love the sculptures around the Fine Arts department! So amazing.

This is Alams corpse.

For the doubting Thomases! sneeh

Daninya11:
In 2011,I was diagnosed with Appendicitis. I underwent surgery to remove the ruptured appendix. It's 5 years now and I still feel uncomfortable.

Before these time, I can stay up to 2 days without using the loo. I hardly experience any form of stomach pain or rumbling noise in my stomach. But after undergoing Appendicectomy, I can hardly eat or drink water without experiencing mild or severe stomach pain, stomach noise and using the loo up to 5 times a day.

I also find it difficult digesting some food like pounded yam as I end up with constipation. I usually throw-up after eating draw soup like ogbono, okro and ewedu. I also feel dizzy when I consume fatty food.

Are all these, the aftermath of undergoing Appendicectomy??..

The answer is No.

Abaccha:
Pls doctors in the house help me;
1. For sometime now, i've been having this problem that seems like a sleep disorder. I usually sleep around 10pm and wake up around 6am. I would start feeling seriously weak and dizzy again after about 5 minutes of waking. This would be followed by this throbing in the head like someone who haven't slept for a week. This would keep getting worse through the day. Sometimes even if i decide to take afternoon nap, i would still wake up to the same problems.
Please help me as this is affecting me seriously.
cc xiadnat, uncleodi

So sorry, just seeing ur message now. Well, I need to ask u some questions.

1.Do u work in a factory or noisy place?
2.Do u take narcotics?
3.When was the last time u had a Lab test for Typhoid and even haemoglobin count?
4. What kind of bed/mattress do u sleep on?

merake78:
Abia State University Teaching Hospital student's revolt!!!!


The doctor's churned out by this institution have been known to serve the state and it's health care needs. The college has produced generation's of sterling doctors. Dr onyebuchi Chukwu, past minister of health is a product of medical school Abia state. That's how old, tested, our institution is, yet!!!!


For 5 weeks , the quarters for medical students, resident doctor's, consultant doctors have been in darkness. How will PHCN cut off a hospital? Where you train doctor's, save lives, there's no light!

How won't people die? How won't students be lackadaisical?

PHCN presented an outrageous bill of 17 million naira for the quarter's, excluding the hospital complex. The hospital administration quietly cut off the light supply to the students and resident doctor's. For 5 weeks , nothing has been done. Sleeping in darkness, reading is difficult.


So today, the student's took a bold step. After endlessly pleading with the hospital administration, the state government, the student's locked the lecture complex. No lectures!! No clinic!! We must be met!!

You cannot train doctor's this way. Spread till this goes viral. It could be your aunt or mother who is the next victim of iatrogenic deaths. You must speak up on behalf of the ones that will one day be responsible for your life.

Long live Abia State Medical School!!!

Pls, be guided Accordingly.
Prof. Onyebuchi Chukwu graduated from the prestigious University of Lagos in 1986, where he cleared many awards as the best graduating student.

He was only a lecturer in ABSU before transferring his services to Ebonyi State University Teaching Hospital after the creation of the young State. He latter became the CMD.

#wikipedia

I hope the Fungal nail infection on the care-giver's right tumb won't infect the baby!











Prevention is better than cure oh.

Thanks for ur thoughts and warm regards!

Uncleodi

pharmagba:
Ops what advice can you give to a lady in her late 30's with multiple fibriod with sizes of large ones ranging from 8cm X 8cm and some others smaller? But I don't know where it is located?

Late 30's? What is her obstetrics history like?
Any kids yet or sub fertility??

8cm x 8cm is quite significant! Remember it started growing from less than 1cm and upwards.

So it may likely get bigger and bigger.

Surgery is advised.

Hope I answered ur question.

These are things u need to know about fibroids... click and read.. I hope it makes front page today.

https://www.nairaland.com/2928983/uterine-fibroids-fact-sheet#42848732

This is very lengthy but useful! You will be more informed after reading this. I couldn't summarise it because every line is important and information packed.





WHAT ARE FIBROIDS?

Fibroids are muscular tumors that grow in the wall of the uterus (womb). Another medical term for fibroids is "leiomyoma" (leye-oh-meye-OH-muh) or just "myoma". Fibroids are almost always benign (not cancerous). Fibroids can grow as a single tumor, or there can be many of them in the uterus. They can be as small as an apple seed or as big as a grapefruit. In unusual cases they can become very large.



WHY SHOULD WOMEN KNOW ABOUT FIBROIDS?

About 20 percent to 80 percent of women develop fibroids by the time they reach age 50. Fibroids are most common in women in their 40s and early 50s. Not all women with fibroids have symptoms. Women who do have symptoms often find fibroids hard to live with. Some have pain and heavy menstrual bleeding. Fibroids also can put pressure on the bladder, causing frequent urination, or the rectum, causing rectal pressure. Should the fibroids get very large, they can cause the abdomen (stomach area) to enlarge, making a woman look pregnant.


WHO GETS FIBROIDS?

There are factors that can increase a woman's risk of developing fibroids.

AGE- Fibroids become more common as women age, especially during the 30s and 40s through menopause. After menopause, fibroids usually shrink.

FAMILY HISTORY - Having a family member with fibroids increases your risk. If a woman's mother had fibroids, her risk of having them is about three times higher than average.

ETHNIC ORIGIN - African-American women are more likely to develop fibroids than white women.

OBESITY - Women who are overweight are at higher risk for fibroids. For very heavy women, the risk is two to three times greater than average.

EATING HABITS - Eating a lot of red meat (e.g., beef) and ham is linked with a higher risk of fibroids. Eating plenty of green vegetables seems to protect women from developing fibroids.


WHERE CAN FIBROIDS GROW?

Most fibroids grow in the wall of the uterus. Doctors put them into three groups based on where they grow:

Submucosal (sub-myoo-KOH-zuhl) fibroids grow into the uterine cavity.

Intramural (ihn-truh-MYOOR-uhl) fibroids grow within the wall of the uterus.

Subserosal (sub-suh-ROH-zuhl) fibroids grow on the outside of the uterus.

Some fibroids grow on stalks that grow out from the surface of the uterus or into the cavity of the uterus. They might look like mushrooms. These are called pedunculated (pih-DUHN-kyoo-lay-ted) fibroids.


WHAT ARE THE SYMPTOMS OF FIBROIDS?

Most fibroids do not cause any symptoms, but some women with fibroids can have :

*Heavy bleeding (which can be heavy enough to cause anemia) or painful periods

*Feeling of fullness in the pelvic area (lower stomach area)

*Enlargement of the lower abdomen

*Frequent urination

*Pain during sex

*Lower back pain

*Complications during pregnancy and labor, including a six-time greater risk of cesarean section

*Reproductive problems, such as infertility, which is very rare.



WHAT CAUSES FIBROIDS?

No one knows for sure what causes fibroids. Researchers think that more than one factor could play a role. These factors could be:

*Hormonal (affected by estrogen and progesterone levels)

*Genetic (runs in families)
Because no one knows for sure what causes fibroids, we also don't know what causes them to grow or shrink. We do know that they are under hormonal control — both estrogen and progesterone. They grow rapidly during pregnancy, when hormone levels are high. They shrink when anti-hormone medication is used. They also stop growing or shrink once a woman reaches menopause.



CAN FIBROIDS TURN TO CANCER?

Fibroids are almost always benign (not cancerous). Rarely (less than one in 1,000) a cancerous fibroid will occur. This is called leiomyosarcoma (leye-oh-meye-oh-sar-KOH-muh). Doctors think that these cancers do not arise from an already-existing fibroid. Having fibroids does not increase the risk of developing a cancerous fibroid. Having fibroids also does not increase a woman's chances of getting other forms of cancer in the uterus.


WHAT IF I BECOME PREGNANT AND HAVE FIBROIDS?

Women who have fibroids are more likely to have problems during pregnancy and delivery. This doesn't mean there will be problems. Most women with fibroids have normal pregnancies. The most common problems seen in women with fibroids are:

*Cesarean section. The risk of needing a c-section is six times greater for women with fibroids.

*Baby is breech. The baby is not positioned well for vaginal delivery. Meaning that the head of the baby is pointing towards your chest and not the birth canal.

*Labor fails to progress.

*Placental abruption. The placenta breaks away from the wall of the uterus before delivery. When this happens, the fetus does not get enough oxygen and may die if no medical intervention is made.

*Preterm delivery.

Talk to your obstetrician if you have fibroids and become pregnant. All obstetricians have experience dealing with fibroids and pregnancy. Most women who have fibroids and become pregnant do not need to see an OB who deals with high-risk pregnancies.


HOW DO I KNOW FOR SURE THAT I HAVE FIBROIDS?

Your doctor may find that you have fibroids when you see her or him for a regular pelvic exam to check your uterus, ovaries, and vagina. The doctor can feel the fibroid with her or his fingers during an ordinary pelvic exam, as a (usually painless) lump or mass on the uterus. Often, a doctor will describe how small or how large the fibroids are by comparing their size to the size your uterus would be if you were pregnant. For example, you may be told that your fibroids have made your uterus the size it would be if you were 16 weeks pregnant. Or the fibroid might be compared to fruits, nuts, or a ball, such as a grape or an orange, an acorn or a walnut, or a golf ball or a volleyball.

Your doctor can do imaging tests to confirm that you have fibroids. These are tests that create a "picture" of the inside of your body without surgery. These tests might include:

*Ultrasound – Uses sound waves to produce the picture. The ultrasound probe can be placed on the abdomen or it can be placed inside the vagina to make the picture.

*Magnetic resonance imaging (MRI) – Uses magnets and radio waves to produce the picture.

*X-rays – Uses a form of radiation to see into the body and produce the picture.

*Computerized Tomography scan (CT scan) – Takes many X-ray pictures of the body from different angles for a more complete image.

*Hysterosalpingogram (hiss-tur-oh-sal-PIN-juh-gram) (HSG) or sonohysterogram (soh-noh-HISS-tur-oh-gram) – An HSG involves injecting x-ray dye into the uterus and taking x-ray pictures. A sonohysterogram involves injecting water into the uterus and making ultrasound pictures.

You might also need surgery to know for sure if you have fibroids. There are two types of surgery to do this:

*Laparoscopy (lap-ar-OSS-koh-pee) – The doctor inserts a long, thin scope into a tiny incision made in or near the navel. The scope has a bright light and a camera. This allows the doctor to view the uterus and other organs on a monitor during the procedure. Pictures also can be made.

*Hysteroscopy (hiss-tur-OSS-koh-pee) – The doctor passes a long, thin scope with a light through the vagina and cervix into the uterus. No incision is needed. The doctor can look inside the uterus for fibroids and other problems, such as polyps. A camera also can be used with the scope.



WHAT QUESTIONS SHOULD I ASK MY DOCTOR IF I HAVE FIBROIDS?


How many fibroids do I have?

What size is my fibroid(s)?

Where is my fibroid(s) located (outer surface, inner surface, or in the wall of the uterus)?

Can I expect the fibroid(s) to grow larger?

How rapidly have they grown (if they were known about already)?

How will I know if the fibroid(s) is growing larger?

What problems can the fibroid(s) cause?

What tests or imaging studies are best for keeping track of the growth of my fibroids?

What are my treatment options if my fibroid(s) becomes a problem?

What are your views on treating fibroids with a hysterectomy versus other types of treatments?

A second opinion is always a good idea if your doctor has not answered your questions completely or does not seem to be meeting your needs.

FDA warning on power morcellators in treatment for uterine fibroids
If your doctor recommends a hysterectomy or myomectomy to treat your uterine fibroids, ask your doctor if a power morcellator will be used. Power morcellators break uterine fibroids into small pieces to remove them more easily. Recently, the FDA warned against the use of power morcellators for most women. This is because uterine tissue may contain undiagnosed cancer. While breaking up the uterine tissue, power morcellators can spread an undiagnosed cancer to other parts of the body without your doctor knowing it. Most uterine fibroids are not cancerous, but there is no way to know for sure until the fibroids are removed and tested.


HOW ARE FIBROIDS TREATED?

Most women with fibroids do not have any symptoms. For women who do have symptoms, there are treatments that can help.

Talk with your doctor about the best way to treat your fibroids. She or he will consider many things before helping you choose a treatment. Some of these things include:

*Whether or not you are having symptoms from the fibroids

*If you might want to become pregnant in the future

*The size of the fibroids

*The location of the fibroids

*Your age and how close to menopause you might be.
If you have fibroids but do not have any symptoms, you may not need treatment. Your doctor will check during your regular exams to see if they have grown.



MEDICATIONS

If you have fibroids and have mild symptoms, your doctor may suggest taking medication. Over-the-counter drugs such as ibuprofen or acetaminophen can be used for mild pain. If you have heavy bleeding during your period, taking an iron supplement can keep you from getting anemia or correct it if you already are anemic.

Several drugs commonly used for birth control can be prescribed to help control symptoms of fibroids. Low-dose birth control pills do not make fibroids grow and can help control heavy bleeding. The same is true of progesterone-like injections (e.g., Depo-Provera®). An IUD (intrauterine device) called Mirena® contains a small amount of progesterone-like medication, which can be used to control heavy bleeding as well as for birth control.

Other drugs used to treat fibroids are "gonadotropin releasing hormone agonists" (GnRHa). The one most commonly used is Lupron®. These drugs, given by injection, nasal spray, or implanted, can shrink your fibroids especially when they are not so big.

Sometimes they are used before surgery to make fibroids easier to remove. Side effects of GnRHas can include hot flashes, depression, not being able to sleep, decreased sex drive, and joint pain.

Most women tolerate GnRHas quite well. Most women do not get a period when taking GnRHas. This can be a big relief to women who have heavy bleeding. It also allows women with anemia to recover to a normal blood count. GnRHas can cause bone thinning, so their use is generally limited to six months or less.

These drugs also are very expensive, and some insurance companies will cover only some or none of the cost. GnRHas offer temporary relief from the symptoms of fibroids; once you stop taking the drugs, the fibroids often grow back quickly, making Surgery the best treatment option.



SURGERY

If you have fibroids with moderate or severe symptoms, surgery may be the best way to treat them. Here are the options:

(1). Myomectomy (meye-oh-MEK-tuh-mee) – Surgery to remove fibroids without taking out the healthy tissue of the uterus. It is best for women who wish to have children after treatment for their fibroids or who wish to keep their uterus for other reasons. You can become pregnant after myomectomy. But if your fibroids were imbedded deeply in the uterus, you might need a cesarean section to deliver. Myomectomy can be performed in many ways. It can be major surgery (involving cutting into the abdomen) or performed with laparoscopy or hysteroscopy. The type of surgery that can be done depends on the type, size, and location of the fibroids. After myomectomy new fibroids can grow and cause trouble later. All of the possible risks of surgery are true for myomectomy. The risks depend on how extensive the surgery is.

(2). Hysterectomy (hiss-tur-EK-tuh-mee) – Surgery to remove the uterus. This surgery is the only sure way to cure uterine fibroids. Fibroids are the most common reason that hysterectomy is performed. This surgery is used when a woman's fibroids are large, if she has heavy bleeding, is either near or past menopause, or does not want children. If the fibroids are large, a woman may need a hysterectomy that involves cutting into the abdomen to remove the uterus. If the fibroids are smaller, the doctor may be able to reach the uterus through the vagina, instead of making a cut in the abdomen. In some cases hysterectomy can be performed through the laparoscope. Removal of the ovaries and the cervix at the time of hysterectomy is usually optional. Women whose ovaries are not removed do not go into menopause at the time of hysterectomy. Hysterectomy is a major surgery. Although hysterectomy is usually quite safe, it does carry a significant risk of complications. Recovery from hysterectomy usually takes several weeks.

(3). Endometrial Ablation (en-doh-MEE-tree-uhl uh-BLAY-shuhn) – The lining of the uterus is removed or destroyed to control very heavy bleeding. This can be done with laser, wire loops, boiling water, electric current, microwaves, freezing, and other methods. This procedure usually is considered minor surgery. It can be done on an outpatient basis or even in a doctor's office. Complications can occur, but are uncommon with most of the methods. Most people recover quickly. About half of women who have this procedure have no more menstrual bleeding. About three in 10 women have much lighter bleeding. But, a woman cannot have children after this surgery.

(4). Myolysis (meye-OL-uh-siss) – A needle is inserted into the fibroids, usually guided by laparoscopy, and electric current or freezing is used to destroy the fibroids.

(5). Uterine Fibroid Embolization (UFE), or Uterine Artery Embolization (UAE) – A thin tube is thread into the blood vessels that supply blood to the fibroid. Then, tiny plastic or gel particles are injected into the blood vessels. This blocks the blood supply to the fibroid, causing it to shrink. UFE can be an outpatient or inpatient procedure. Complications, including early menopause, are uncommon but can occur. Studies suggest fibroids are not likely to grow back after UFE, but more long-term research is needed. Not all fibroids can be treated with UFE. The best candidates for UFE are women who:
Have fibroids that are causing heavy bleeding

Have fibroids that are causing pain or pressing on the bladder or rectum

Don't want to have a hysterectomy

Don't want to have children in the future.



WHAT NEW TREATMENTS ARE AVAILABLE FOR UTERINE FIBROIDS?

The following methods are not yet standard treatments, so your doctor may not offer them or health insurance may not cover them.
1. Radiofrequency ablation uses heat to destroy fibroid tissue without harming surrounding normal uterine tissue. The fibroids remain inside the uterus but shrink in size. Most women go home the same day and can return to normal activities within a few days.

2. Anti-hormonal drugs may provide symptom relief without bone-thinning side effects.





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(Uterine fibroids fact sheet was reviewed by:
Steve Eisinger, M.D., F.A.C.O.G.
Professor of Family Medicine
Professor of Obstetrics and Gynecology
University of Rochester School of Medicine and Dentistry.)


http://www.womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html