LYCOS RETRIEVER 
Fibroids: Cases
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DIAGNOSIS — Fibroids are often diagnosed during a routine pelvic exam. A clinician may feel the enlarged, irregular outline of the uterus through the abdomen. In certain cases, the clinician may wish to confirm the diagnosis of fibroids and exclude other types of masses. Ultrasound is generally preferred, and uses sound waves to visualize the uterus.
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Fibroids can affect the shape and internal environment of the uterus. They can make it more difficult to conceive but they only account for about 3% of the total cases of infertility.
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In most cases, fibroids are no trouble at all. Although a type of tumour - thought to form from muscle cells in the walls of the womb's blood vessels - they are benign (they don't spread around the body). Many women aren't even aware they have them.
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In some cases, hormonal therapy involving drugs such as injectable Depo Leuprolide is prescribed to shrink the fibroids. This medicine reduces the production of the hormones estrogen and progesterone. The hormones create a situation in the body that is very similar to menopause. Side effects can be severe and may include hot flashes, vaginal dryness, and loss of bone density.
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Most fibroids are diagnosed during an ultrasound examination. One limitation of ultrasound is the inability in many cases to determine the relationship of the fibroids to the uterine cavity . This is why additional tests may need to be performed. These include:
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Complications of myomectomy appear to increase with increasing number of fibroids removed, but the exact relationship is unclear, based on retrospective series. Risk of recurrence may be lower when only one fibroid is present and removed, based on case series.
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