Try adjusting your type
14th October, 2009
European Survey on Standards of Care in paediatric oncology centres. J. R. Kowalczyk, M. Samardakiewicz, K. Pritchard-Jones, R. Ladenstein, S. Essiaf, E. Fitzgerald, G. Petrarulo, G. Vassal - EJC , Volume 61, pp 11-19
8th December, 2014
The purpose of this website is to provide good and clear information about the long-term effects of childhood cancer and to refer to the various late-effects outpatient clinics (LATER outpatient clinics) that exist in the Netherlands.
8th September, 2015
Cancer in young people is rare, but it is still a major health issue in Europe. Each year, more than 6,000 young people in Europe die of cancer. There are more than 300,000 European childhood cancer survivors (in 2020, they will be nearly half a million): two-thirds of them have some late side effects of treatment, that are severe and impact on the daily life of half of those affected.
A fibroid is a noncancerous growth that often develops in or around the uterus during a woman’s childbearing years. They can range in size from tiny, barely visible masses to large tumors that can distort and enlarge the uterus. Although fibroids are usually benign, they can cause pelvic pain and heavy menstrual bleeding.
The medical world is vast, complex with diverse elements from diseases to procedures. In this article, our focus is on fibroids, a condition affecting millions of women globally. The information provided here will offer a broad understanding of the condition right from its definition, types, symptoms, causes, to diagnosis and treatments.
Fibroids, medically known as Uterine Leiomyomas, are non-cancerous tumors that develop within or on the muscular walls of the uterus. They vary in size, ranging from small undetectable growths to large masses that may distort the uterus’s shape and size. Despite their intimidating description, fibroids are quite common and often don’t lead to severe health complications. However, their presence can still cause discomfort and certain health issues if not treated in due time.
How fibroids develop is still under research, but it’s generally believed that each tumor develops from a single muscle cell that continually grows. Factors like genetics and hormones such as estrogen and progesterone (female reproductive hormones produced in the ovaries) seem to have a significant influence on their development.
There are four primary types of fibroids, classified based on their location in the uterus: Submucosal, Intramural, Subserosal, and Pedunculated fibroids.
Submucosal fibroids grow inside the uterine cavity, often causing heavy menstrual bleeding and fertility problems. Intramural fibroids, the most common type, develop in the uterine wall and can expand, causing the uterus to feel larger than usual. Subserosal fibroids tend to grow outward from the uterus into the abdominal cavity, while Pedunculated fibroids grow on a stalk either into the uterine cavity or outside the uterus.
While many women with fibroids do not experience symptoms, the situation varies from person to person. Common physical symptoms include heavy and painful periods, pain in the lower back, frequent urination, constipation, and sometimes pain during intercourse. Fibroids can also lead to emotional stress, including anxiety and feelings of fear or flashbacks to negative medical experiences.
The exact cause of fibroids is not known, but several factors may influence their formation, such as hormonal (estrogen and progesterone) imbalance and genetic changes. Factors like age, pregnancy, and health conditions like obesity also contribute. Women in their childbearing years are at the highest risk. The growth of fibroids seems to be connected to an increase in a woman’s exposure to estrogen.
Fibroids can impact pregnancy in several ways, including causing pain and leading to cesarean sections. They may also lead to other complications such as placental abruption, fetal growth restriction, and preterm delivery. Furthermore, they may coexist with endometriosis, increasing infertility risks.
The most common method for diagnosing fibroids is ultrasound, but other methods like MRI and hysterosonography are used, depending on the situation. The diagnosis process often includes a pelvic examination and a detailed menstrual history.
Several treatment options for fibroids are available, ranging from conservative watchful waiting to more invasive procedures. Medications like GnRHa (Gonadotropin-releasing hormone agonists) can help shrink fibroids. Some women may require surgical treatments like a hysterectomy, myomectomy, or Uterine Fibroid Embolization (UFE). There are also natural and home remedy approaches, such as dietary changes and certain herbs which can assist in managing fibroids.
Coping with fibroids involves implementing lifestyle changes like a balanced diet. Having support networks such as online communities or local groups can provide emotional assistance. Acupuncture, yoga, and therapies can also be part of a holistic approach to manage fibroids.
To conclude, fibroids are a widespread and treatable condition in women. Though their exact cause is not precise, hormonal imbalances, genetics, and lifestyle choices play a crucial role. While they can cause discomfort and complications, early diagnosis and appropriate treatment can efficiently manage them.
The majority of women develop fibroids during their childbearing years, typically between the ages of 16 and 50 when estrogen levels are at their highest. However, they can occur at any age.
Maintaining a healthy weight, consuming a balanced diet, and regular exercise may help reduce the risk. Also, regular check-ups enable early detection and management.
A diet high in fruits, vegetables, lean protein, and low-fat dairy helps manage fibroids. Avoiding alcohol, caffeine, and processed foods is also beneficial.
Fibroids are benign or non-cancerous. It is very rare for fibroids to become cancerous.
Recovery varies with the type of surgery but generally, rest, a healthy diet, and avoiding intense physical activities are recommended post-surgery.
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