Uterine Fibroids: Symptoms, Diagnosis, and Modern Treatment

This comprehensive guide offers an in-depth look into the field of uterine fibroids, also known as leiomyoma, within modern gynecology. It provides a structured overview for those seeking to understand the full spectrum of this common condition.
The book begins with the fundamentals of diagnosis, detailing the initial consultation, physical examination, and the role of imaging techniques. It explains the procedures such as fibroid ultrasound (sonography), magnetic resonance imaging (MRI), and hysteroscopy, clarifying how these tools contribute to an accurate classification and assessment of fibroids.
A significant portion is dedicated to the wide range of fibroid symptoms. Readers will find information on managing heavy menstrual bleeding and its consequences, such as iron deficiency. The text also addresses pain and pressure symptoms, including abdominal discomfort, pressure on the bladder and bowel, and back pain. Furthermore, it discusses the impact of uterine fibroids on general well-being, including fatigue and emotional health.
The core of the book explores modern fibroid treatment options. It covers medicinal approaches, both hormonal and non-hormonal, for symptom control. A detailed section is devoted to interventional and non-invasive methods, including uterine artery embolization, high-intensity focused ultrasound (HIFU for fibroids), and radiofrequency ablation.
For those considering surgical options, the guide provides insights into organ preserving myomectomy, hysteroscopic resection, and hysterectomy. The text also specifically addresses the important topic of fibroids and pregnancy. It examines the influence of fibroids on fertility, treatment considerations for those wishing to conceive, and the management of leiomyoma during pregnancy and childbirth. The final chapters focus on long-term perspectives, follow-up care after treatment, and lifestyle considerations.