Slides #11, 12, 13, 14 combined

Uterine Fibroids

How are they treated?

Depends on size and location

surgical therapy - hysterectomy, myomectomy
drug therapy - pain relievers, hormone therapy (to shrink them)
uterine artery embolization

Hysterectomy (removal of uterus)

Curative, but irreversible

until now, the standard therapy for fibroids
1/3 of all hysterectomies are performed for fibroids (cost $4 billion in USA/year)
Loss of fertility(gender identity)
Complications: bleeding, infection, adhesions, risks associated with general anesthetic
6 - 8 week recovery

Myomectomy

local surgical removal of one or more fibroids, while sparing the uterus
Complications
significant blood loss 
could require hysterectomy

Fibroids can recur
20 - 25% will need another procedure for treatment of new fibroids

Luperon

hormone therapy 
causes decreased production of estrogen which is needed for fibroid growth
can result in dramatic improvement in symptoms
long term therapy carries a risk of osteoporosis
rapid re-growth of fibroid may occur within months of stopping treatment

First slide Bact to previous slide  Next slide Slide show summary

This presentation consists of 47 slides:
Simply click the "Next" Arrow to go forward.
You may jump to any point in the presentation by clicking the links below.

 

This presentation is created from a PowerPoint Presentation consisting of 47 slides.
The Presentation is a part of a series: "Interventional Radiology and New Health Care Choices for Women"  (go to the main page for the series.)

You may jump to any point in the presentation by clicking the links below. 

Table of Content and links to individual slides:

1. Opening Slide
2. What is a fibroid? 
3. Who gets fibroids?
4. What are the symptoms?
5. How are they diagnosed?
6 & 7 Combined. Uterine Fibroids - As seen on ultrasound. 
8. Uterine Adenomyosis - Another cause of uterine bleeding.
9. Uterine Adenomyosis - As seen on MRI
10. Uterine Adenomyosis - As seen by pathologists
11, 12, 13 & 14 combined: How are they treated?. 
15. Comparison of treatment options
16. What is Uterine Artery Embolization?
17. Uterine Fibroids - History.
18. How is it done?
19. How is it done? ...continued.
20. How does it work?
21. What does the doctor see?
22. What does the doctor see?  ...continued.
23. Another Example.
24. What does the doctor see? ...continued.
25. What does the doctor see?  ...continued.
26. & 27 combined. CT scan after embolization.
28. MRI after embolization.
29. MRI after embolization. ...continued.
30. MRI after embolization. ...continued.
31. MRI before and after embolization. ...continued.
32. What do I need to do first?
33. Pre-procedural Evaluation.
34, 35, & 36 combined. What will I experience?
37. What happens when I go home?
38, 39, 40 & 41 Combined. What are the risks and side effects?
42. What about Radiation?
43. What are the results?
44 & 45 Combined. Clinical Study 1.
46. Clinical Study 2.
47. Summary of Presentation.

Home to Lakeridge Health