archive-org.com » ORG » N » NEZHAT.ORG

Total: 249

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • Fibroids FAQs - Question about Fibroids
    so large that they lead to life threatening obstructions to blood flow or otherwise interfere with the normal functioning of your organs or vascular system For example there have been reports of life threatening bowel obstruction and or bowel necrosis caused by fibroids As you can see even though rare fibroids can cause serious system wide health problems So its always a good idea to get a second opinion if you think youre experiencing any of these severe symptoms or are having blood loss each month or between periods that you think may be abnormal To summarize serious symptoms requiring immediate medical attention are sudden or severe abdominal pain heavy menstrual bleeding causing anemia low red blood cell count any bladder or bowel symptoms heart or kidney symptoms recurrent miscarriages and infertility 5 How are fibroids diagnosed Fibroids can be diagnosed multiple ways Most commonly fibroids are diagnosed by pelvic exam by your doctor Your gynecologist may be able to feel an enlargement or an irregular contour to the uterus A variety of imaging modalities are used to aid in the diagnosis of fibroids including Ultrasound A probe over the abdomen or inside the vagina that can visualize the uterus and any masses within it Sonohysterogram Vaginal ultrasound is used after the uterus is distended with fluid This allows visualization of the contour of the inside of the uterus This makes it easier to diagnose submucosal fibroids that can often be missed by ultrasound alone MRI magnetic resonance imaging This imaging technique is very sensitive in detecting the exact size and location of fibroids however it is very expensive 6 When should fibroids be treated If fibroids are causing any symptoms a woman should seek treatment Serious symptoms requiring immediate medical attention are sudden or severe abdominal pain heavy menstrual bleeding causing anemia low red blood cell count any bladder or bowel symptoms recurrent miscarriages and infertility 7 Is there a treatment for fibroids There are a variety of treatment options for fibroids ranging from medical management of symptoms to definitive surgical management As with any medical intervention there are always risks and benefits that must be carefully considered on a case by case basis before choosing a treatment plan Therefore make sure to consult with a gynecologic specialist to see which option is right for you 8 Are there medications I can take for my fibroids Fibroids cannot be eliminated by medications but symptoms can be managed with certain medications Combined oral contraceptive pills The birth control pill contains both estrogen and progesterone hormones which can help decrease bleeding symptoms Some studies show that they can slow the growth of fibroids but cannot decrease the size of the fibroid Progesterone Releasing IUD intrauterine device This device is inserted into the uterus and contains a small amount of progesterone hormone This can decrease bleeding symptoms It has no effect on the fibroid itself Progestin pill s These pills contain progesterone hormone which will decrease bleeding side effects These pills have no effect on the fibroid itself Gonadotropin Releasing Hormone GnRH agonists These medications Lupron Zoladex Synarel etc suppress the release of natural estrogen and progesterone production which then causes shrinkage of fibroids and decrease in bleeding symptoms These medications cause a temporary menopausal state and are often associated with hot flashes Typically your doctor will put you on this medication to correct anemia from heavy bleeding and shrink the size of the fibroid prior to surgical management GnRH agonists are not a long term management option NSAIDs nonsteroidal anti inflammatory drugs These are nonnarcotic pain medications that may help with the painful symptoms of fibroids but will not effect the fibroid or any bleeding symptoms 9 What surgical options do I have to treat my fibroids There are a variety of surgical options They range from minimally invasive procedures to open abdominal laparotomy surgeries Some procedures are performed by a gynecologic surgeon and others are performed by an interventional radiologist Here are the details You can have an operation called a myomectomy where just the fibroids are removed from the uterine tissue There are different types of myomectomies Hysteroscopic myomectomy A camera with an electric loop attachment is placed inside the cavity of the uterus through the vagina and the fibroids are visualized and removed by shaving them off the wall of the uterus Please note this can only be done for submucosal fibroids that are protruding into the cavity of the uterus This is an outpatient surgical procedure and patients can go home the same day of surgery with minimal side effects Abdominal myomectomy A large incision is made on the abdomen to gain access to the uterus The fibroids are removed by cutting into the uterus and taken out through the abdominal incision The uterus is then sewn back together Fibroids that are on the outside or in the wall of the uterus can be removed this way Because of the large abdominal incision patients are hospitalized for 2 4 days after surgery Recovery can take up to six weeks Video assisted laparoscopic myomectomy A small camera is placed through the navel 2 3 small 0 5 1 0cm incisions are made in the lower abdomen and the surgery is performed through these small incisions Fibroids on the outside and in the walls of the uterus can be removed this way They are cut into small pieces and pulled out through the small laparoscopic incisions For larger fibroids around 30 40 weeks gestational size one of the small incisions is extended and the fibroid is pulled out in pieces through this extended incision Patients typically go home the day of or day after their surgery The American Congress of Obstetricians and Gynecologists stated in their 2009 Practice Bulletin Laparoscopic myomectomy minimizes the size of the abdominal incision resulting in a quicker postoperative recovery compared to abdominal myomectomy Because of the complex nature of laparoscopic dissection and suturing special surgical expertise typically is required Robotic assisted laparoscopic myomectomy The

    Original URL path: http://www.nezhat.org/fibroids_leiomyomas/fibroids-faqs.php (2016-04-24)
    Open archived version from archive

  • Uterine Fibroids FAQs - Question about Fibroids
    are told that a cesarean delivery is necessary if they have had a myomectomy However no randomized trials have been performed on this subject making it difficult to determine whether other confounding factors may have been at play The good news however is that with the surgical advances of today the incidence of such adverse outcomes is exceedingly rare and essentially unheard of with advanced surgeons like Dr Nezhat For example in Dr Nezhats experience none of his patients have experienced uterine rupture as a result of myomectomy surgery All the same every patient presents with a unique health history and therefore must be evaluated on a case by case basis to determine risks versus benefits In the medical literature the benefits have been well established pregnancy rates for example have been reported as high as 60 after myomectomy regardless of which type of myomectomy is performed myth I read that there are medications that will cure uterine fibroids Fact There is no medicine on the market that can dissolve remove or otherwise cure fibroids However some symptoms can be managed with the following medications Combined oral contraceptive pills The combined birth control pill contains both estrogen and progesterone hormones which can help decrease bleeding symptoms Some studies show that they can slow the growth of fibroids but cannot decrease the size of the fibroid Progesterone Releasing IUD intrauterine device This device is inserted into the uterus and contains a small amount of progesterone hormone This can decrease bleeding symptoms However it has no effect on the fibroid itself Progestin pill s These pills contain progesterone hormone which will decrease bleeding side effects These pills have no effect on the fibroid itself Gonadotropin Releasing Hormone GnRH agonists These medications Lupron Zoladex Synarel etc suppress the release of natural estrogen and progesterone production which then causes shrinkage of fibroids and a decrease in bleeding symptoms Typically your doctor will put you on this medication to correct anemia from heavy bleeding and shrink the size of the fibroid prior to surgical management However GnRH agonists are not a long term management option And because they cause a temporary menopausal state they can be associated with hot flashes mood swings and other negative side effects However with very short term usage as is customary for the treatment of fibroids side effects like these are usually significantly reduced andresolve after discontinuing the medication NSAIDs nonsteroidal anti inflammatory drugs These are non narcotic pain medications that may help with the painful symptoms of fibroids but will not affect the fibroid or any bleeding symptoms myth Fibroids do not interfere with fertility Fact To the contrary fibroids can indeed reduce one s chances of conceiving Here are the details Pregnancy Miscarriages Fibroids can distort the uterus so a pregnancy cannot grow properly secondary to the mass of the fibroid Also the blood supply of the pregnancy can be diverted to a growing fibroid In these cases pregnancies can miscarry Infertility Fibroids can grow near the fallopian

    Original URL path: http://www.nezhat.org/fibroids_leiomyomas/fibroids-top-5.php (2016-04-24)
    Open archived version from archive

  • Uterine Fibroids Treatment- Uterine Fibroids FAQs
    abdominal incision The uterus is then sewn back together Fibroids that are on the outside or in the wall of the uterus can be removed this way Because of the large abdominal incision patients are hospitalized for 2 4 days after surgery Recovery can take up to six weeks Video assisted laparoscopic myomectomy A small camera is placed through the navel 2 3 small 0 5 1 0cm incisions are made in the lower abdomen and the surgery is performed through these small incisions Fibroids on the outside and in the walls of the uterus can be removed this way They are cut into small pieces and pulled out through the small laparoscopic incisions For larger fibroids around 30 40 weeks gestational size one of the small incisions is extended and the fibroid is pulled out in pieces through this extended incision Patients typically go home the day of or day after their surgery The American Congress of Obstetricians and Gynecologists stated in their 2009 Practice Bulletin that laparoscopic myomectomy minimizes the size of the abdominal incision resulting in a quicker postoperative recovery compared to abdominal myomectomy Because of the complex nature of laparoscopic dissection and suturing special surgical expertise typically is required Robotic assisted laparoscopic myomectomy The incisions are similar to that of a video assisted laparoscopic myomectomy but instead of the surgeon standing over the patient operating the instruments robotic arms are placed through the incisions and the surgeon sits at a consul operating the arms remotely It aids the surgeon by allowing better visualization and handling of the fibroids It also has similar recovery as a laparoscopic myomectomy and requires special surgical expertise Uterine artery embolization UAE Another minimally invasive option is uterine artery embolization UAE This is an outpatient procedure performed by an interventional radiologist A catheter is placed through the groin into the uterine artery Small coils or pellets are used to block the uterine artery which gives its blood supply to the uterus and fibroids Without adequate blood supply the fibroids shrink and symptoms of pressure and heavy bleeding can also reside However UAE is recommended for only a select group of patients specifically for those who are premenopausal with symptomatic fibroids within the uterine wall and where future fertility is not a primary concern UAE is also helpful for patients for whom surgery is too risky Although it is a relatively safe procedure there are some severe side effects including fever pain infection death necrosis to uterine tissue and vulva premature ovarian failure infertility necrosis of buttock and thigh muscle and increase risk of hospital readmission compared to minimally invasive myomectomy procedures Fibroids co existing with endometriosis If you have uterine fibroids there s a chance that you may have endometriosis as well At least that s what Dr Nezhat s many years of research suggest findings which he first reported back in 2009 Far from an incidental footnote this research actually has tremendous implications To begin with the apparent strong relationship between

    Original URL path: http://www.nezhat.org/fibroids_leiomyomas/faqs_fibroids.php (2016-04-24)
    Open archived version from archive

  • Featured Blogs - Million Women March for Endometriosis
    Patients Welcome Letter Patient Forms Center Locations FAQs About Contact About News Awards Books Articles Reference Library Testimonials Physicians Physicians Fellowship Program Featured Blogs Our list of featured bloggers includes voices from around the country covering endometriosis infertility struggles and other women s health stories http chancesour blogspot com http endofromtheheart blogspot com http emlwy blogspot com p endometriosis library html http silverrosesewing blogspot com http babyandbump momtastic com pregnancy

    Original URL path: http://www.nezhat.org/mwm4endo/featured-blogs.php (2016-04-24)
    Open archived version from archive

  • Endometriosis Facts - ENDO-WHAT? Support & Research Groups - Worldwide EndoMarch
    org Endometriosis Research Center www endocenter org RESOLVE The National Infertility Association www resolve org World Endometriosis Research Foundation http endometriosisfoundation org World Endometriosis Society http endometriosis ca World Symposium on Endometriosis http www endometriosisatlanta com Support Groups US based alphabetical EndoConnect https www facebook com EndoConnect Endo Doesn t Define You https www facebook com events 314756032020041 Endosisters org http www endosisters org blog html Endo Sisters 2014 Support Pen Pal Program https www facebook com groups endosisters2014 Endo Sisters Healing Together https www facebook com groups EndoSistersHealingTogether Endo Support www endosupport com Endo Support Groups Community Forum https www facebook com groups 444020549046536 Endo Warriors http endowarriorssupport com https www facebook com endowarriorssupport Endometriosis Women of California https www facebook com groups CaliforniaEndometriosisSupport Her Yellow Ribbon http www heryellowribbon org My Endometriosis Story https www facebook com myenometriosisstory http www myendometriosisstory org Nancy s Nook https www facebook com groups 418136991574617 Powerful Endo Women https www facebook com groups PowerfulEndoWomen https www facebook com pages Endometriosis Infertility and Pelvic Pain Management 125680694168812 Sister Girl Foundation Inc https www facebook com Sistergirl 2011 Thoracic Endometriosis LUNG Endo Group https www facebook com groups Lungendo Regional Groups Endometriosis Alabama http endoendshere org Alaska Arizona Arkansas California Team California Worldwide Endo March MWMFE https www facebook com groups 230356850473558 Endometriosis Women of California https www facebook com groups CaliforniaEndometriosisSupport Northern California Endo Group https www facebook com groups 155289371317313 Colorado Endo Warriors Contact Jessica Jez Root at JezEWDenver gmail com Connecticut https www facebook com EndoConnect https www facebook com Sistergirl 2011 Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland https www facebook com EndometriosisWarriorsMaryland Massachusetts Endo Sisters Healing Together https www facebook com groups EndoSistersHealingTogether Michigan Minnesota Endo Twin Cities Endometriosis Support Email endotwincities gmail com Website www endosupport com Facebook www facebook com EndoTwinCitiesPublic Twitter www twitter com EndoTwinCities LinkedIn www linkedin com in endotwincities Mississippi https www facebook com groups 1449016298647630 Missouri https www facebook com groups ERCGirlTalk Montana Nebraska Nevada New Hampshire New Jersey Endo Warriors Contact Lauren Tait at tait lauren e gmail com New Mexico New York Endo Warriors NYC Contact Jill Fuersich at endowarriors gmail com Endo Warriors Westchester Contact Casey Berna at angelcase aol com North Carolina http www meetup com Endo Sisters of The Triad messages boards thread 42771612 North Dakota Ohio Team Ohio WorldwideEndoMarch https www facebook com pages Endo Sisters United Team Ohio 225143191011611 Oregon EndoMarch Team Oregon https www facebook com groups endomarchteamoregon Pennsylvania Endo Warriors Contact Valerie Conners at valeriewconners gmail com Rhode Island South Carolina South Dakota Tennessee West Tennessee Endometriosis and Chronic Pelvic Pain Support Group https www facebook com WestTNEndoSupportGroup Texas Tri State Area New York New Jersey Connecticut https www facebook com endowarriorssupport Utah Vermont Virginia Washington D C Washington State West Virginia Wisconsin EndoSisters Wisconsin http www myendometriosisstory org Wyoming International Argentina Australia http www qendo org au http www endometriosisaustralia org Australia and New Zealand Endo Women

    Original URL path: http://www.nezhat.org/mwm4endo/support-groups.php (2016-04-24)
    Open archived version from archive

  • Upcoming Events - Million Women March for Endometriosis
    Surgery Robotic Surgery Other Specialties ALL SPECIALTIES Ovarian Cysts Pelvic Pain Laparoscopic Surgery MIS Robotic Surgery Urinary Incontenence Pelvic Floor Prolapse Ovarian Remnant Syndrome Uterine Artery Embolization Hysterectomy Hysteroscopy Tubal Reversal Gynecological Malignancies For Our Patients Welcome Letter Patient Forms Center Locations FAQs About Contact About News Awards Books Articles Reference Library Testimonials Physicians Physicians Fellowship Program Upcoming Events 2015 March 28 2015 Worldwide Endo March OTHER RESOURCES Featured Blogs

    Original URL path: http://www.nezhat.org/mwm4endo/upcoming-events.php (2016-04-24)
    Open archived version from archive

  • #MYendomarch - Million Women March for Endometriosis
    Fibroids MIS Minimally Invasive Surgery Robotic Surgery Other Specialties ALL SPECIALTIES Ovarian Cysts Pelvic Pain Laparoscopic Surgery MIS Robotic Surgery Urinary Incontenence Pelvic Floor Prolapse Ovarian Remnant Syndrome Uterine Artery Embolization Hysterectomy Hysteroscopy Tubal Reversal Gynecological Malignancies For Our Patients Welcome Letter Patient Forms Center Locations FAQs About Contact About News Awards Books Articles Reference Library Testimonials Physicians Physicians Fellowship Program MYendomarch OTHER RESOURCES Featured Blogs Support Research Groups Upcoming

    Original URL path: http://www.nezhat.org/mwm4endo/MYendomarch.php (2016-04-24)
    Open archived version from archive

  • Precinct Managers - Meet Your Endo Activists
    for your state and one of them will get back to you Precinct Manager Tiffany at endomarch kentucky gmail com Precinct Manager Krista at yellowforendo gmail com Louisiana Maine Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Julie at endoconnect gmail com Maryland Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Chrissy at endomarch maryland01 gmail com Precinct Manager Melissa at endomarch maryland02 gmail com Precinct Manager Cherelle at heryellowribbon gmail com Massachusetts Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Julie at endoconnect gmail com Michigan Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Melissa at endomarch michigan gmail com Precinct Manager Katianne at endomarch michigan01 gmail com Precinct Manager Amanda at endomarch michigan02 gmail com Minnesota Please make sure to CC all representatives listed for your state and one of them will get back to you EndoTwinCities Co Precinct Manager Danielle at endotwincities gmail com Mississippi Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Amanda at endomarch mississippi01 gmail com Missouri Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Marlena at endomarch stlouis metroeastil gmail com Contact us at endomarch information gmail com Montana Nebraska Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Destany at endomarch nebraska gmail com Contact us at endomarch information gmail com Nevada Please make sure to CC all representatives listed for your state and one of them will get back to you Contact us at endomarch information gmail com New Hampshire Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Julie at endoconnect gmail com New Jersey Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Meredith at meredithg14 gmail com Precinct Manager Thea at endomarch newjersey01 gmail com Precinct Manager Stefanie at endomarch newjersey02 gmail com Precinct Manager Nikki at endomarch newjersey03 gmail com New Mexico Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Dolores at endomarch newmexico01 gmail com New York Please make sure to CC all representatives listed for your state and one of them will get back to you Precinct Manager Lauren at lauren siegal gmail com Precinct Manager Meredith at meredithg14 gmail com Precinct Manager Vicki at endomarch newyork gmail com Precinct Manager Jhoanny at endomarch newyork02 gmail com Precinct

    Original URL path: http://www.nezhat.org/mwm4endo/meet-your-endo-activists.php (2016-04-24)
    Open archived version from archive



  •