Understanding Uterine Pelvic Exam: Testing, Treatment and Medicines

A regular Pelvic check frequently results in the accidental discovery of uterine fibroids. Your uterus may have irregular changes in shape that your doctor may notice, which could indicate the existence of fibroids.

If you exhibit signs of uterine fibroids, you might require the following tests:

Ultrasound - This test takes an image of your uterus using sound waves. It can map and measure your fibroids and confirm that you have them.

The transducer, an ultrasonic device, is moved over your stomach region by a medical professional or technician. We refer to this as a transabdominal ultrasonography. You can also consult with Best gynaecologist in Delhi . Alternatively, the gadget is inserted into your vagina to take pictures of your uterus.

Lab test - Blood testing may be necessary if you experience irregular menstrual flow in order to determine the likely cause. A complete blood count to screen for anemia from continued blood loss may be one of them. Thyroid issues and bleeding disorders can be checked for with additional blood testing.

• Magnetic resonance imaging (MRI) - This test can show in more detail the size and location of fibroids. It also can identify different types of tumors and help determine treatment options. Most often, an MRI is used in people with a larger uterus or in those who are nearing menopause, also called perimenopause.
• Hysterosonography. Hysterosonography (his-tur-o-suh-NOG-ruh-fee) uses sterile salt water called saline to expand the space inside the uterus, called the uterine cavity. This makes it easier to get images of submucosal fibroids and the lining of the uterus if you're trying to get pregnant or if you have heavy menstrual bleeding. Another name for hysterosonography is a saline infusion sonogram.

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• Dr. SV Kotwal
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Treatment

There's no single best treatment for uterine fibroids. Many treatment choices exist. If you have symptoms, talk with your care team about ways to get relief.

Medicines

Medicines for uterine fibroids target hormones that control the menstrual cycle. They treat symptoms such as heavy menstrual bleeding and pelvic pressure. They don't get rid of fibroids, but they may shrink them. Medicines include:

• Gonadotropin-releasing hormone (GnRH) agonists. These treat fibroids by blocking the body from making the hormones estrogen and progesterone. This puts you into a temporary menopause-like state. As a result, menstrual periods stop, fibroids shrink and anemia often gets better.
  GnRH agonists include leuprolide (Lupron Depot, Eligard, others), goserelin (Zoladex) and triptorelin (Trelstar, Triptodur Kit).
  

Many people have hot flashes while using GnRH agonists. Often, these medicines are used for no more than six months.                 

That's because symptoms return when the medicine is stopped, and long-term use can cause loss of bone. Sometimes, GnRH agonists are taken with low-dose estrogen or progestin. You might hear this called add-back therapy. It can ease side effects, and it might allow you to take GnRH agonists up to 12 months.  Click Here...

Your doctor may prescribe a GnRH agonist to shrink the size of your fibroids before a planned surgery. Or you might be prescribed this medicine to help transition you into menopause.

• Gonadotropin-releasing hormone (GnRH) antagonists - These medicines can treat heavy menstrual bleeding in people with uterine fibroids who haven't gone through menopause. But they don't shrink fibroids. GnRH antagonists can be used for up to two years. Taking them along with add-back therapy can lessen side effects such as hot flashes and bone loss. Sometimes, low-dose estrogen or progestin are already included in these medicines.
  GnRH antagonists include elagolix (Oriahnn) and relugolix (Myfembree).
• Progestin-releasing intrauterine device (IUD) - A progestin-releasing IUD can relieve heavy bleeding caused by fibroids. It only relieves symptoms, though. It doesn't shrink fibroids or make them go away. It also prevents pregnancy.

Conclusion-

Numerous individuals with uterine fibroids are asymptomatic. Alternatively, their symptoms are tolerable and only somewhat bothersome. In that scenario, your best course of action might be to wait with caution.

Cancer isn't what fibroids are. Seldom do they cause problems for expectant mothers. They frequently grow slowly, if at all, and then they usually get smaller after menopause, when the quantities of reproductive hormones decrease.