Cure Uterine Fibroids Permanently

Fibroids Miracle

Former Uterine Fibroids Sufferer Reveals The Only Holistic System In Existence That Will Show You How To Permanently Eliminate All Types of Uterine Fibroids Within 2 Months, Reverse All Related Symptoms, And Regain Your Natural Inner Balance, Using A Unique 3-Step Method. No One Else Will Tell You About. Medical Researcher, Alternative Health and Nutrition. Specialist, Health Consultant and Former Uterine Fibroids. Sufferer Teaches You How To: Get Rid Of Your Uterine Fibroids Naturally Within 2 Months. and Prevent Their Recurrence. Eliminate Pelvic Pressure and Pain, Bloating and Discomfort in Less Than 12 Hours. Boost Your Fertility and Gain Regular Periods (No More Spotting or Unexpected periods) Stop Bladder Pressure. Get Rid Of Heavy Menstrual Flow (Menorrhagia) or Painful Menstrual Flow (Dysmenorrhea) Get Rid Of Pain During Intercourse (Dyspareunia). Improve the Quality of Your Life Dramatically! Read more...

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Contents: 250 Page E-book
Author: Amanda Leto
Official Website: www.fibroidsmiracle.com
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Comparative Genomic Hybridization In Cancer Cytogenetics

Tumors, including prostate cancer, testicular germ cell tumors, breast cancer, uveal melanomas, small-cell lung carcinoma, gliomas, sarcomas, head, neck, and pancreatic carcinomas, and uterine leiomyomata. The chromosomal aberrations detected by CGH have also provided prognostic information in a number of neoplasms including renal cell carcinomas, bladder cancer, cervical carcinomas, node-negative breast cancer, uveal melanoma, cutaneous melanoma, and prostate cancer. Various international CGH databases have been established including Tokyo Medical and Dental University CGH database (http the database of Humboldt-University of Berlin (http amba.charite.de ksch cghdatabase index.htm), the Progenetix cytogenetic online database (http www.progenetix.net), and the National Cancer Institute and National Center for Biotechnology Information Spectral Karyotyping SKY and Comparative Genomic Hybridization CGH Database (2001), (http www.ncbi.nlm.nih.gov sky). These databases provide a wealth of...

Introduction and definitions

The definitive aetiology for malpresentations is not known in the majority of cases. They may be associated with contracted pelvis, large baby, polyhydramnios, multiple pregnancy, low-lying placenta, preterm labour, anomalies of the fetus (neck tumours), uterus (congenital or acquired, e.g. lower segment fibroids) or pelvis.

Shoulder presentation

In multiparous women with singleton pregnancies shoulder presentation is more common without any cause due to the laxity of the uterus. However, there are known associations and they are preterm, congenital fetal or uterine malformation, fibroids, placenta praevia and polyhy-dramnios. The incidence at term is about 1 400. Transverse lie with shoulder presentation in the antenatal period corrects itself to longitudinal lie with the onset of labour due to increased muscular tone of the uterus. Should rupture of

Iatrogenic causes of amenorrhoea

Gynaecological procedures such as oophorectomy, hysterectomy and endometrial resection inevitably result in amenorrhoea. Hormone replacement should be prescribed for these patients where appropriate. Hormone therapy itself can be used to deliberately disrupt the menstrual cycle. However, iatrogenic causes of ovarian quiescence have the same consequences of oestrogen deficiency due to any other aetiology. Thus the use of GnRH analogues in the treatment of oestrogen-dependent conditions (e.g. precocious puberty, endometriosis, uterine fibroids) results in a significant decrease in bone mineral density in as little as 6 months. Although the demineralization is reversible with the cessation of therapy, especially for the treatment of benign conditions in young women who are in the process of achieving their peak bone mass, the concurrent use of an androgenic progestogen or oestrogen 'add-back' therapy may protect against bone loss.

Tubal factor infertility

The role of intrauterine contraceptive devices (IUCDs) in the aetiology of tubal disease is controversial. In the 1980s a number of studies reported an increased risk of PID in women who used IUCDs as compared to non-users. More recent data suggest that IUCD users, who are at low risk of sexually transmitted infections, face no added risks of PID. Congenital abnormalities are uncommon causes of tubal pathology and are associated with developmental anomalies of the urinary system. Endometriosis, cornual fibroids or polyps can cause cornual block or tubal distortion. Another relatively rare cause, salpingitis isthmica nodosa, described as nodular thickening of the proximal part of the fallopian tube is of unknown aetiology.

Important coexistent pathologies

UTERINE FIBROIDS Uterine fibroids are very commonly picked up by transvaginal scanning of theinfertilewoman. It has always been difficult to ascertain the causality of these fibroids pertaining to the patient's infertile status. The presence of fibroids does not necessarily mean there is a direct causative link between the fibroids and infertility. On the other hand there are a number of reported case series where removal of fibroids resulted in subsequent improved conception rates between 30 and 80 3 . It was previously thought that fibroids only significantly reduced implantation rates if the uterine cavity was distorted. There are two series looking at the affect on implantation in IVF cycles of fibroids in other locations. In the first of these, Eldar-Geva 4 showed that intramural fibroids significantly reduced implantation rates and this was then also confirmed by Hart et al. 5 . Both of these studies confirmed the impact of fibroids that do not distort the uterine cavity but...

Further investigations of female infertility

Male Groin Hernia Examination

Uterine pathology such as adhesions, polyps and submucous leiomyomas and septae have been found in 10-15 of women seeking fertility treatment. It is unclear whether hysteroscopy should be considered a routine investigation in infertile couples in addition to laparoscopy or HSG. While a causal relationship between uterine fibroids and infertility has been established (Donnez and Jadoul, 2002), the effectiveness of surgical treatment of uterine abnormalities to enhance pregnancy rate is unproven. Transvaginal pelvic ultrasound (TVS) enables pelvic structures to be visualized and provides more information than a bimanual examination. It can identify endometrioma, ovarian cysts, polycystic ovaries, fibroids and hydrosalpinges. However, the routine use of this investigation in women without a history of pelvic pathology has yet to be established.

The role of ultrasound

Dermoid Cyst Benign Ultrasound

The commonest pathology seen on scanning the non-pregnant uterus is the presence of uterine fibroids. The vast majority lie within the myometrium, though some can be pedunculated or lie within the broad ligament. Fig. 36.2 Transverse section of a uterus showing bilateral intramural fibroids. Fig. 36.2 Transverse section of a uterus showing bilateral intramural fibroids. Subserous - Distort the serosal surface. Ultrasound helps define the number and size of fibroids and also their situation within the myometrium. In the majority of patients with fibroids there are multiple tumours. Ultrasound features of fibroids are that they are well circumscribed lesions that appear hypoechoic compared to the surrounding myometrium. They may contain foci of calcification with characteristic shadowing (Figs 36.1 and 36.2). Ultrasound diagnosis of fibroids and their location helps to determine the relationship to presenting symptomatology, what treatment modalities are suitable and also for monitoring...

Hysterosalpingogram

The purpose of the HSG is to check for obstructions or growths within your uterus and fallopian tubes. Conditions such as blocked fallopian tubes, fibroids, and adhesions may be diagnosed during the HSG procedure. Your doctor may recommend that you undergo an HSG if he or she suspects that you have an abnormality within your uterus or fallopian tubes. Your doctor will discuss your HSG test results with you. If uterine fibroids are noted, they may or may not require treatment, depending on their size and position within your uterus. Blocked fallopian tubes are a fairly common finding among infertility patients. It has been estimated that almost 35 percent of infertility cases are due to blockage of one or both fallopian tubes. If this is your situation, your doctor will discuss treatment options. (See Chapter 1 for more information.) A shortcoming of the HSG procedure is that it may not detect small lesions such as small polyps or fibroids within the uterus. It also does not provide...

Uterus

The serosal surface is the closely applied peritoneum beneath which is the myometrium which is a smooth muscle supported by connective tissue. The myometrium is made up of three layers of muscle, external, intermediate and internal layers. Clinically this is important as fibroids leave the layers intact and removal through a superficial incision leaves the three layers intact. The three layers run in complimentary directions which encourage vascular occlusion during contraction, an important aspect of menstrual blood loss and postpartum haemostasis. The mucous membrane overlying the myometrium to line the cavity is the endometrium. Glands of the endometrium pierce the myometrium and a single layer of columnar epithelium on the surface changes cyclically in response to the menstrual cycle.

Female

Virtually all ultrasound scanning in assisted conception is performed transvaginally. The initial scan assesses several areas (1) The ovarian morphology if there are underlying polycystic ovaries, they may be hyper-responsive to stimulation with gonadotrophins (see p.461) (2) The presence of ovarian cysts and if present suitable treatment arranged (3) Many centres now also measure the ovarian volumes as well as the antral follicle count as these are also used in the dose calculation of FSH for the stimulation phase of IVF (4) The ovaries are assessed for accessibility, not just for the monitoring itself but also if transvaginal oocyte retrieval (TVOR) is planned, to ensure that this can be performed without undue difficulty. Sometimes in patients who have abdominal adhesions (either from iatrogenic causes, previous pelvic inflammatory disease (PID) or endometriosis) then gentle abdominal pressure can be applied during the screening ultrasound to ensure that the ovary can be moved down...

Infertility

Human Uterus And Polyps

A TV ultrasound allows assessment of the uterus for any obvious abnormalities or for the presence endometrial polyps or submucous fibroids. With a skilled operator hystero-contrast-sonography (HyCoSy) has comparable results to hysterosalpingography (HSG). It should be considered in those women at low risk of tubal disease as it has the advantage of being able to assess the ovaries at the same time while avoiding the use of radiation. In this procedure TV ultrasound is performed with the instillation of an echogenic contrast medium into the uterine cavity. One of the limitations of HyCoSy is the difficulty in storing information images need to be recorded in real time.

Caesarean section

A midline approach is used when the lower segment approach is difficult because of fibroids or anterior placenta praevia with large vessels in the lower segment. Other indications are preterm breech with poorly formed lower segment, impacted transverse lie with ruptured membranes or transverse lie with a congenital anomaly of the uterus. An extreme example is a perimortem CS.

Hysteroscopy

The hysteroscopy procedure has many uses. When it comes to fertility evaluation, this procedure is often performed to evaluate a defect in the shape or size of the uterus. For example, if the patient has a septate uterus, the hysteroscopy may be able to diagnose this condition and also remove the membrane at the same time. The procedure may also be used to diagnose the presence of fibroids, polyps, or adhesions. These lesions might be missed during the HSG procedure (discussed previously) thus the hysteroscopy provides another way to detect uterine abnormalities. In some cases, these abnormalities can be surgically corrected during the same hysteroscopy procedure, if you are comfortable and under anesthesia.

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