Condition
Uterine Fibroids
Uterine fibroids are benign smooth-muscle tumors of the uterus that are sensitive to estrogen and often cause heavy bleeding and pelvic symptoms.
Overview
Aetiology
Causes can include an increase in local estrogen levels (including within the fibroid itself). Concentrations of estrogen receptor activity are higher in fibroids than the surrounding tissue. Similar mechanisms have been suggested through environmental factors like xenestrogens such as pthalates, pesticides, tobacco smoke by-products, and various solvents.
Presentation
Symptoms
Many fibroids are asymptomatic. When symptoms occur they commonly include heavy or prolonged menstrual bleeding, pelvic pain or pressure, abdominal swelling, frequent urination from pressure on the bladder, constipation, and pain during intercourse. Large or numerous fibroids may also contribute to subfertility.
Assessment
Diagnostic Considerations
Depending on the site of the fibroids, they can have differing names:
- Submucosal
- Intramural
- Subserosal
- Interligmentous
- Pedunculated
Assessment
Differential Diagnosis
- Uterine cancer
The Herbs
Materia Medica (1)
Herbs traditionally or clinically used for uterine fibroids.
