Pedunculated fibroids are fibroids which are attached by a stalk to the uterus; this stalk is known as a peduncle. Those pedunculated fibroids that appear on the outside of the uterus are known as subserous pedunculated fibroids, while those that appear inside the uterus are known as pedunculated submucosal fibroids.
The fibroids can grow to become quite large in size; among the largest reported ones I discovered was reported last year by the East African Medical Journal. A 37 year old woman had abdominal swelling that simply continued to grow. The surgeons discovered that she had a pedunculated fibroid nearly 16 centimetres in length and weighing almost a kilogram and a half.
The patient did not experience any symptoms other than the swelling, she was an exception since other women are not so lucky.
Occasionally pedunculated submucosal fibroids can protrude into the vaginal canal, bringing pain during sexual intercourse. The American University of Beirut Medical Center has reported two women that had prolapsed pedunculated submucosal fibroids, one of these patient’s fibroids had 12 centimetres of the fibroid prolapsed into the vaginal canal while the rest of it remained in the uterus.
Pedunculated fibroids can cause serious pain when the stalk is twisted, unfortunately however the likelihood of this occurring increases as the fibroid which is attached to the stalk grows. Luckily this does not happen to all women.
There are other types of pain related to these fibroids and they include cramps and the feeling of pressure being exerted on to the uterus and other organs.
Yet another possible symptom brought on by pedunculated submucosal fibroids is bleeding between periods. This bleeding can range from light spotting, to constant bleeding very similar to that of a light period. Those who have constant bleeding report that the intensity of the bleeding becomes heavier at the arrival of their time of the month.
Often when the pedunculated fibroid has become severely twisted it will require surgical intervention. This occurs because the pain level becomes so great to the woman experiencing it that they will do anything to stop it.
Another possibility that can occur when the fibroid becomes twisted is a blockage in the blood and nutrient supply to the fibroid through a kink in the veins. Once this occurs the fibroid will begin to die, which will not only increase the danger of infection, but is also quite painful.
When the fibroid stalk is 2 centimetres or wider Uterine Artery Embolization, is advised. This procedure cuts off blood supply to the fibroids in order to stop them from growing. Instead, they become smaller and eventually die. The University of Toronto gave a report stating that pedunculated subserousal fibroids were on the whole more likely to fail with this procedure than any other kinds of fibroids.
In France at the Bretonneau hospital, doctors there recommend that women who under go Uterine Artery Embolization, should have the procedure carried out again after two years. This is because they discovered that 10% of their patients experienced a re-emergence of the fibroids two years later. They also discovered that Uterine Artery Embolization was not effective in preventing the fibroids from growing again.
Another frequently used procedure to treat them is the Myomectomy. During this procedure, the surgeon cuts the fibroid away and repairs the uterus. A Myomectomy does not have a 100% success rate and there is a case reported of a patient whose pedunculted fibroid ruptured after she had just given birth. A Myomectomy was performed on her but it failed, therefore she had to undergo an emergency hysterectomy.
It is in truth con natural for male to have to john henry writing before their surgeries agreeing to a hysterectomy if materiality went askew, so on some occasions womanliness awaken up disoriented an uterus.
Surgery is not the only way of treating pedunculated fibroids, this is because natural cures can reduce their size slowly so that they are no longer a problem. For more details on how to do this please visit www.pedunculatedfibroid.com