Guest guest Posted May 21, 2003 Report Share Posted May 21, 2003 Seeing as there has been a discussion about fibroids going on here, I thought you might be interested in this article. It came from Women's Health Magazine and although it's not alternative medicine, it still provides a lot of relevant food for thought. I guess what I like to keep in mind is that the more we look, the more problems we will find, and this is a perfect example of that. ILANA xoxo ------- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. How common are uterine fibroids? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Whenever a woman has any pelvic discomfort or abnormal menstrual bleeding, there is a tendency for physicians to order immediately order pelvic ultrasound imaging studies even though the pelvic exam may be normal. The ultrasound is more sensitive in finding pelvic anatomical abnormalities than a physician's standard bimanual pelvic exam. Often the ultrasound is so sensitive that it picks up minor abnormal findings that are not really causing symptoms. There can be so many "abnormal" but insignificant findings that these findings are often wrongly "blamed for the symptoms. This is often true of cystic areas in the ovaries that are merely normal ovarian follicles but are labelled as "ovarian cysts" by the radiologist. Small fibroids (smooth muscle growths of the uterus) are another common finding on ultrasound that are often incidental and not the cause of pain or bleeding which the doctor is looking for. If fibroids in the uterus were uncommon, then it might be more likely that if they are found they might be causing symptoms. However, fibroids under 2 inches in diameter are very common in the uterus so it makes sense that many ultrasound studies are going to find them and mislead both the woman and the doctor into thinking that they are the cause of symptoms. How common are fibroids as detected by pelvic ultrasound? One recent study using pelvic ultrasound in asymptomatic women in the U.S. aged 35-49 found that over 50% of women who did not have a previous diagnosis of fibroids did have fibroids on ultrasound exam. This study estimated the cumulative incidence of fibroids by age 50 was over 80% in black women and over 70% in white women. Thus the answer is that fibroids are very common. They are slightly more common and occur earlier in black women. The bottom line is to not always blame a fibroid or let yourself be treated with a medical procedure for a fibroid just because an ultrasound report indicates a fibroid is present. Discuss carefully with the doctor as to whether the fibroid is likely playing a role in whatever symptoms you might have. Quote Link to comment Share on other sites More sharing options...
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