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Fibroids, Hormonal imbalances such as High Prolactin, among others have a strong link with most Infertility problems. Women who can get pregnant but are unable to stay pregnant may also be referred to as infertile.
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About 70 to 80 percent of women develop fibroids by the time they reach age 50. Fibroids are most common in women in their 40s and early 50s. Not all women with fibroids have symptoms. Women who do have symptoms often find fibroids hard to live with. Some have pain and heavy menstrual bleeding. Fibroids also can put pressure on the bladder, causing frequent urination, or the rectum, causing rectal pressure. Should the fibroids get very large, they can cause the abdomen (stomach area) to enlarge, making a woman look pregnant.
Though there are different types of Fibroids, but let me quickly explain this two common types:
The name given to fibroids determine where is been located, different fibroids develop in different locations in and on the uterus.
Intramural Fibroids: They are the most common type of fibroid. These types appear within the lining of the uterus (endometrium). Intramural fibroids may grow larger and actually stretch your womb.
Subserosal Fibroids: They form on the outside of the uterus, which is called the serosa. They may grow large enough to make the womb appear bigger on one side.
Question: So, Why do some women develop Fibroids?
Answer: It is unclear why fibroids develop, but several factors may influence their formation. Some of these factors are:
Hormones: Estrogen and progesterone are the hormones produced by the ovaries. They cause the uterine lining to regenerate during each menstrual cycle and may stimulate the growth of fibroids.
Age: Fibroids become more common as women age, especially during the 30s and 40s through menopause. After menopause, fibroids usually shrink.
Obesity: Women who are overweight are at higher risk for fibroids. For very heavy women, the risk is two to three times greater than average.
Eating habits: Eating a lot of red meat (e.g., beef) and ham is linked with a higher risk of fibroids. Eating plenty of green vegetables seems to protect women from developing fibroids.
Symptoms of fibroids may include:
⦁ Heavy bleeding between or during periods that includes blood clots
⦁ Pain in the pelvis and/or lower back
⦁ Increased menstrual cramping
⦁ Increased urination
⦁ Pain during intercourse
⦁ Menstruation that lasts longer than usual
⦁ Pressure or fullness in the lower abdomen
⦁ Swelling or enlargement of the abdomen
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Question: What if I become pregnant and have fibroids?
Answer: Apart from generating symptoms, such as heavy vaginal bleeding, severe pelvic and back pain, constipation, and bloating, the most common problems seen in pregnant women with fibroids are:
⦁ Miscarriages: Due to the increase in estrogen levels during pregnancy, fibroids can enlarge and displace the placenta. Large fibroids in the uterine cavity can create a shortage of space and hinder the growth of the baby, which may either lead to miscarriage or cause congenital deformities in the baby.
⦁ Cesarean Birth: Multiple fibroids located in the lower part of the uterus can block the vagina during pregnancy, making it necessary to have a cesarean birth.
⦁ The Baby’s position can adversely be affected: Depending on the location and orientation of the fibroid, the baby can end up in either a transverse or breech position.
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Some health problems also increase the risk of infertility. So, women should talk to their doctors if they have:
⦁ Irregular periods or no menstrual periods
⦁ Very painful periods
⦁ Pelvic inflammatory disease
⦁ More than one miscarriage
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