Do Uterine Fibroids Turn Cancerous

Frequently Asked Questions

  1. QUESTION:
    I have uterine fibroid that is 6 times normal do I need a hysterectomy?
    what are the side effects? they say the uterine is to high to check for Cancer. but they want to do a hysterectomy.

    • ANSWER:
      You need to ask your gynaecologist this question. Fibroids can be harmless or may be pre-cancerous. Your doctor can tell you what options you have and the pros and cons of each.

      A hysterectomy is a fairly serious operation and the main dangers are - bleeding, infection,damage to surrounding organs (bladder, urerters, bowel) etc. On the whole it is a safe operation with no long standing effects (except infertility), but the above mentioned side effects should be kept in mind. However, if the fibroid has a chance of turning into cancer, the risks of the operation are minimal compared to the benefit of preventing the cancer. It all depends on the nature of the fibroid. The size is not important.

  2. QUESTION:
    I have been diagnosed with a anteverted uterus and intramural fibroid on the right lateral wall of my uterus?
    I have searched the web and nothing really explains to me what either of these diagnosis mean. I have been 'feeling' this fibroid alot recently and appears to be growing bigger causing a feeling of a large mass on my right hand side. Can anyone explain if this is normal and what intramural and anteverted uterus mean. Also if anyone knows of any natural ways the fibroid could be shrunk, I would be grateful to hear of them. Thanks in advance.

    • ANSWER:
      Let's see if I can help. Anteverted uterus refers to the direction the top of the uterus is pointing. Some are anteverted and some are retroverted. Anteverted is the most common and acceptable position of the uterus. This implies that the top is towards your front, or tummy. So there is nothing wrong with that. It is completeley normal--now on to the fibroid issue.

      Fibroids

      Fibroids, or myomas, are growths or benign tumours that form inside the uterus (womb). Around four in 10 women over the age of 40 will have fibroids. No one knows why fibroids develop, but it is suspected that the sex hormones - oestrogen and progesterone - play significant roles. This is because fibroids rarely grow in prepubescent girls and postmenopausal women. Pre-existing fibroids stop growing, and may even shrink, once a woman passes the menopause. Fibroids often cause no problems, but may occasionally be associated with infertility, miscarriage and premature labour. Other possible problems include heavy, lengthy and painful periods. Treatment depends on the size, number and location of the fibroids, but may include drugs and surgery. Fibroids rarely turn cancerous.
      .
      Different types
      Fibroids are categorised by their location, which includes:
      Intramural - growing in the uterine wall. Intramural fibroids are the most common variety.
      Submucosal - growing in the uterine lining (endometrium). This type tends to cause excessive menstrual bleeding and period pain.
      Subserosal - growing on the exterior wall of the uterus. They sometimes appear like long stalks

      Generally speaking if it doesn't bother you too much, just let it be.

  3. QUESTION:
    What do you know about fibrods?
    What are the consequences? Symptoms? Treatment? Is there any way to get rid of them?

    • ANSWER:
      Fibroids

      Fibroids, or myomas, are growths or benign tumours that form inside the uterus (womb). Around four in 10 women over the age of 40 will have fibroids. No one knows why fibroids develop, but it is suspected that the sex hormones – oestrogen and progesterone – play significant roles. This is because fibroids rarely grow in prepubescent girls and postmenopausal women. Pre-existing fibroids stop growing, and may even shrink, once a woman passes the menopause.

      Symptoms
      Most women with fibroids have no symptoms. When present, symptoms may include:

      Heavy periods
      Lengthy periods
      Period pain
      Spotting between periods
      Painful intercourse
      A sensation of heaviness or pressure in the back, bowel and bladder
      Frequent urination
      A lump or swelling in the lower abdomen.

      Fibroids often cause no problems, but may occasionally be associated with infertility, miscarriage and premature labour. Other possible problems include heavy, lengthy and painful periods. Treatment depends on the size, number and location of the fibroids, but may include drugs, procedures performed under local anaesthetic and surgery. Fibroids rarely turn cancerous.

      Treatment
      Treatment depends on the location, size and number of the fibroids, but may include:
      Monitoring – if the fibroids are causing no symptoms and are not large, a ‘wait and see’ approach is usually adopted.
      Drugs – such as hormones, used in combination to shrink the fibroids prior to surgery.
      Arterial embolisation – under local anaesthetic, a fine tube is passed via an artery in the arm or leg into the main artery supplying the fibroid with blood. The whole process is monitored by x-ray. Fine particles (like sand) are then injected into the artery to block the blood supply to the fibroid. The fibroid slowly dies and symptoms should settle over a few months.
      Hysteroscopy – the fibroids are removed via the cervix, using a hysteroscope.
      Laparoscopy – or ‘keyhole surgery’, where a thin tube is inserted through the abdomen to remove the fibroids.
      Open surgery – larger fibroids need to be removed via an abdominal incision. This procedure weakens the uterine wall and makes Caesarean sections for subsequent pregnancies more likely.
      Hysterectomy – the surgical removal of some, or all, of the uterus. Pregnancy is no longer possible after a hysterectomy.

  4. QUESTION:
    I have horrible period cramps and other problems too, what might be causing it.?
    Every time I get my period I have horrible cramps. It's to the point I want to die. I end up crying from the pain. I have chest pain, back pain, pain in the vaginal area, nausea, Headaches, and it hurts so much. I get dizzy and everything. What could be causing it. I mean, I have taken several pain killers and it barley does anything. Please help.

    • ANSWER:
      You should see a gynecologist immediately.

      Very severe menstrual cramps might have an underlying cause, such as Endometriosis (cells from the uterine lining tare located in other areas of the body); Uterine Fibroids (non-cancerous uterine growths that respond to estrogen levels); Adenomyosis (a benign condition in which the cells of the inner uterine lining invade its muscular wall, the myometrium); Pelvic inflammatory disease (PID); or adhesions (abnormal fibrous attachments between organs). Your doctor can check you out and tell you if one of those conditions is causing your severe cramps. If so, your doctor can recommend an appropriate treatment.

      If it turns out that your severe menstrual cramps are not due to an underlying cause, your doctor might recommend that you start taking birth control. Most forms of hormonal birth control help reduce cramps significantly or get rid of them altogether.

      I hope that helped! Good luck!

  5. QUESTION:
    Uterine Fibroids? Any info helpful.?
    I was just diagnosed with uterine fibroids and am not sure what to expect. Can they turn cancerous? How are they treated? Is there a way to stop them from growing? Any info would be helpful. Thanks.

    • ANSWER:
      http://en.wikipedia.org/wiki/Uterine_fibroids

      sorry thats all i got for you.. i dont know anything aobut them myself

  6. QUESTION:
    Can uterine fibroid be cancerous?
    I have 8 fibroids and i am pre-medi-pausel.can they be cancerous?

    • ANSWER:
      they may turn cancerous ,..seek medical attention to keep all things in control.

  7. QUESTION:
    Hormone Replacement Therapy - How long should a non- hysterectomised person be on it?
    I am currently investigating non detection of a serous uterine carcinoma which caused the death of a relative of mine at the age of 64 despite all of the symtoms being present.

    My relative has been on HRT since April 1991 until July 2008. What are the side effects and could this therapy have been a contributory cause to the development of uterine polyps/fibroids turning cancerous.

    An answer from a Pharmacist, Gynaecologist, GP or any person experienced in the field would be greatly appreciated
    Wrong year - until July 2007
    Jackmatt - you did not read my question nor details. How can a dead person discuss with her GP for God;s Sake

    • ANSWER:
      I think if she was on the combined hrt (progesterone and oestrogen) this would actually have given her a degree of protection .This type of cancer is often caused by unopposed oestrogen .This happens when a woman doesn't ovulate for long periods of time in conditions like PCOS for eg before the menopause.

      It is usually detected by a hysteroscopy and endometrial biopsy which should have been carried out if all symptoms are present.

      Unfortunately the type of cancer you mention is the most aggressive type of uterine cancer and survival rates are very low even when detected early.

      I found this out whilst trying to find info on uterine polyps which I have. If a women has had these in the past she is at risk of getting uterine cancer.

      Hope this helps and sorry to hear of your loss.

  8. QUESTION:
    I heard that if you have bad menstrual cramps you may have cervical cancer?

    • ANSWER:
      Physical problems that can cause bad cramping include:

      -A condition in which cells that look and act like the cells of the lining of the uterus (endometrium) are found in other parts of the abdominal cavity (endometriosis) or grow into the muscular tissue of the uterine wall (adenomyosis). Pain usually occurs 1 to 2 days before menstrual bleeding begins and continues through the period.
      -Growths that are not cancerous (benign growths) in the pelvis, such as ovarian cysts, cervical or uterine polyps, or fibroids.
      -Pelvic infections. Your risk for developing an infection is higher after menstrual bleeding has begun because the opening to the uterus (cervical canal) widens during menstruation. However, pelvic infections, especially those caused by sexually transmitted diseases, can occur at any time.
      -Using an intrauterine device (IUD). An IUD may cause increased cramping during your period for the first few months of use. If menstrual cramping persists or gets worse, you may need to consider having the IUD removed and choosing another birth control method.
      -Problems with pregnancy.
      -Structural problems that were present at birth (congenital), such as narrowing of the lower part of the uterus that opens into the vagina (cervix).

      Women with precancerous lesions in their cervix usually have no symptoms. A woman usually does not have any symptoms until the cells turn into cancer and invade the deepest parts of the cervix or other pelvic organs. That is why it is important that you have a regular Pap test. This test checks for cells that are cancer or precancer.

      In the early stages of cervical cancer, you may have few symptoms. They may not be alarming to you, but it is a good idea to have them checked by a doctor. These are some of the early symptoms.

      -Vaginal discharge. Cervical cancer can cause more vaginal discharge than usual. This discharge is often bloody or foul smelling.
      -Abnormal vaginal bleeding. If you have cervical cancer, you may have bleeding between your periods or after sexual intercourse. Blood flow during your period may be heavier and last longer than usual.
      -Odor. You may notice a strange or unpleasant odor from vaginal discharge.
      -Pain. You may have pain during sex or pain in the pelvic area unrelated to sex or other activities.

      If you have a more advanced cancer that has spread, you may have these symptoms. These signs usually mean that the cancer has spread to the tissue around the cervix.

      -Pain in the pelvic area
      -Heavy bleeding from the vagina
      -A single swollen leg

  9. QUESTION:
    Why are my periods always heavy n clumpy n last for 14 days?!?
    Im 22 yrs old n have had clumpy heavy long periods since after i turned 20.. N before then it would last for 10 days n would be kinda clumpy. But now its always heavy n clumpy n long:-( I dont know what to do for it. My cramps are really bad n hurt me till i cry. Is it normal?

    • ANSWER:
      Heavy Menstruation Bleeding
      During menstruation, the egg is released from the ovary. If this egg is fertilized by the sperm, it goes to the uterus through the fallopian tube and gets attached to the lining of the uterus. Hence to support the fertilized egg, the lining of the uterus thickens. If the egg is not fertilized, the lining of the uterus starts shedding which can be seen as blood. The normal menstruation cycle is of 28 days but it may vary in some women. Some women may have a cycle of 21 days and some may have a 35 days cycle. The period normally lasts for 2 to 7 days and the amount of blood lost is around 4 to 12 teaspoons. But some women experience heavy bleeding during periods which can be serious. Due to the heavy bleeding the body is not able to excrete the entire amount of blood which results in blood clots.

      Causes of Heavy Menstrual Bleeding Clots
      There are many reasons behind prolonged menstrual bleeding which need to get diagnosed. Following are some of the possible reasons behind it.
      •Uterine fibroids can be a major cause of severe blood flow during periods. These are non-cancerous tumors which form inside the uterus. They do not have any other symptoms but they restrict the flow of the blood which results in clots and heavy bleeding.
      •Very heavy menstrual bleeding may be a sign of a miscarriage. If you are pregnant and are experiencing this condition then consult the doctor immediately. You will observe blood clots or gray clumps of tissue.
      •Hormonal changes can also cause severe bleeding during periods. Progesterone and estrogen are two hormones which regulate the thickening and shedding of the uterus lining. Any problem with these hormones may result in excess bleeding clots.
      •During pregnancy the uterus enlarges and usually comes back to its original size after the childbirth. But in some cases, the uterus size does not decrease completely which results in a large uterus. Hence the blood takes time to collect inside the uterus which results in blood clots during periods.
      •Any type of obstruction in the blood flow may result in blood clots. The flow of the blood slows down at the time of menopause which may further result in collection of blood which clots.
      Symptoms of Menorrhagia
      Menorrhagia symptoms can be easily noticed. Following are some of them.
      •Dark brown to black big blood clots.
      •Heavy blood flow for more than 7 days.
      •Severe menstrual cramps with fatigue.
      •Pale complexion with some anemic symptoms.
      Heavy Menstrual Bleeding Clots Treatment
      If you are facing the above given symptoms, then consult a doctor immediately. You may be prescribed with the following treatments.
      •Doctors prescribe some non-steroidal anti-inflammatory drugs (NSAID) which help in restoring normal bleeding and reduce the amount of blood loss.
      •In case of hormonal imbalance, doctors advice oral progesterone drugs which maintain a balance and reduce excess bleeding.
      •In case of tumors in the uterus, the uterus is removed surgically. In some cases if the woman is not planning to have any kids, the uterus is removed from her body.
      •Dilation and curettage, endometrial resection, endometrial ablation, operative hysteroscopy and hysterectomy are some of the surgical operations which are also conducted to get the problem fixed.
      •Some oral contraceptives are also given in order to maintain a proper menstruation cycle.
      If you observing any such condition then consult the doctor immediately. Take care of yourself and if you are diagnosed with menorrhagia then have a healthy and rich diet to make up for the blood loss.

  10. QUESTION:
    1986 my mother was diagnosed w/fibroid tumors, (outside the uterus) are they cancerous/life threatening now?
    My mother has had a continuous problem with bleeding for the past 7 years and her abdomen is bloated also. Could she have them safely removed now or have they turned into cancer tumors? She's too scared to go to the doctor for fear they will tell her she's about to die (she real old fashioned). Thanx for any advice!!

    • ANSWER:
      I'd bet that your mother's fibroids are inside the uterus, not outside. Yes, sometimes they do grow outside, but those do not cause heavy bleeding.

      Fibroids are almost always benign--but they are a nuisance. Basically, they are growths within the muscle of the uterine wall, and/or under the lining. They cause heavy periods, a protruding abdomen (looks like pregnancy), and backaches, among other symptoms. But the real problem is if your mom's periods are so heavy that she's always anemic...out of breath, cold, and lightheaded.

      The most important thing to keep in mind is that many women over 40 have fibroids, although most don't cause any problems.
      Your mom could do nothing now and wait until menopause, when the reduction in hormones causes the tumors to shrink--but the inconvenience and worry that her current symptoms are causing should be reason enough to see the doctor just for a basic exam and a blood test to measure her iron levels.

      If the fibroids need to come out, then there are many surgical choices she can make, depending on how big her fibroids are. A skilled surgeon with experience can often remove only the tumors, leaving her uterus intact. If the tumors are large, your mother could have a simple hysterectomy and leave her ovaries intact. It's important that she find an OB-GYN surgeon with a track record of preserving organs as much as possible.

      There are also some newer methods that involve blocking the blood vessels that feed the fibroids so that they die off in time, but this is usually for women with only a few fibroids. And if heavy bleeding is the worst symptom, your mother might be a candidate for the procedure where a heated balloon-like device cauterizes the uterine lining to stop the bleeding without invasive surgery. This doesn't make the fibroids stop growing, but it does treat the anemia.

      Tell your mother not to worry, and have a check up to see what's going on. Remember--she is in control of any decision, and a second opinion is always a good idea.

      And do read up on the subject. There are many resources online. This condition is way more common than you think. And again--it is almost NEVER cancer.

  11. QUESTION:
    can a cervical fibroid be cancerous or tumor?

    • ANSWER:
      uterine fibroid or cervical fibroids are benign tumors.
      they very rarely turn malignant and can transform into sarcoma...but its the rarest of all complications which fibriods have.
      cervical fibriods can be managed in different ways ..all depends on your age and condition...your gynecologist can tell you about that.
      hope that helps.

  12. QUESTION:
    Please tell me more about fibroids?
    I had an ultrasound scan today. I was referred for the scan because I've been trying to conceive and nothing has happened in a year and a half of trying.

    It turns out I have 3 fibroids in my womb. The woman who did the scan said that 2 were "fairly big". She also said it was the reason I've always had very heavy, painful periods.

    Does anyone else have fibroids? I'd like to hear other people's experiences, and find out more information (e.g. useful websites etc.).

    • ANSWER:
      Fibroid tumors are usually benign (non-cancerous) tumors found, most often, in the uterus of women in their 30's and 40's, although they occasionally develop on other organs which contain smooth muscle cells.

      Fibroid tumors are solid tumors which are made of fibrous tissue, hence the name 'fibroid' tumor. Most often fibroids occur as multiple tumor masses which are slow-growing and often cause no symptoms.

      The size of fibroids varies immensely among women and some are so small that a microscope is required to see them. However some women experience a single large fibroid tumor the size of a grapefruit or a fibroid which is so large it encompasses the entire abdominal area. Such large tumors can weigh as much as 50 pounds; the largest, reported, fibroid ever recorded weighed in at 140 pounds.

      No one is sure why fibroid tumors develop, but some facts are quite clear-- they do not develop before the body begins producing estrogen during the onset of menstruation-- estrogen, such as in birth control pills and taken for menopausal symptoms, does cause fibroid tumors to grow and fibroid tumors will grow very quickly during pregnancy when the body is producing extra estrogen-- they often shrink and disappear after menopause when the body stops producing estrogen--a woman will almost never develop fibroid tumors after menopause.

      The estrogen connection appears to be quite clear, although there are still some who doubt the role estrogen plays in the development of fibroid tumors because women with fibroids often have blood levels which reveal normal amounts of estrogen.
      Types of Fibroid Tumors

      Submucous Fibroids

      These fibroids occur just below the lining of the uterus and can cause menstrual problems, including pain as they grow and move around the pelvic area.

      Intramural Fibroids

      A round fibroid most often within the uterine wall which can cause enlargement of the uterus as they grow.

      Subserous Fibroids

      This fibroid grows on the outer wall of the uterus and usually causes no symptoms until it grows large enough to interfere with other organs.

      Pedunculated Fibroids

      These fibroids develop when a subserous fibroid grows a peduncle (stalk), as they grow larger they may become twisted and cause severe pain.

      Interligamentous Fibroid

      A fibroid which grows sideways between the ligaments which support the uterus in the abdominal region. This type of fibroid is especially difficult to remove without the possibility of interfering with the blood supply or other organs.

      Parasitic Fibroid

      The rarest form of fibroid tumor occurs when a fibroid attaches itself to another organ.
      Diagnosis of Fibroid Tumors

      Diagnosis of fibroids is generally made by your physician during your annual gynecological exam when your physician feels a mass, they often are found when your physician is looking for something else or may never be discovered if you do not experience symptoms. However larger fibroids may make examination of your ovaries impossible if they grow near your ovaries.

      An ultrasound scan is often ordered when such masses are felt by your physician to determine the cause of the mass, however some fibroids appear on sonograms as ovarian tumors and surgery is the only way an accurate diagnosis can be made.

      Although most fibroids cause no symptoms, the estimated 25 percent of women who do have symptoms may have abnormal bleeding, pain during menstruation, and as the fibroid tumors grow larger, women will often experience a swollen abdomen.

      Larger fibroids may cause frequent urination or an inability to control your bladder, either the ability to control the urge or in severe cases, a women may find that she is unable to urinate at all. If a fibroid extends towards a woman's back it may push on the bowels, causing constipation and a backache. Treatment of Fibroids

      If your fibroid tumors are severe enough that they cause certain symptoms, surgery is often, the required treatment. Symptoms which justify surgery include: extremely heavy bleeding during your menstrual cycle, which causes anemia that does not respond to treatment; pain, which has become intolerable to the woman or discomfort caused by the pressure of the fibroids on another organ; or when the location of the tumors is likely to cause further problems.

      Surgery for fibroid tumors includes, myomectomy and hysterectomy. Myomectomy is the surgical removal of each individual tumor without damage to the uterus, preserving a woman's ability to conceive. However, fibroids will often grow back and although it is possible to have a myomectomy repeated, multiple myomectomies can cause other problems such as the walls of the uterus sticking together due to scarring.

      Women should also consider uterine artery embalization. Uterine artery embalization leaves the uterus intact in a non-surgical procedure.
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      Polyvinyl particles are placed into the uterine artery at a point just before the nexis of vessels spread out into the uterine tissue. The particles flow into the vessels and clog them. This prevents the fibroids from receiving the constant blood supply they require and causes the fibroids shrink overtime. However, almost immediately the symptoms of heavy bleeding and pelvic pain are significantly reduced.

      The sad fact is that because fibroids do grow back, most women will eventually have to face a hysterectomy. Removing the uterus is the only permanent way to effectively relieve most women of fibroids.

      Hysterectomy is, most often, the procedure of choice for fibroid tumors when a women with severe symptoms, has completed her family and her uterus has grown to the size of a uterus at twelve weeks of pregnancy; a women has excessively large fibroid tumors; severe abnormal bleeding occurs; or when the fibroids are causing problems with other organs such as the bladder and bowels.

      Science is starting to evaluate other options for treating fibroids, including the use of Lupron which may be beneficial for those who want to become pregnant or for women approaching menopause when fibroids often shrink naturally. Lupron shrinks fibroids in most women with continued use, but one drawback is that the fibroids will quickly grow back once treatment is stopped.

      If you have fibroid tumors, investigate your options before deciding what treatment you want to try. There are many alternatives to hysterectomy currently available, and science is creating more options for women everyday.

  13. QUESTION:
    5 years of menopause and period comes back?
    My mom's period stopped when she was 45 and she's had hot flashes and all that jazz every since because of menopause. Today her period came and she's hurting. She doesn't even wanna walk just lay down all day. A couple of days ago she has weird rashes/bruise looking things in her chest and her nipples hurt. What's going on? is this normal?!?!?!
    she just told me this happened two year ago. and since it came her boobs and nipples don't hurt

    • ANSWER:
      What Causes Postmenopausal Bleeding?

      Most women become menopausal between the age of 45 to 55 years, however, for some women, the onset of menopause may take place at an earlier age due to lifestyle-related issues. Since menopause refers to the cessation of menstruation, women often get alarmed if they experience bleeding after menopause. Given below are some of the factors that may be responsible for causing menstrual bleeding after menopause.

      Hormone Replacement Therapy: During the transitional period that precedes menopause and postmenopause, hormonal changes bring about a lot of distressing symptoms such as vaginal dryness, hot flashes, headaches, irregular heartbeat, excessive sweating, weight gain, reduced sex drive, fatigue and sleep disturbances. If the symptoms are unmanageable, hormone replacement therapy is recommended. Women opting for this treatment usually take synthetic hormones orally or transdermally. Hormone replacement therapy may alleviate some of the symptoms to some extent, but it may cause certain side effects, one of them being postmenopausal bleeding.

      Uterine Growth: Development of a benign growth in the uterus could also be responsible for causing postmenopausal bleeding. Development of fibroids or polyps on the walls of the uterus could be the reason why a woman may have a menstrual period even after approaching menopause. Polyps or the benign tumor-like growths that appear in the cervix or on the uterine walls may lend a distorted appearance to the uterus and cause bleeding. Fibroids, which are benign tumors filled with fibrous tissues, can also cause heavy bleeding. These growths must be removed as soon as possible.

      Cancerous Uterine Growth: Since menopausal bleeding could also be associated with malignant growth in the uterus or ovaries, gynecologists often conduct a pelvic examination and examine the cervix and the vagina. Pap smear, ultrasound and endometrial biopsy may also be conducted to examine the reproductive organs and ascertain the presence of a cancerous growth. These tests can help the doctors measure the thickness of uterine lining, which in turn, may help in the diagnosis of the initial stage of uterine cancer or endometrial hyperplasia. If left untreated, hyperplasia may progress into uterine cancer. Due to the serious nature of the disease, timely diagnosis and treatment is extremely essential for averting serious complications.

      Vaginal Atrophy: Vaginal atrophy is a condition that is associated with the thinning of vagina. This is caused due to the decrease in the production of estrogen by the ovaries. Due to the drying and thinning of the vaginal lining, the vagina becomes fragile and quite prone to injuries, which is why, postmenopausal women may experience spotting or bleeding after intercourse. This condition also makes women prone to vaginal infections. Use of vaginal creams, vaginal estrogen ring or tablets can help in treating this condition.

      Besides the following conditions, nutritional deficiencies may also bring about a hormonal imbalance and cause menstrual bleeding after menopause. Women who suffer drastic weight loss at this time, are also prone to experiencing vaginal bleeding after menopause. Symptoms that are experienced during this time usually stress women out, so, they need to stay relaxed and calm their frayed nerves. Since bleeding after menopause may be indicative of a serious disease, a proper medical checkup becomes extremely essential. Drug therapy, natural remedies and lifestyle-related changes may help in managing the symptoms. Growths within the uterus or the reproductive organs may need to be removed through surgery.

  14. QUESTION:
    Uterine fibroid tumors?
    For the longest I had issues with my menstrual cycles being extraordinarily painful. Finally, in October of 2011 for my annual female checkup I saw an OB-GYN about the problem and we scheduled the surgery for November. He removed some fibroids and officially diagnosed me with endometriosis. All was good until March. The first week of March I had some mild and annoying cramping and finally after a week of it I got my period on the 10th which lasted to the 18th. So, everything is fine after my period with the exception of the spotting and a week or so later I start to cramp again. On the 30th I started heavy bleeding which lasted a full day and half of the next. The cramping continued mildly off and on into this month, April. Well the cramping has been awful for the last week and a half (since the 9th) and finally Monday was when it was just beyond words terrible. It started out just a strong sharp pain at first and tapered off in mid-afternoon and came back later on in the late part of the afternoon. Towards about 9pm is when it got just awful and right around 10 was when I couldn't take it anymore and had to leave work. On the way home it was tremendous pain. I was curled up screeching in pain -- not the kind of cry like "owe, that hurts" it sounded like I was being hacked to death I was crying so hard I started to squeak. After about two hours of bearing it I finally went to the hospital where they found by vaginal ultrasound the fibroids were back. Tonight I noticed some light pink spotting again which I've been dealing with for a good two months (since before my first period in March).

    The pain was never like this before, my periods were never irregular or longer than 4-5 days, and I never dealt with spotting. Is it normal for it to come back worse?

    And can these fibroids ever turn out to be cancerous? I'll be following up with an OB in 7 days but I'd like to see if I can hear something from others here too.

    Thanks!

    • ANSWER:

  15. QUESTION:
    Will polyps cause cancer if inside my uterus?

    • ANSWER:
      Endometrial Polyps

      As our ability to look inside the uterus improves, many women are told they have a common abnormality of the uterine lining, called endometrial polyps. An understanding of these common growths that develop inside the uterine cavity will help patients decide which course of treatment best suits them.

      The uterus is mostly composed of muscle. However, the inside lining of the uterus is made of “fluffy” endometrial tissue that grows and shrinks during the menstrual cycle. If a woman does not become pregnant, this lining sheds, causing a menstrual period. After a period, the lining grows rapidly under the influence of hormones like estrogen. Polyps are areas that grow a little too much. As they grow, they usually fan out but remain attached to a small stalk, kind of similar to a bush or a tree. The stalk is like the trunk of
      a tree, while the larger part of the polyp is like the branches (see photo below). They are usually about the size of a pencil eraser, although they can be even smaller. Rarely, polyps can grow to the size of an orange!

      Since most polyps are small, they probably do not often cause symptoms. However, when symptoms do occur, they usually include excessive bleeding during a menstrual period, or bleeding in between periods, or even spotting after intercourse. Some women report a few days of brown blood after a normal menstrual period. Polyps cause these symptoms because they dangle from their stalks and irritate the surrounding tissue, which causes the tissue to rub off, exposing tiny blood vessels. These blood vessels bleed, leading to spotting or vaginal bleeding. If the polyp interferes with the egg and sperm, it may make it hard to get pregnant. Nobody knows how common this is. It is also possible that they may lead to a slightly higher chance of miscarriage, but this is also unknown. Most gynecologists will remove polyps, as discussed below, if they are found in women with a history of miscarriage.

      If a woman goes to her doctor complaining of spotting between periods or after intercourse, or very heavy bleeding during a menstrual period, her doctor will usually think of polyps as one of the many possible causes. Diagnosing endometrial polyps involves looking inside the uterine cavity. A regular ultrasound (also called a sonogram) usually does not diagnose polyps, because the pressure inside the uterus flattens the polyps, making them very hard to see. A special ultrasound, called a sonohysterogram
      (water ultrasound), allows doctors to see inside the uterus after a few drops of sterile water is carefully infused into the uterus through the vagina. The water opens the uterine cavity, allowing the doctor to see if any polyps are hanging around. Another diagnostic test is a hysterosalpingogram (HSG), which uses dye under pressure to open the uterus and tubes. A quick x-ray is then taken to see if any polyps are in the uterus. Finally, gynecologists are becoming more skilled at using the hysteroscope to look inside the uterus. This is a small, lighted tube that goes into the vagina then the uterus, to look around inside the uterus. Hysteroscopy using small tubes can be performed in the office, but larger tubes (used to remove large polyps or fibroids) usually require anesthesia in the hospital.

      If a polyp is diagnosed one of the first questions is “could this be cancer?” Fortunately, polyps only rarely turn cancerous. The risk does increase, but only slightly, as a patient passes age 50. The next question is often “how do you remove the polyp?” The old-fashioned way was to perform a D & C (dilatation and curettage). This involves a gentle scraping of the uterine lining. Unfortunately, this may miss the polyp completely, since this procedure is done solely by feel. Imagine a polyp dangling by a little stalk. As the scraping instrument goes by, it will likely just push the polyp out of the way without grabbing it. Thankfully, we now have hysteroscopes, which allow us to look right at the polyp as we grasp it or cut it away from the uterine lining. This ensures that the polyp (or, in some cases, multiple polyps) is removed.

      After removal of a polyp, the patient can return to work in a few days. She may notice a little spotting for a few days. Only a small percent of polyps seem to come back, but it is possible that months or years after treatment a polyp might recur. If you are diagnosed with endometrial polyps, please discuss treatment options with your doctor, who is in the best position to help you decide whether or not removal (called polypectomy) is necessary.

      David Ashley Hill, M.D.
      Associate Director
      Department of Obstetrics and Gynecology
      Florida Hospital Family Practice Residency
      Orlando, Florida

  16. QUESTION:
    Please help me get through this ='(?
    just a couple of hours ago...i thought that being 17 dpo and 3 days late that my chances of being pregnant we great...DH and i have been ttc for almost 2 years now...instead i have just learned that i have uterine fibroids(cancerous)...dr told us that 99 percent i wont be able to carry a child....i'm an emotional train wreck...i'm not trying to get sympathy from anyone on here...i am just tired of all the family trying to tell me that it will be ok...don't have any friends that i can turn to...and some of you on here during what i thought was my tww have helped and encouraged me get through these couple weeks...i'm really new to yahoo answers but i feel like some people on here really made me feel like there is a light at the end of the tunnel...has any one ever had uterine fibroids and got pregnant??? please no rude comments I'm already crying trying to type this, so go somewhere else if you want to be mean.

    • ANSWER:
      are you sure the fibroids are cancerous? uterine fibroids are almost always benign. i think only 1 in 1000 of all fibroids are cancerous and i think it mainly happens with older women (like 50's). if you were told that they are cancerous (perhaps b/c of rapid growth or something), get a second opinion, to be on the safe side.

      as for the carrying a child, you don't know that yet. the first step is to have a good ultrasound (from an ultrasound technician, i didn't know they exist until i left texas), then an mri, and then surgery. i have been told for YEARS that i will never have children b/c of the size and number of fibroids, i had a laproscopic myomectomy and the fibroids only penetrated about 1 cm into my uterine wall so i can go through natural child birth. i had surgery 3 weeks ago so i don't know about pregnancy yet :) also, there's nothing wrong with adoption. i've come to terms with the fact that i might never have a child of my own and there are many children out there who need the love and support of a person willing to give it...remember that! if your fibroids are not cancerous, there are a lot of women all over the world who have children either having the fibroids or having some surgery to remove them. having fibroids DOES NOT mean you will never have children.

      but please, if you were told it is cancer, get a second opinion!

  17. QUESTION:
    Very heavy vaginal bleeding for almost 2 weeks!?
    Ok, so I'm 21 years old and have always had weird periods. So, an early or late period is normal for me. Almost 2 weeks ago I went to the bathroom and noticed a brownish sticky film like substance come from my vagina that later that night turned into extremely heavy/clotty bleeding. Almost like a heavy period, although i wasn't supposed to have my period for 11 more days. Now, a week and 5 days later I am still bleeding, just not as heavy. What has caused this? I don't think I'm pregnant, but does this sound like a miscarriage?! How do I make it stop, and should I see a doctor...or should I just let it run it's course? I'm really starting to worry. I am sexually active and not on birth control, anymore. (Not a good idea, I know.) jut have not gone back to the doctor to get more. Anyone had anything similar happen? :( I'm stressing!

    • ANSWER:
      Heavy Bleeding- Why it Happens

      •Hormones: Generally, a woman nearing menopause or a young girl may experience heavy bleeding at least once within the first year of getting her period. This is a normal situation resulting from hormonal changes, but should be monitored closely because if either loses too much blood, it may lead to other complications.

      •Uterine Fibroids: Some women may develop uterine fibroids as a result of the excessive or quick production of estrogen in the body. It is important to note that a fibroid tumor is benign and non cancerous. However, it can lead to bleeding more than usual which causes much discomfort. Since it is caused due to estrogen, the tumor develops quickly during menstruation and pregnancy when estrogen is produced more.

      •Pelvic Inflammatory Disease (PID): PID is caused due to an infection in the uterine lining, the ovaries or the fallopian tubes. The causes of PID can be unprotected sex, surgical procedures like abortion or cesarean delivery, etc. This is a very serious problem and many sexually active teens are falling prey to PID without realizing its dangers.

      •Polyps: Uterine polyps are small in growths on the lining of the uterus. Polyps are generally caused by hormonal changes in a woman's body. Women in their late 20s to mid 40s have a greater tendency of experiencing polyps in the uterus, which is also a cause of heavy blood flow during one's period.

      •Medications: Some women may experience heavy flow while on birth control pills or medication for some other ailment. Other medications for inflammations may also cause heavy and continuous flow for quite some time. Hence, women must take care of what medications they're taking and take them only if prescribed.

      Buzzle

  18. QUESTION:
    Will Medi-Cal (Medi-Caid in California) covers the Hysterectomy due to server uterine Leiomyoma?
    I just got my pelvic Ultrasound result and turned out that I have Uterine Leiomyoma (Fibroid Tumors in the Uterus). Hence, I was referred to a ob-gy. The moment, the doctor found out that I only have Medical covering, he was very rude and impatient to me. He asked me what I want (Yeah, that was what he said)
    I told him that I need to have a hysterectomy. He told me that Medical wont cover it and didn’t want to continue the conciliation. So I left.

    I wonder if I got the information is correct. I really don’t want to get another insult from doctor again. Is there any hope that Medical will cover my hysterectomy? Do I need a second opinion from another OB-GY? Please enlighten me on this one! Thank you!

    • ANSWER:
      Lots of women have fibroids in their uteruses. It is usually not practically serious, unless they get a hysterectomy (which can be much worse).

      If the tumors are not cancerous, then you do not need a hysterectomy. If they are cancerous, then you might or might not need a hysterectomy.

      Medi-caid will not cover it merely because you said that it was needed.

      Hypothetically, medi-caid might cover it, if a doctor says that it is needed, but not if you are the only person who says it is needed.

  19. QUESTION:
    Can a 2.8 cm size myoma kill?
    My mother has one 2.8 cm Myoma and im worried and curious about it.. she is 39 and turning 40 in august. and shes also overweight. could it kill? is it cancer?

    • ANSWER:
      No. A myoma is another word for uterine fibroid, a very common non-cancerous tumor that affects around 40% of women your mothers' age. I was diagnosed with one when I was just 20, and it was 11 cm. They are usually not a problem at all, most women just live normally with them.

  20. QUESTION:
    I have fibroids?
    I have fibroids. My ob/gyn says they are not a health risk, as they're small. What causes them, why do they grow, and are there ways to eliminate them without surgery?

    • ANSWER:
      What are fibroids?

      Uterine fibroids are tumors or growths, made up of muscle cells and other tissues that grow within the wall of the uterus (or womb). Although fibroids are sometimes called tumors, they are almost always benign (not cancerous). The medical term for fibroids is uterine leiomyomata (you-ter-in lie-oh-my-oh-mah-tah). Fibroids can grow as a single growth or in clusters (or groups). Their size can vary from small, like an apple seed (or less than one inch), to even larger than a grapefruit, or eight inches across or more.
      Why should women know about fibroids?

      Uterine fibroids are the most common, benign tumors in women of childbearing age, but no one knows exactly what causes them. They can be frustrating to live with when they cause symptoms. Not all women with fibroids have symptoms, but some have pain and heavy menstrual bleeding. Fibroids also can put pressure on the bladder, causing frequent urination.
      Who gets fibroids?

      More research is being done to figure out who is at risk for fibroids. But it is known that:

      * Most of the time, fibroids grow in women of childbearing age.
      * African American women are more likely to get them than women of other racial groups.
      * African American women tend to get fibroids at a younger age than do other women.
      * Women who are overweight or obese also are at a slightly higher risk for fibroids than women who are not overweight.
      * Women who have given birth appear to be at a lower risk for fibroids.

      Where can fibroids grow?

      Doctors put fibroids into three groups based on where they grow, such as just underneath the lining of the uterus, in between the muscles of the uterus, or on the outside of the uterus. Most fibroids grow within the wall of the uterus. Some fibroids grow on stalks (called peduncles) that grow out from the surface of the uterus, or into the cavity of the uterus.
      What are the symptoms of fibroids?

      Most fibroids do not cause any symptoms, but some women with fibroids can have: heavy bleeding or painful periods, bleeding between periods, feeling of fullness in the pelvic area (lower abdomen), urinating often, pain during sex, lower back pain, reproductive problems, such as infertility, having more than one miscarriage, or having early onset of labor during pregnancy

      What causes fibroids?

      No one knows for sure what causes fibroids. Researchers have some theories, but most likely, fibroids are the result of many factors interacting with each other. These factors could be hormonal (affected by estrogen levels), genetic (running in families), environmental, or a combination of all three. Because no one knows for sure what causes fibroids, we also don't know what causes them to grow or shrink. For the most part, fibroids stop growing or shrink after menopause. But, this is not true for all women with fibroids.
      Can fibroids turn into cancer?

      Fibroids are almost always benign, or not cancerous, and they rarely turn into cancer (less than 0.1 percent of cases). Having fibroids does not increase a woman's chances of getting cancer of the uterus.
      How do I know for sure that I have fibroids?

      Your doctor may find that you have fibroids when you see her or him for a regular pelvic exam to check your uterus, ovaries, and vagina. Often, a doctor will describe how small or how large the fibroids are by comparing their size to the size your uterus would be if you were pregnant. For example, you may be told that your fibroids have made your uterus the size it would be if you were 8 weeks pregnant.

      Your doctor can do imaging tests, or tests that create a "picture" of the inside of your body without surgery, in order to confirm that you have fibroids. These tests might include:

      * ultrasound - uses sounds waves to produce the picture.
      * magnetic resonance imaging or MRI - uses magnets and radio waves to produce the picture.
      * x-rays - use a form of radiation to see into the body and produce the picture.
      * cat scan or CT - makes many pictures of the body from different angles to provide a more complete image.

      Besides imaging tests, you also might need a surgery to know for sure if you have fibroids. These could include:

      * laparoscopy - surgery with general anesthesia in which your doctor makes a small cut in the abdomen and places a small tube with a light inside to see any fibroids.
      * hysteroscopy - surgery in which your doctor inserts a long tube with a camera into the vagina and directly into the uterus to see any fibroids. It also shows any growths or problems inside the uterus.

      What is the treatment for fibroids?

      Talk with your doctor about the best way to treat your fibroids. She or he will consider a number of things before helping you choose a treatment. Some of these things include:

      * whether or not you are having symptoms from the fibroids
      * if you might want to become pregnant
      * the size of the fibroids
      * the location of the fibroids
      * your age

      If you have fibroids, but do not have any symptoms, you may not need any treatment. But your doctor will check during your regular exams to see if they have grown.

      Medications
      If you have fibroids and have mild symptoms, your doctor might only suggest pain medication. Over-the-counter anti-inflammatory drugs, such as ibuprofen, or other painkillers such as acetaminophen can be used for mild pain. If pain becomes worse, your doctor can prescribe a stronger painkiller.

      Other drugs used to treat fibroids are called gonadotropin releasing hormone agonists (GnRHa). These drugs can decrease the size of the fibroids. Sometimes they are used before surgery, to shrink the fibroids, making them easier to remove. Side effects can include hot flushes, depression, not being able to sleep, decreased sex drive, and joint pain. Anti-hormonal agents, such as a drug called mifepristone, also can stop or slow the growth of fibroids. These drugs only offer temporary relief from the symptoms of fibroids; once you stop the therapy, the fibroids often grow back.

      Surgery
      If you have fibroids with moderate or severe symptoms, surgery may be the best way to treat them. Here are the options:

      * Myomectomy - a surgery to remove fibroids without taking out the healthy tissue of the uterus. There are many ways a surgeon can perform this procedure. It can be major surgery (with an abdominal incision) or minor surgery. The type, size, and location of the fibroids will determine what type of procedure will be done. Talk with your doctor about the different types of this surgery.
      * Hysterectomy - a surgery to remove the uterus. This surgery is the only sure way to cure uterine fibroids. This surgery is used when a woman's fibroids are large, or if she has heavy bleeding, and is either near or past menopause and does not want children. There are various types of hysterectomy that differ in how invasive they are. Sometimes, if the fibroids are large, a woman might need a hysterectomy that involves cutting into the abdomen to remove the uterus. If the fibroids are smaller, the surgeon might be able to reach the uterus through the vagina, instead of making a cut in the abdomen.
      * Endometrial ablation – the endometrial lining of the uterus is destroyed. This surgery controls very heavy bleeding, but afterwards a woman cannot have children.
      * Myolysis – a procedure in which an electrical needle is inserted into the uterus through a small incision in the abdomen to destroy the blood vessels feeding the fibroids.

      Uterine Fibroid Embolization (UFE)
      Uterine fibroid embolization (UFE) is a treatment that cuts off the blood supply to the uterus and the fibroids so they shrink. UFE is proving to be an alternative to hysterectomy and myomectomy. The recovery time is also shorter, and there is a much lower risk of needing a blood transfusion than for these surgeries. Many women can have UFE and go home the same day. There is a small risk of infection in the treated fibroid, but these are usually managed with antibiotics. Recent studies also suggest that most fibroid tumors are not likely to re-grow after UFE, although more long-term data is needed.

      Not all fibroids can be treated with UFE. All patients must first be evaluated with ultrasound or MRI to make sure the fibroids will respond well to this treatment. Doctors called interventional radiologists perform UFE. The best candidates for UFE are women who:

      * have fibroid tumors that are causing heavy bleeding
      * have fibroid tumors that are causing pain or pressing on the bladder or rectum
      * don’t want to have a hysterectomy
      * don’t want to have more children

      Sometimes after UFE, the particles that are put into the fibroids to cut off their blood supply have traveled to the ovaries. In a few women, the ovaries then stop working for a short time or permanently. Although researchers know that UFE may affect how ovaries function, they are unsure of how exactly UFE affects fertility. If you want to have children in the future, you should talk with your doctors about the small, but definite risk of UFE causing you to go into early menopause. Too few women have gotten pregnant after UFE for researchers to know if there is an increased risk of pregnancy complications.

      ExAblate® 2000 System
      ExAblate® 2000 is a medical device that uses magnetic resonance image guided focused ultrasound to target and destroy uterine fibroids. The device is intended to treat women who have completed child bearing or do not intend to become pregnant. ExAblate® 2000 is non-invasive surgery. It spares the uterus and is an alternative to myomectomy, hysterectomy, watchful waiting, hormone therapy, or uterine fibroid embolization.

      ExAblate combines two systems – a magnetic resonance imaging (MRI) machine to visualize patient anatomy, map the volume of fibroid tissue to be treated, and monitor the temperature of the uterine tissue after heating, and a focused ultrasound beam that heats and destroys the fibroid tissue using high frequency, high-energy sound waves.

      The treatment requires repeated targeting and heating of fibroid tissue while the patient lies inside the MRI machine. The procedure can last as long as three hours.

      The new device can be used to treat some – but not all – fibroids. Fibroids close to sensitive organs such as the bowel or bladder and those outside the image area cannot be treated.

      InSightec, the manufacturer, is conducting more research to assess the long-term safety and effectiveness of the treatment.

  21. QUESTION:
    what is this been having spotting....?
    Ive been having spotting for a month and a half and cramping in my lower stomach like where my cervix is, its only lil spotting and comes usually when im stressed and ive been stressed. im late for my period by a week. i took prego test sat but it was neg so what could it be??
    its not straight spotting it comes and goes. the cervix pain is mainly on right side but some times goes to left side sometimes the craps feel like cutting glass or somthing

    • ANSWER:
      It could be fibroids (uterine) or ovarian cysts -- ovarian cysts don't usually cause spotting (I've had one for ages and they say it's no big deal unless it grows in size) -- but uterine fibroids could turn cancerous if left alone too long. Not trying to scare you and it may be nothing, but it's best to make an appointment with a doc to be sure (if you can't afford a doc, try a women's health clinic -- not assuming anything, just covering all bases!) Good luck and stay healthy.

  22. QUESTION:
    Bleeding wayy more than usual... Hurting worse too.. On my period.?
    Okay, so I guess I should start from the very beginning. One night I thought my appendix had ruptured so my mom took me to the ER. It turned out I just had an ovarian cyst. So my mom took me to the OBGYN they put me on birth control for 3 months. After that, I had to get another X-ray on my cyst. The big one was gone but there was a bunch of little ones. They put me back on birth control. This is my first period on the birth control since I started again... I'm bleeding WAYYY more than usual. (And I usually bleed ALOT). And I'm hurting WAYYY worse too. Like on a scale of 1-10. It's a 9.789. Please help; what should I do?!

    • ANSWER:
      Heavy Bleeding- Why it Happens

      •Hormones: Generally, a woman nearing menopause or a young girl may experience heavy bleeding at least once within the first year of getting her period. This is a normal situation resulting from hormonal changes, but should be monitored closely because if either loses too much blood, it may lead to other complications.

      •Uterine Fibroids: Some women may develop uterine fibroids as a result of the excessive or quick production of estrogen in the body. It is important to note that a fibroid tumor is benign and non cancerous. However, it can lead to bleeding more than usual which causes much discomfort. Since it is caused due to estrogen, the tumor develops quickly during menstruation and pregnancy when estrogen is produced more.

      •Pelvic Inflammatory Disease (PID): PID is caused due to an infection in the uterine lining, the ovaries or the fallopian tubes. The causes of PID can be unprotected sex, surgical procedures like abortion or cesarean delivery, etc. This is a very serious problem and many sexually active teens are falling prey to PID without realizing its dangers.

      •Polyps: Uterine polyps are small in growths on the lining of the uterus. Polyps are generally caused by hormonal changes in a woman's body. Women in their late 20s to mid 40s have a greater tendency of experiencing polyps in the uterus, which is also a cause of heavy blood flow during one's period.

      •Medications: Some women may experience heavy flow while on birth control pills or medication for some other ailment. Other medications for inflammations may also cause heavy and continuous flow for quite some time. Hence, women must take care of what medications they're taking and take them only if prescribed.

      Buzzle

  23. QUESTION:
    is this normal for a woman?
    i usually have a period for 5 days, ALWAYS 5 days

    its heavy in the beginning and then turns brown and then done

    this time it started weirdish like orange for like an hr then was normal
    and now its done and its only been two full days

    im worried
    im a virgin and not pregnant

    am i over reacting?
    im 19 and about 4-5 yrs

    it was only orange once when i went to the bathroom

    it felt normal(the pain wwas a little less then normal)

    • ANSWER:
      It is not abnormal for the color and density of menstrual blood to change during the course of a menstrual cycle. However, there are times when changes in the color and thickness of the blood or the presence of clotting may indicate a problem.

      During a normal menstrual cycle, the uterine lining thickens in preparation for a fertilized egg to embed and grow. When this doesn't happen, the body expels the lining of the uterus along with blood during the menstrual period. The amount of lost blood is between four and 12 teaspoons each cycle. The average cycle lasts about 28 days. However, many women cycle at 21 days and some as late as 35 days. Three to five days is the average length of each period; however, again it can vary between two and seven days.

      Clotting Isn't Unusual, Generally

      Clots occur during the menstrual cycle from time to time. They may be bright red or dark in color and are shed on the heaviest days of bleeding. If there are a few clots in the menstrual flow, it may appear to be thicker than usual. The body releases anticoagulants (a hormone to stop clotting) in order to permit blood flow during menses. If the blood flow is heavy and fast, then the anticoagulants do not have enough time to work properly. Clots are then able to form and are expelled in the blood. If there is excessive clotting, or the clots are larger than a quarter, a health care professional should be seen to rule out any serious problems.

      It is normal for the color of the blood to change toward the end of the period. The blood turns dark when it is not expelled from the body as quickly as it was at the beginning of the period. Heavy flows are usually not problematic. Nevertheless, if the period is consistently very heavy and there is significant blood loss, consult a physician. Some women take heavy periods to be normal and end up anemic due to excessive blood loss. In many cases, this is a condition called menorrhagia and requires medical attention.

      Color And Density Changes In The Blood

      Changes in the color and density of menstrual blood are often quite normal. In spite of this, there are some serious conditions that can cause color and thickness changes. It is important to talk with a health care provider if there is any concern about menses to rule out potential or existing problems.

      The common causes of clotting and change in color and thickness of menstrual blood include miscarriage, fibroid tumors and hormonal changes. If a woman is pregnant and begins to pass clots and blood, immediate medical care should be given. Fibroids, non-cancerous tumors that form in the womb, often have no symptoms. However, women with fibroids often pass more clots in their periods. An upset in the hormonal system due to menopause, drastic weight change or medication, can also affect the flow of blood during menses.

      If a woman is concerned at all about her monthly cycle, a visit to the doctor is in order to rule out serious implications and to put her mind at ease.

  24. QUESTION:
    Dermoid cyst and ovary removal.... :( ?
    Howdy! Not sure how much help this would be but I am very nervous about it. I was hoping someone had the same experience and might be able to offer some suggestions. I was TTC four years ago with my ex-husband (at 19, maybe not the smartest move) but I was told I had endometriosis and PCOS. I went to my doctor two weeks ago for pelvic pain and had my "talk" today. She said that she and the ultrasound tech *think* that I have a dermoid cyst on my left ovary and that the only way to remove it is surgery. Well, because she isn't sure that she can completely separate it she wants to take out my left ovary. She is sending me for a CAT scan and did a CA-125 blood test today. She wants to see if my bowel is attaching someone and if she needs a general surgeon in there as well. She also said that since I have had previous surgery that she would probably want to do it open instead of laparoscopically to make sure nothing breaks and floats around in there. Being 23 and wanting to wait before jumping into being a mother so I can go to school, I am terrified. I was wondering if there was anyone who had gotten pregnant with only one with IUI or IVF, if anyone had had this surgery before, and even though it isn't likely what are the chances that it will come back cancerous since they aren't even really sure. Thanks everyone!!!!!

    • ANSWER:
      Hey you, I had a dermoid cyst removed about 8 weeks ago.
      During my annual ultrasound (I have PCOS) the tech found a large solid mass on my left ovary.
      At first my gyn made me panic because she said there was a solid mass on my ovary and that she was concerned and referred me to an oncologist. Which just that part alone freaked me out! So I went to him and he too said he felt a hard solid mass in my pelvic area and had me go in for an MRI with and without contrast. The results came back as a uterine dermoid and or fibroid. The size was 9cm (4 inches) and was told I needed to have it removed to be sure. As i'm 31 and looking to get pregnant as soon as I can (we hadn't been trying or anything) the doctor scheduled surgery within 3 weeks! Wasn't sure why the rush but glad to have it out.
      On my pre-op appointment the oncologist who is specialized in laparoscopic surgery said he's rather perform laperoscopically than open surgery since recover time is much longer and risk of ending up with scar tissue was greater with open and him performing these types of surgeries so often + as an oncologist I felt pretty safe. He did tell me however that there is a chance he may have to open and or remove an ovary (incase the mass had caused damage).
      Well, I had my surgery laparoscopically but did end up losing my left ovary since what turned out to be a dermoid was sitting on the outer part of my ovary and had pretty much squashed my ovary so it was removed. I was released a couple hours after my surgery and was back to work 2 weeks later.

      So, at first they always think worst case scenario and prepare you for the worse.
      I am glad I had mine removed. My doctor knows I plan on having children and was told the remaining ovary takes over the job of the other one and as long as you have one ovary producing eggs you are fine to get pregnant.
      I have a follow up on the 20th of this month...I am hoping he can tell me I am ready to try and conceive.

  25. QUESTION:
    3 weeks menstration is this normal?

    • ANSWER:
      No it's not normal. If it's happened only one time it could have been a miscarriage or very weird period due to the hormones that month. I had periods that lasted 10 days to two weeks and were very heavy that I couldn't be away from a bathroom more than 20 minutes at a time. It's best to see your gynecologist and if you don't have one get a good recommendation from another doctor. I can list possible causes of why this can happen but you need to find out what's going on.

      Miscarriage obviously if you had any chance of being pregnant it can take a couple weeks for the bleeding to stop.

      Adenomyosis-endometriosis in the uterine muscle that can sometimes cause heavy bleeding going through more than one supply within an hour and you may also pass clots. It can only be truly diagnosed after a hysterectomy(removal of the uterus) but an ultrasound may show an appearance of what can look like adenomyosis and on exam the doctor may feel a soft and/or boggy uterus. The uterus may also be enlarged on exam. It can also cause many small clots (I had some about the size of a dime to larger) that are very dark in color like black looking or bigger ones the size of a strawberry, fist, or you get the idea can be a symptom of adenomyosis. You may also have a lot of cramps not just during your period but also may feel bloated and have crampiness other times when you aren't having your period

      Fibroids-not cancerous tumor in the uterus that can be removed or shrunk. They can be diagnosed on ultrasound. If you want to preserve your fertility there's something called a myomectomy. If you don't want any kids they can shrink them with somethings and one I know of is where a dye is injected into the arteries of the uterus and they end up shrinking. Fibroids may be a cause of heavy bleeding or enlarged uterus and if they aren't causing any symptoms or preventing pregnancy usually they are left alone.

      Hormonal imbalances- anything that may not be right even if your ovaries are functioning. Sometimes women who get near menopause may have heavier periods but I'm not exactly sure why.

      With me I had a pre-op diagnosis of possible adenomyosis and fibroids. Every ultrasound I had showed what appeared to be a fibroid even in all my pregnancies. I also had trouble emptying my bladder and found that if I had any chance of needing bladder repair I should go in before my surgery so if necessary the urologist could go in and do the repair at the same time of the hysterectomy. It turned out he said that the enlarged uterus was causing the pressure on my bladder and probably caused the urethra to not be as open. He did a procedure (dilation) in the office that took care of the problem but I have since been back many times to get dilated again. It could have been from the narcotic pain meds I was on too.

      I'll see if I can find another link I responded to and get back to you with that link as there's tons of info I typed out for someone else. Check back to see if I edited my post.

      Edited: Here's some so far and I have one more to find that will hopefully give you more info.
      "HYPERMENORRHEA

      M—Malformations include bicornate uterus, congenital ovarian cysts, endometriosis, ectopic pregnancies, and retained placenta.
      I—Inflammation recalls cervicitis, endometritis, and pelvic inflammatory disease.
      N—Neoplasms include fibroids, carcinoma, and polyps of the cervix and endometrium. One should also not forget choriocarcinoma, hydatidiform moles, and hormone-producing tumors of the ovary.
      T—Trauma includes perforation of the uterus, excessive intercourse during the menses, and introduction of foreign bodies into the uterus.
      S—Systemic diseases include anemia and the coagulation disorders such as hemophilia, idiopathic thrombocytopenic purpura, and scurvy. Also in this category are lupus erythematosus and endocrine disorders, especially hypothyroidism and dysfunctional uterine bleeding from disproportion in the output of estrogen and progesterone by the ovary.
      Approach to the DiagnosisThe diagnosis includes a thorough pelvic examination, CBC, coagulation studies, thyroid function tests, and perhaps other endocrine tests. Ultrasonography is ordered next. If all these are normal, a trial of estrogen or progesterone supplementation or a dilatation and curettage (D & C) may be indicated. Culdoscopy, peritoneoscopy, and a hysterosalpingogram may be necessary before performing an exploratory laparotomy and, if necessary, a hysterectomy. A gynecologist or endocrinologist will be helpful in solving the diagnostic dilemma in many cases."

      What does it mean if your period lasts for 2 weeks?
      http://answers.yahoo.com/question/index;_ylt=Avwu.vmuuhUphmRBdS9YMnQjzKIX;_ylv=3?qid=20091114131239AA4TE6K

      Is it healthy for a women to clot so much when she has her period?
      http://answers.yahoo.com/question/index;_ylt=AoAmo.R_57kcNWro3J9VLj8jzKIX;_ylv=3?qid=20090123182235AAZjh3n

      Why does my mom get her period for 2 weeks straight?
      http://answers.yahoo.com/question/index;_ylt=AgmPKuYQOLKZiSiOm_d9D64jzKIX;_ylv=3?qid=20090613110740AAu8szk

  26. QUESTION:
    Why do they make me feel crazy? Sorry this is long?
    4 yrs ago, my partner found a pea size lump under my right nipple. I went to my Ob gyn who referred me to a surgeon who did an ultrasound and said that it was gone. Fast foward about two years and my right nipple leaked on and off for a month. My ob said that it sometimes happens and wasn't too concerned about it. Last November I had my first baseline mammogram early because I had found another lump and my sister had just had one removed that was pre-cancerous. They did a mammogram and ultrasound said that there were masses in both breasts and wanted me to have another Mammogram in 6 months. I just went back in May and again, same letter from the hospital, masses in both left and right breasts and to come back again in 6 mths. My OB said we can wait until my annual which is in Feb (9 mths). My nipple is itching and buldging. I called my primary care doctor who just called in a cream for the itching and said that my breasts are dense. I can't get my either doc to order a digital mam!

    • ANSWER:
      First off, let me just preface my answer by saying I am not a Dr. nor a medical professional, so all of my advice comes from being a cancer patient. I complained to my GYN for YEARS about abdominal pain, horrific PMS, cramping, excessive bleeding etc etc. An ultrasound was ordered and showed lots of fibroids. Still...so much pain, not just monthly, but daily. My Gyn was convinced my pain was from abdominal adhesion's from a previous surgery (which HE did by the way) and ordered another abdominal surgery to remove them. I was told everything would be just fine after that. Well it wasn't, and to make an already long story short, he ignored my symptoms, my pain, my complaints, my numerous trips to the ER, and I ended up spending a month in the hospital (a month before my wedding no less)....well it turned out I had a rare uterine sarcoma...with metastasis to the lungs. I've been on chemo for a year (with another Dr. of course) and I'm doing well..but I'll never have children, my ovaries are fried...no egg harvesting for me, as well as the pain and heartbreak my family and I are going through. My cancer COULD have been detected with a simple blood test for tumor markers....but they were never ordered. The bottom line..your GUT is telling you something...insist...cry..switch Dr's...cause a scene. It could be the difference between Stage 1 or Stage 4 (or hopefully none at all and your Dr, is correct!). Best of luck to you :-)

  27. QUESTION:
    What could be wrong, vaginal bleeding?
    I am turning 17 August 11. The past couple months, my period has been coming a week later every month, before my period which ended a week or two ago, I had small bits of blood in my discharge, a small bright red streak. Then a black/brown/purple thing came out, and it resembled the tissue released during a period. I also had a sharp pain in my abdomen around the time it came out, it caused me to double over. My cramps during my period were also unusually strong and prolonged, so I ended up sleeping to get through them. My abdomen was still slightly sore/funny feeling and bloated after the pain ceased. Yesterday the bleeding occured very lightly, giving my discharge a slightly red/orange color.. then today.. I'm having more bleeding in my discharge, kind of like the flow of a minor period, and it's a bit browner than before. I have also had other symptoms over the past year or two, but the bleeding is new. I've also have severe symptoms resembling manic depression or bipolar disorder, and headaches off and on. I talked to my mom about the bleeding and she is taking me to the doctor after tomorrow, but she slightly suspects it to be endrometriosis, because she had it and it runs on her side and my dad's side a little. She also had all of her reproductive organs removed because of unusual cells found resembling pre-cancerous cells. I just want your opinion, obviously I'm going to a doctor soon, but I want to get your impression on what it may be.
    Also, I am a virgin.

    • ANSWER:
      Abnormal vaginal bleeding could be from any part of the genital tract and it can occur at any age. Whenever a person presents with abnormal vaginal bleeding, it is essential to get a proper history about the type of bleeding, cycles, amount of blood loss etc. The age of a patient is also important as the causes of abnormal vaginal bleeding varies in different age group. We must proceed to investigate a patient systematically avoiding unnecessary investigations. From the type of bleeding we could form an idea about the probable cause of bleeding.

      Menorrhagia - Increased flow with normal cycles _ fibroids, polypi,PID.

      Polymenorrhoea -Shortened Cycles _ HPO axis dysfunction, PID.

      Metrorrhoea -Intermenstrual bleeding _ Uterine polypi, erosion cervix, cancer cervix, cancer body.

      Continuous bleeding -Abortion, ectopic, cancer cervix, polypi, metropathia, haemorrhagica.

      Post menopausal bleeding -Bleeding from genital tract in a woman of post menopausal age whohas not had a period during the past six months _ 50-60% due to malignancy.

      While investigating and managing a patient who presents with abnormal vaginal bleeding the following protocol may be followed:

      Only as the last resort.

      Caution : Think of bleeding disorders and investigate if necessary.

      Avoid unnecessary investigations (T4, TSH, FSH, LH) unless strongly suspect.

  28. QUESTION:
    Menstrual Cramps???????????
    okay, so i get really, really bad cramps; and i don't get them once a month i get them every 2 weeks with my period (which yes is every two weeks) so it really sucks...so if you know anything that helps besides medication please post!
    thanks!

    • ANSWER:
      Each month, the inner lining of the uterus (the endometrium) builds up in preparation for a possible pregnancy. After ovulation, if the egg is not fertilized by a sperm, no pregnancy will result and the current lining of the uterus is no longer needed. The woman's estrogen and progesterone hormone levels decline, and the lining of the uterus becomes swollen and dies. It is then shed and will be replaced by a new lining in the next monthly cycle.

      Primary dysmenorrhea or menstrual cramps is caused by strong uterine contractions brought on by an increase in prostaglandin. When the old uterine lining begins to break down, molecular compounds called prostaglandins are released. Prostaglandin is a hormone that causes muscle spasms of the uterus (endometrium). When the uterine muscles contract, they constrict the blood supply (vasoconstriction) to the endometrium. This contraction blocks the delivery of oxygen to the tissue of the endometrium, which, in turn, breaks down and dies. After the death of this tissue, the uterine contractions literally squeeze the old endometrial tissue through the cervix and out of the body by way of the vagina. Other substances known as leukotrienes, which are chemicals that play a role in the inflammatory response, are also elevated at this time and may be related to the development of menstrual cramps.

      In case of secondary dysmenorrheal, there are a number of underlying conditions which can contribute to the pain including:

      * Endometriosis (inflammation of the lining of the uterus and cells from the uterine lining getting located in other areas of the body)
      * Blood and tissue being discharged through a narrow cervix
      * Uterine fibroid (non-cancerous uterine growth that respond to estrogen levels) or ovarian cyst
      * Infections of the uterus
      * Pelvic inflammatory disease (PID)
      * Intrauterine device (IUD)being used for contraception
      * Adenomyosis (a benign condition in which the cells of the inner uterine lining invade its muscular wall, the myometrium)
      * Adhesions (abnormal fibrous attachments between organs)

      Over-the-counter medications such as nonsteroidal anti-inflammatory drugs such as aspirin or ibuprofen can relieve discomfort.

      If cramping is severe, low dosage oral contraceptives may be prescribed to prevent ovulation which thereby reduces the production of prostaglandins. If you suffer from secondary dysmenorrhea, treatment will depend on the underlying cause. Treatment may include antibiotics for the infection, polyps to treat endometriosis or surgery to remove fibroids.

      Natural and holistic treatments are a gentler and safer alternative to alleviate the pain and discomfort of menstrual cramps. Using herbal remedies helps to support the female reproductive system and promotes overall health and wellbeing.

      Herbs such as Foeniculum vulgare (Sweet Fennel) acts as a liver tonic and helps to promote water balance while Pulsatilla vulgaris (Pasque Flower) is a soothing and supportive herb for the female reproductive system. In addition, Dong Quai (Angelica Sinesis) helps to promote hormonal harmony throughout the menstrual cycle and Melissa officinale (Lemon Balm) soothes and promotes stable mood and feelings.

      You may get more info here http://www.healthherbsandnutrition.com/remedies/m/menstrualcrampsdysmenorrhea.htm

  29. QUESTION:
    Why is my period so irregular?
    WARNING THE FOLLOWING INFORMATION IS DISTURBING TO MOST MEN AND SOME WOMEN !

    Okay so I have been on my period for about 2 1/2 years. LONG; I KNOW! Sometimes it goes away for only a few hours and sometimes it is just lighter. I went to the doctor once before and was put on birth control which I didn't like and always forgot to take; but don't get me wrong, the birth control worked for a little bit. I just want to get to the bottom of this. IDK if there is something wrong with me or anything like that.
    NOW I must note that I am a heavier female, so IDK if that has a part to play in this issue. I have a doctors appointment this Tuesday to get it checked out again by the same doctor and I am worried.

    ANY INPUT WOULD BE NICE !!!!
    Thanks

    • ANSWER:
      Diet and health CAN play a part in irregular periods but NOT for 2 and a half years. Being a heavier female, it could add to a preexisting condition, such as fibroids. I had my period for a good year and a half at least and they finally found something (it was too small for them to find, I had been having lots of Ultrasounds but they found it later on when it got bigger). It was a uterine fibroid which is basically a non-cancerous tumor (it very very extremely rare cases can it turn cancerous).

      It can make you have prolonged periods, even very heavy ones, with lots of clots. They can get so bad that birth control may or may not help it. It can also cause very bad cramps, and painful intercourse. When you're heavier, it tends to be bigger.

      I'm not saying you definitely have it but it could be a fibroid or another underlying condition.

  30. QUESTION:
    why is my periods long and dark?
    ok im 15 and have had my period for nearly 2 months now that cant be normal?
    eveerytime i think its over its not its brown sometimes dark brown clottty and its making me feel so tired and i have pins and needles in my fingers and feet and plus saw bones im thinking of seeing ym doctor but i dont no if its important enough but its anoying em coz its dark and gooey can anyone help me
    is it normal?
    shold i see a doctor?
    whats wrong with me?
    thanks for your help

    • ANSWER:
      I would see a Doctor. When that happened to me it turned into a fast growing non-cancerous uterine fibroid that had to be surgically removed. DON'T wait see an OB-Gyn Dr. A.S.A.P.

do uterine fibroids turn cancerous