About the book
Leiomyoma of the uterus, (fibroid) which is a benign tumour of the smooth muscle of the uterus it is the most common pathologic abnormalities of the female genital tract. It occurs in 20–50% of women older than 30 years ( rare in children and post-menopausal women). It can be asymptomatic pelvic mass or present with pelvic pain and heavy vaginal bleeding, or may a cause of urinary symptoms.
The uterine fibroid can also cause sexual dysfunction and dyspareunia, infertility and recurrent pregnancy loss. The aetiology of uterine fibroids is unclear. However, maybe familiar and appear to be a hormonal related and mainly estrogen-dependent disease. Risk factors include race, age, genetic and high BMI (obesity) and may be related to diet, especially eating meat.
The diagnosis can be done by clinical history and physical examination, pelvic examination, ultrasound pelvis. CT scan and MRI are also helpful. Management can be medical or surgical or using Uterine artery embolisation.