Uterus: the organ to which the fallopian tubes lead is the uterus, and it is within this structure that the fetus grows until it is ready to be born.
The uterus is a pear-shaped muscle about 3 inches long 2 inches wide, and 1 inch deep. The upper portion rests on the upper surface of the urinary bladder; the lower portion is embedded in the pelvic floor between the bleared and the rectum. The upper portion is the larger and is called, the body, or corpus; the lower, smaller part is the cervix, or neck. The small rounded part above the level of the tubal entrances is known as the fundus. The cavity inside the uterus is shaped somewhat like a tiny capital T, but is capable of changing shape and dilating as the embryo ( later called the fetus ) develops. The cervix lead to the vagina, the lower part of the birth canal, which opens to the outside of the body.
The interior layer of the uterus is a specialized epithelium known as endometrium, and it is this layer which is involved in menstruation.
Dysfunctional uterine bleeding: an abnormal endometrial bleeding. Heavy menstruation or bleeding longer than 8 days (menorrhagia), bleeding between periods (metrorrhagia), or a cycle that is less than 18 days ( chronic polymenorrhea ), may cause iron deficiency anemia.
Uterine leiomyomas: also known as myomas,fibromyomas, and fibroids. These neoplasm's are the most common benign tumors in women. They usually occur in the uterine corpus, although they may appear on ht cervix or on the round or broad ligament. Uterine leioomyomas are usually multiple and occur in approximately 20% of all women over age 35. It affect blacks three times more often than whites. They become malignant (leiomyosarcoma ) in only .1% of patients.
Fibroids may cause enlargement and distortion of the uterus and patients may have difficulty with conception. In some patients sometimes a fibroid attached to the uterine wall may become twisted or may outgrow its blood supply, , causing it to be starved for blood and oxygen, when this happens, you may suddenly feel a sharp pain in your abdomen. Call your doctor promptly.
Fibroids may cause bladder or bowel pressure or make intercourse painful. If you experience excessive heavy menstrual cycle , patient could develop anemia.
The cause of uterine leiomyomas is unknown, but excessive levels of estrogen and human growth hormone (HGH) may influence tumor formation by stimulating susceptible fibromuscular elements. large doses of estrogen and the later stages of pregnancy increase both tumor size and HGH levels. Uterine leiomyomas usually shrink or disappear after menopause, when estrogen production decreases.
Prolapsed Uterus: A prolapsed uterus occurs when the uterus descends from its normal position in the lower abdomen.
Severe cases: the uterus is visible through the vulva ( the external genital organs of the female ). Prolapsed uterus is most common in middle aged women who have had children weighing more than eight pounds at birth and or multiple births, but it may also occur in childless women.
Pain and or heaviness in the abdomen
Hypermenorrhea (excessive menstrual bleeding )
Dysmenorrhea (painful menstrual bleeding)
Urinary frequency or urgency
Irregular uterine enlargement
Treatment for fibroids varies, see your doctor for course of treatment.
Hysterectomy - optional, and or depending on condition and doctor course of treatment.
Discontinuing of hormone replacement therapy - Depending on your doctors course of treatment
Myomectomy (removal of fibroids) Depending on your doctors course of treatment
Your doctor may prescribed birth control pills for patients with dysfunctional uterine bleeding, or Progestins or gonadotropin releasing hormones (GnRH) may also be prescribed to control bleeding (it may take more than 30 days to show any effect and have many side effects)
*If you decide you do not want surgery, your doctor may insert into the vagina a plastic device known as a pessary, which sits in the vagina (like a diaphram) to hold the uterus in place. This must be replaced every three to six months and is thus not a long term solution. - for Prolapsed uterus.
To strengthen the uterine-support ligaments and to control urination : do Kegel exercises - a pelvic floor exercises to help hold your prolapsed uterus in place. * Start by stopping your urination flow midstream, hold it for approx. 5 seconds then release the flow. Once you are familiar with the targeted muscles, practice tightening and relaxing them. Start with 4 to 5 sets of the exercises are recommended, up to 10 times a day.
If you have chronic pain low in the abdomen, your menstrual cycles are frequent and or excessively heavy, call your doctor promptly.
Latest Article: Ulcerative Colitis
This inflammatory, often chronic disease affects the mucosa and submucosa of the colon. It usually begins in the rectum and sigmoid colon and often extends upward into the entire colon (colon: which is the name for the longer part of the large intestine, extends up from the cecum along the right side and then bends to extend across the abdomen to the left side). It...