fibroid is a very common disease present in female . and this presentation is about their types, causes, symptoms, risk factor and treatment in females around the world, disesaes of female reproductive system, and hormonal imbalance causes fibroids in females.

1. BY MEENALI MISHRA
M.Sc
MEDICAL PHYSIOLOGY
A13156216005

2. FIBROIDS
Fibriods are abnormal growth that develop in
or on a woman uterus .
OR
Tumors of female reproductive system.
Also called as uterine myomas , leimyomas , or
fibromas.
 These are made up of smooth muscle cells
and fibrous connective tissue that develop in
uterus are compact tumors that are made up
of smooth.

4. TYPES OF FIBROIDS
On the basis of location of development-
1. INTRAMURAL FIBROIDS
2. SUBSEROSAL FIBROIDS
3. PEDUNCULATED FIBROIDS
4. SUBMUCOSAFIBRIODS

5. INTRAMURAL FIBROID
 Most common type of fibroid
 appear within the lining of uterus
 may grow larger
 stretch the womb

6. SUBSEROSAL FIBROIDS
 Form on the outside of the uterus ( on serosa)
 Grow larger
 Make the womb appear bigger on the one side

7. SUBMUCOSAL FIBROIDS
 Develop in the inner lining of the myomertium in
uterus.
 Not common type of fibroids.
 cause heavy menstrual bleeding and trouble in
conceiving.

8. PEDUNCULATED FIBROIDS
 When subserosal tumors develop in a stem
 A slender base that supports the tumor is
formed and that how they become
pedunculated.

9. What causes fibroids?
Unclear cause, but there are many factors which may influence the
formation of fibroids.
1. Hormones – Estrogens and Progestrones
Causes the uterine lining to regenerate during each menstrual cycle
May stimulate growth of fibroids.
2. Family history
3. Pregnancy

10. Who is at risk for fibroids?
WOMEN -
 Having pregnancy
 Approaching to menopause ( high level of estrogens)
 Being over the age 30
 A family history of fibroids
 Being of African American descent
 Having a high body weight.

11. WHAT ARE THE SYMPTOMS OF
FIBROIDS?
Heavy bleeding between and during periods that includes
blood clots
Pain in the pelvic and lower back
Increased menstrual cramping
Increased urination
Pain during intercourse
Menstruation that last longer than usual
Pressure and fullness in lower abdomen
Swelling of abdomen

12. DIAGNOSIS
Check the condition, size and shape of uterus
Ultrasound
Pelvic MRI
X-RAY
Hysterosalpingography
Hysteroscapy
Endometrial biopsy

13. TREATMENT
1. MEDICATION – To regulate hormones level
A. GnRH agonist- cause drop in level of progestrones
and estrogens
B. An IUD that releases the hormone progestin
C. Over the counter anti inflammatory pain reliever
D. Birth controlling pills
E. Drug like anti progestin given to stop the activity of
progestrone

14. 2. SURGERY - for very large and multiple growths
3. Minimally invasive procedure-
A. Forced ultrasound surgery
b. Myolysis
c. Cryomyolysis
d. Endomertium ablation
e. Uterine artery embolization
f. Anti inflammatory pain killer