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Interview: What you need to know about uterine fibroids

Interview: What you need to know about uterine fibroids


Dr. Zorela Adriana Sgarbura, primary obstetrics-gynecologist and doctor of medical sciences, gave us some answers about what uterine fibroids mean and the implications of this diagnosis on a woman's life. Also, TV host and moderator Mihaela Tatu shared with us her experience as a patient with uterine fibroids.

: We know that it is recommended that any woman go to a gynecological consultation at least once a year. However, in the interval between consultations, what are the symptoms that may announce the fibroid and should a woman be referred to the doctor?

Dr. Zorela Adriana Sgarbura: The most common symptom that may indicate a fibroid is heavy bleeding during menstruation or bleeding between menstruation; it represents a gynecological emergency and the patient must immediately schedule a consultation and transvaginal ultrasound.

: Mihaela, how did you find the fibroid?

Mihaela Tatu: I found that I had uterine fibroids at a routine gynecological checkup. I use to go once or twice a year to make sure I'm okay. Before I found out I had a fibrous uterus, I had some symptoms that made me think: pelvic pain, enlargement of the abdomen, feeling tired. And after the consultation it turned out that I have a fibroid as a pregnancy of 6 months.

: How is fertility influenced by the presence of a fibroid?

Dr. Zorela Adriana Sgarbura: Fibroma, depending on size and location, can be a cause of infertility. However, a treatment tailored to the patient's particularities is very likely to make it easier to get a pregnancy. In some cases, the presence of a fibroma can lead to miscarriage, premature birth, pregnancy and birth complications. Only careful gynecological monitoring, accompanied by proper treatment can prevent all these complications.

: What are the treatment options for fibroids?

Dr. Zorela Adriana Sgarbura: Fortunately, there are therapeutic methods, both conservative, surgical, such as hysterectomy (removal of the entire uterus) and myomectomy (removal of fibroids), as well as medicines. The choice of treatment method belongs to the gynecologist, only after having thoroughly and thoroughly investigated the fibroid (consultation, Pap test, transvaginal ultrasound, hysteroscopy, etc.).

: How can these affect a woman's life (sexual, professional)?

Dr. Zorela Adriana Sgarbura: The fibroma degrades the quality of life through bleeding, pelvic pain, pain from sexual contact, menstrual pain, infertility, etc. Through such symptoms, fibroids can affect a woman's life at all levels: personal, professional, sexual, social, etc. However, this depends on the symptom, its severity, the size of the fibroid, as well as its location.

: How long can a woman conceive a baby after discontinuation of the fibroma drug treatment?

Dr. Zorela Adriana Sgarbura: Medication treatment has many advantages, and getting a pregnancy soon, even after a month, is one of them. In addition, such treatment does not have serious side effects, such as hormonal disorders or any other type.

: What happens when a woman learns that she is pregnant and then is also announced to have uterine fibroids?

Dr. Zorela Adriana Sgarbura: Gynecologist's monitoring and advice are essential in such a case. It will help the future mother to counteract the risks caused by fibroids through careful monitoring. Preferably, the mother should go to the gynecologist before the baby is conceived, as she may be given a treatment that will help her have a healthy pregnancy. Thus, with the support of the gynecologist, the pregnancy can be completed.

: When is considered a large uterine fibroid?

Dr. Zorela Adriana Sgarbura: It does not matter so much the size, as the location of the fibroid. For example, a fibroma located inside the uterine cavity "is large even when it is small" because it is responsible for bleeding and complications even in small size.

: Mihaela, has your life changed since you found out you have fibroids? If so, how? And if not, how did you keep the same pace?

Mihaela Tatu: I have to confess that this affection made me do some things related to life and my own person and also to do things that I had not done for some time. One of them was to relax. The fact that in 8 months a fibroma of such a large size developed to me made me think that something safe is wrong in my way of life. And then I wanted to spend more time with myself ... to figure out what mistakes I made and, finally, to get to be reconciled with myself.

It wasn't easy for me, but it was really beneficial to me. So, I took a break and put my ideas, thoughts and life in order. Of great help was my spiritual journey that I decided to make: El Camino de Santiago de Compostela, where I can say that I found myself. If I were to think about my life before I was diagnosed with fibroids and my life now, the differences are considerable. If before my goal was to work, because I did this most of the time, now my goal is to relax and enjoy my life. We all, and especially all, should do this.

Life is so short and beautiful that you cannot afford to lose significant sequences of it trying to repair what you could have avoided by respecting yourself, first and foremost. I like that, from any weight or suffering, I build a positive thing. And that's what I managed to do after diagnosing with fibroids.

: Finally, an encouragement for women in general, and those with fibroids in particular?

Dr. Zorela Adriana Sgarbura: Any diagnosis, the earlier, can benefit from more effective and conservative therapeutic methods. It is important to see your gynecologist as soon as possible in order to benefit from drug treatment and possibly to avoid surgery. Whether you need surgery or not, you should spend more time yourself and be more careful with your entire lifestyle! And this applies to any woman.

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