Uterine fibroids : the complete guide

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Title:

Uterine fibroids : the complete guide

Author:

Stewart, Elizabeth A., M.D.

ISBN:

9780801887017

Publication Information:

Baltimore : Johns Hopkins University Press, 2007.

Physical Description:

x, 223 p., [7] p. of plates : ill. (some col.) ; 23 cm.

Series:

Johns Hopkins Press health book.

Contents:

About fibroids -- Who gets fibroids, and what are the symptoms? -- What are uterine fibroids? -- Why we are so far behind in understanding and treating fibroids -- Endocrinology of the uterus -- Why do fibroids form? -- Diagnosis: how do I know that I have fibroids? -- When fibroids come back -- Surgical treatment -- Surgery inside the uterus: hysteroscopic myomectomy, endometrial ablation, and vaginal myomectomy -- Laparoscopic myomectomy and myolysis -- Abdominal myomectomy -- Uterine artery embolization -- Focused ultrasound surgery and other thermoablative therapies -- Hysterectomy -- Medical treatment -- Traditional hormonal therapies: birth control pills and progestin -- GnRH agonists, add-back therapies, and GnRH antagonists -- Innovative medical strategies for treating uterine fibroids -- Other factors, other conditions -- Genetics of fibroids -- Pregnancy, infertility, and miscarriage -- Adenomyosis and endometrial polyps -- Uterine cancers -- Fibroid-like conditions -- Alternative and complementary therapies -- What can we do about fibroids?

Subject Term:

Uterine fibroids.

Holds:

Available:*

Library	Call Number	Status
Searching... Oakdale Library	616.99 STE	Searching... Unknown
Searching... R.H. Stafford Library (Woodbury)	616.99 STE	Searching... Unknown
Searching... Stillwater Public Library	616.99 STE	Searching... Unknown

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Summary

Providing the most reliable and up-to-date information on this very common and difficult disorder, Dr. Stewart helps women understand uterine fibroids and make the best possible choices about their care.

You've called in sick today. Your back and legs hurt. Your abdomen is bloated and more than a little uncomfortable. You are having your period, and the bleeding is so heavy you can't even think about leaving the house. You have uterine fibroids.

One in every four women see their lives affected by uterine fibroids, which can cause heavy bleeding, abdominal bloating, pain, and infertility. The symptoms can be mildly annoying or life altering in severity. Until recently, hysterectomy was the only way to cure fibroids, and each year more than 200,000 hysterectomies are performed in the United States to treat these noncancerous growths.

But hysterectomy isn't always the best solution. The procedure can be devastating for women who were planning to get pregnant, and it is a significant surgery for anyone. In this comprehensive and compassionate guide, Dr. Elizabeth A. Stewart helps women understand the treatment options now available.

An internationally recognized expert on fibroids, Dr. Stewart describes all the available medical and surgical treatments as well as alternative and complementary therapies. In addition to hysterectomy, she explains uterine artery embolization (UAE), noninvasive focused ultrasound (FUS), and innovative hormone treatments. Simple diagrams and photographs illustrate the condition--and its treatment.

Dr. Stewart encourages women with fibroids to learn as much as they can before choosing a treatment plan. Providing the most reliable and up-to-date information on this very common and difficult disorder, she helps women understand uterine fibroids and make the best possible choices about their care.

Author Notes

Elizabeth A. Stewart, M.D., is Senior Associate Consultant at the Mayo Clinic College of Medicine in Rochester, Minnesota, and formerly was an associate professor of obstetrics and gynecology at Harvard Medical School

Reviews (1)

Library Journal Review

Stewart, a recognized expert on uterine fibroids, presents in varying detail what is known about the causes of and treatment for these benign, smooth muscle knots that can affect fertility and menstrual flow (an estimated 23 million women could be afflicted) and encourages patients to partner with their physicians to choose an individualized treatment plan. The descriptions of the underlying biology and surgical treatments (involving various excisions and targeted injections) are thorough and current, but they are written at a college level and include many undefined medical terms. Conversely, the chapters on medical treatment options (e.g., hormones, steroids, and other drugs) are slightly more accessible, as are those covering such factors and conditions as genetics, pregnancy, and uterine cancers. The addition of simpler diagrams, a glossary, augmentations like tables, and plain-English summaries would have been helpful. The only other current title in this area, Scott C. Goodwin, Michael Broder, and David Drum's unillustrated What Your Doctor May Not Tell You About Fibroids, features less depth but more breadth, covering also complementary medicine and healthy lifestyles. A heavily referenced work recommended only for comprehensive consumer-health collections and large public libraries. (Index not seen.)-Janice Flahiff, Univ. of Toledo Libs. (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Introduction	p. ix
Part I About Fibroids
Chapter 1 Who Gets Fibroids, and What Are the Symptoms?	p. 3
Chapter 2 What Are Uterine Fibroids?	p. 10
Chapter 3 Why We Are So Far Behind in Understanding and Treating Fibroids	p. 20
Chapter 4 The Endocrinology of the Uterus	p. 26
Chapter 5 Why Do Fibroids Form?	p. 37
Chapter 6 Diagnosis: How Do I Know That I Have Fibroids?	p. 42
Chapter 7 When Fibroids Come Back	p. 56
Part II Surgical Treatment
Chapter 8 Surgery Inside the Uterus: Hysteroscopic Myomectomy, Endometrial Ablation, and Vaginal Myomectomy	p. 63
Chapter 9 Laparoscopic Myomectomy and Myolysis	p. 70
Chapter 10 Abdominal Myomectomy	p. 75
Chapter 11 Uterine Artery Embolization	p. 83
Chapter 12 Focused Ultrasound Surgery and Other Thermoablative Therapies	p. 95
Chapter 13 Hysterectomy	p. 104
Part III Medical Treatment
Chapter 14 Traditional Hormonal Therapies: Birth Control Pills and Progestin	p. 117
Chapter 15 GnRH Agonists, Add-Back Therapies, and GnRH Antagonists	p. 121
Chapter 16 Innovative Medical Strategies for Treating Uterine Fibroids	p. 126
Part IV Other Factors, Other Conditions
Chapter 17 The Genetics of Fibroids	p. 133
Chapter 18 Pregnancy, Infertility, and Miscarriage	p. 144
Chapter 19 Adenomyosis and Endometrial Polyps	p. 153
Chapter 20 Uterine Cancers	p. 159
Chapter 21 Fibroid-like Conditions	p. 165
Chapter 22 Alternative and Complementary Therapies	p. 172
Chapter 23 What Can We Do about Fibroids?	p. 175
Appendix Hints for Surgical Recovery	p. 179
References	p. 191
Index	p. 215

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