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Uterine fibroids are very common.
Uterine Fibroids are the most common benign tumor of women. According
to the literature, the number of women who develop fibroids increases
during a women's fertile years and decreases with menopause. In fact,
approximately 20 percent of women in their 20's have fibroids, 30
percent in their 30s and 40 percent in their 40s. Only a small percentage
of these fibroids become symptomatic. Approximately 20-40% of women
above the age of 35 have uterine fibroids of significant size. Fibroid
symptoms usually develop in a women's 30s and 40s.
There are many factors that initiate fibroid growth. Most are not well understood. African-American women develop fibroids two to three times more often than white women. This is thought to be secondary to genetic predisposition although this is not certain
Fibroids are very sensitive to the female hormone estrogen and grow
when exposed to it. When estrogen levels fall with menopause the fibroids
can shrink. This is the basis for the medical treatment of fibroids
with GnRH analogs . These medications decrease the body's production
of estrogen in women. Unfortunately, there are side effects and the
fibroids grow back as soon as the medication is withdrawn. On the
other hand, fibroids can grow quickly with pregnancy due to the increase
in estrogen levels. They will usually go back to their original size
after delivery or the termination of the pregnancy.
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