Pedunculated Fibroid Treatment

If you have received a diagnosis of uterine fibroids and your doctor has told you surgery is the most effective treatment, you should get a second opinion. Surgery is a drastic treatment for these growths, and 90% of the time they can be eliminated through a much less invasive procedure called uterine fibroid embolization. The Atlanta Fibroid Center offers non-surgical UFE to eliminate all types of fibroids, and it is also a reliable pedunculated fibroid treatment.

Almost every type of fibroid can be eliminated with UFE, and it can even be used as a pedunculated subserosal fibroid treatment. Today, we will be talking about a category of fibroids called pedunculated fibroids, which are fairly uncommon but can potentially lead to a medical emergency.

What Does It Mean If You Have Pedunculated Fibroids?

There are three main types of fibroids that are described by their location within the uterus:

  1. Subserosal fibroids grow on the outer uterine wall;
  2. Submucosal fibroids grow along the inner uterine lining;
  3. Intramural fibroids are embedded in the uterine wall.

Depending on how a fibroid is growing, it can be sessile or pedunculated.

Sessile fibroids grow directly next to (or embedded) into the uterus while a pedunculated fibroid is any one of these fibroids that is not directly attached to the uterus but is growing from a stem or stalk-like structure (a peduncle). This stem is made up of smooth muscle similar to the fibroids themselves and can be up to 5-10 cm in diameter.

If fibroids growing on a stem are located on the outer uterine wall and extend toward the pelvis, they are pedunculated subserosal fibroids. If they are located inside the uterine cavity and hang inward toward the center of the uterus, they are called pedunculated submucosal fibroids.

Types of uterine fibroids

Why Might You Need Treatment Of Pedunculated Fibroids?

Pedunculated fibroids can create unpleasant symptoms, just like other types of fibroids, or they can be asymptomatic. They can exert pressure on neighboring organs, which can cause considerable discomfort and cramping. They can cause irregular menstrual bleeding. They can also interfere with fertility and pregnancy. Although rare, if exposed to sudden movements, these fibroids can also become twisted, cutting off the blood supply they need to live, which causes sudden sharp pain and sometimes requires emergency surgery.

What Causes Pedunculated Fibroids?

There is no known cause for fibroids; however, research has shown that family history, hormones, obesity, ethnicity, exposure to excess estrogen, and a vitamin D deficiency can all contribute to the formation of fibroids. It is unknown why some fibroids form with stalks (a peduncle), while others grow directly on the uterus (sessile). Research has determined that exposure to estrogen causes fibroids to grow, which is why many women with fibroids who become pregnant will experience rapid growth of their fibroids in the first trimester.

How Are Pedunculated Fibroids Diagnosed?

Pedunculated fibroids are diagnosed in the same way as other types of fibroids, using a pelvic exam or imaging. It is often tricky to tell the difference and to identify the peduncle, even in imaging scans. An MRI is the best type of scan to use to identify fibroids of any kind because it provides much more detail and clarity.

Uterine Fibroid Embolization in Atlanta, GA

Pedunculated Fibroids And Pregnancy

If you have been diagnosed with fibroids and desire to get pregnant, speak to the experts at the Atlanta Fibroid Center. They can talk with you about where your fibroids are located and whether you should consider treating them before you conceive. Although it doesn’t happen often, fibroids can interfere with fertility and carrying a baby to term. During the first trimester of pregnancy, estrogen levels significantly increase, which can cause the rapid growth of fibroids. The risk of torsion increases if pedunculated fibroids grow large.

What Is The Best Pedunculated Fibroid Treatment

The safest and least invasive form of treatment for any type of fibroid, including the treatment of pedunculated fibroids, is non-surgical uterine fibroid embolization (UFE).

UFE is an outpatient procedure that is performed by an interventional radiologist and takes between 45 minutes and an hour to complete. It involves a very small catheter inserted into the groin area that is used to dispense tiny particles into the blood vessels that are keeping the fibroids alive. Fibroids need a blood source to provide them with nourishment so they can grow larger and survive. They attach themselves to the uterine artery using a blood vessel and begin to siphon off blood. When the particles that are dispensed during UFE block this blood flow, the fibroids begin to shrink and degenerate (die).

UFE is an effective treatment for pedunculated fibroids and can treat any fibroid that is attached to the uterine artery, regardless of where it is growing or whether it is sessile or growing from a stem. Only rare pedunculated fibroids with very narrow stalks cannot be treated with UFE, and these can be identified with an MRI of the pelvis. The majority of pedunculated fibroids have wide stalks and are safe to treat with minimally invasive UFE.

Where Can I Go For Treatment Of Pedunculated Fibroids?

Contact the Atlanta Fibroid Center to get the best and most effective non-surgical fibroid treatment available. Uterine fibroid embolization (UFE) is over 90% effective in permanently eliminating fibroids without surgery and without compromising your uterus.

Most OB/GYNs will advise their patients to have surgery to remove fibroids, but in almost every case, this is unnecessary. UFE can eliminate all the fibroids no matter how far they have embedded into the muscular uterine wall. There is no associated hospital stay, and the average recovery time is about a week. The board-certified doctors at the Atlanta Fibroid Center have extensive experience in performing the UFE procedure and have performed over 10,000. They have been helping women from all over the country and abroad for over 25 years. Set up a consultation today and find out how soon you can be fibroid-free with UFE!

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