List Books » What Your Doctor May Not Tell You about Fibroids: New Techniques and Therapies--Including Breakthrough Alternatives to Hysterectomy
Authors: Scott C. Goodwin, David Drum, Michael Broder, David Drum, Michael Broder
ISBN-13: 9780446678537, ISBN-10: 0446678538
Format: Paperback
Publisher: Hachette Book Group
Date Published: April 2003
Edition: (Non-applicable)
Fibroid tumors are the leading reason why more than 500,000 American women have hysterectomies each year.
Both of the UCLA School of Medicine, Goodwin (radiological sciences) and Michael Broder (obstetrics and gynecology) team up with medical writer David Drum to produce a highly informative guide to fibroids and their treatment. As they grow, these benign tumors on the uterus can cause bleeding, pain, or infertility. Although fibroids affect 40 percent of women, the authors note that a review of the medical literature "painted a rather disappointing and dismal picture of uterine fibroids research," and the most standard treatment has been hysterectomy. This book thoroughly discusses how fibroids grow, the diagnostic tests used to distinguish them from other conditions, and major symptoms. The roles of diet, exercise, stress reduction, and alternative treatments such as homeopathy and acupuncture are also covered. The book's greatest strength lies in the final chapters, which explain uterine fibroid embolization, myomectomy, and new alternative treatments, both invasive and drug-based. A glossary, bibliography, and lists of organizations, books, and web sites complete the volume. Highly recommended for most women's health collections.-Jodith Janes, Cleveland Clinic Fdn. Lib. Copyright 2003 Reed Business Information.
Foreword | xv | |
Introduction | xix | |
xix | ||
xxi | ||
Chapter 1 | Fibroids | 1 |
Advice and Consent | 5 | |
Unnecessary Surgeries | 7 | |
Financial Costs | 9 | |
About This Book | 11 | |
Moving Ahead | 12 | |
Chapter 2 | What are Fibroids? | 14 |
What Are Fibroids? | 16 | |
The Amazing Uterus | 18 | |
How Big Are They? | 19 | |
Types of Fibroids | 21 | |
Female Hormones | 23 | |
Cancer and Fibroids | 24 | |
Chapter 3 | Diagnosing Fibroids | 31 |
A Question of Trust | 32 | |
Medical Tests | 35 | |
Similar Conditions | 42 | |
Chapter 4 | Managing Symptoms | 48 |
Symptoms of Fibroids | 50 | |
Bleeding | 51 | |
Pain | 55 | |
Pressure | 57 | |
Bloating/Feeling of Fullness | 59 | |
Sexual Dysfunction | 59 | |
Infertility | 62 | |
Pregnancy Complications | 69 | |
Pain | 69 | |
Preterm Labor | 70 | |
Cesarean Delivery | 71 | |
Urinary Problems | 74 | |
Depression | 75 | |
Chapter 5 | Watchful Waiting | 77 |
Treating Fibroids | 78 | |
Evaluating Symptoms | 79 | |
Managing Symptoms | 81 | |
Monitoring Fibroids | 82 | |
Menopause | 84 | |
Watchful Waiting | 86 | |
Chapter 6 | Diet | 87 |
A Healthy Diet | 90 | |
Estrogen | 92 | |
Low-Fat, High-Fiber Diets | 93 | |
Phytoestrogens | 98 | |
Foods That May Help Bleeding | 99 | |
Foods That May Help Pain | 103 | |
Nutrients: Replacing Animal Products | 105 | |
Chapter 7 | Exercise | 108 |
Controlling Pain | 111 | |
Choosing an Exercise | 113 | |
Yoga as Exercise | 114 | |
Exercise after Surgery | 114 | |
Chapter 8 | Stress | 118 |
Research on Stress and Fibroids | 119 | |
Mind/Body Therapies | 121 | |
Chapter 9 | Alternative Medicine | 125 |
Complementary Treatment of Uterine Fibroids | 126 | |
Traditional Chinese Medicine | 127 | |
Western Herbal Medicine | 130 | |
Herbs for Bleeding | 131 | |
Herbs for Pain | 133 | |
Herbs to Help the Liver | 135 | |
Homeopathy | 136 | |
Natural Progesterone | 137 | |
Chapter 10 | Drug Treatments | 140 |
Medical Therapies That Control Symptoms | 141 | |
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) | 142 | |
Birth Control Pills | 144 | |
Progestins | 146 | |
Tranexamic Acid | 147 | |
Progestin-Releasing IUD | 148 | |
Medical Therapies That Shrink Fibroids | 150 | |
Gonadotropin-Releasing Hormone (GnRH) | 151 | |
Mifepristone (RU-486) | 156 | |
Raloxifene and Tamoxifen | 158 | |
Androgen Therapy | 160 | |
Interferon | 161 | |
Chapter 11 | Uterine Fibroid Embolization | 163 |
Who Chooses This Procedure? | 165 | |
How It Works | 172 | |
Variations in the Uterine Artery | 174 | |
Variations in Technique | 176 | |
Embolic Particles | 177 | |
Distinguished History | 178 | |
UAE or UFE? | 180 | |
Results | 180 | |
Large Fibroids | 182 | |
Risks of the Procedure | 184 | |
Realistic Outcome Expectations | 188 | |
Fertility | 189 | |
Leiomyosarcoma | 190 | |
Preoperative Preparation for UFE | 191 | |
After Embolization | 195 | |
Chapter 12 | Myomectomy | 197 |
Life-Saving Surgery | 200 | |
Myomectomy History | 201 | |
Fibroid Recurrence | 202 | |
Surgical Technique | 207 | |
Abdominal Myomectomy | 208 | |
Laparoscopy | 214 | |
Hysteroscopy | 216 | |
How to Prepare for Surgery | 218 | |
Postoperative Care | 223 | |
Continued Problems after Surgery | 227 | |
Choosing a Doctor | 231 | |
Good Choices | 233 | |
Chapter 13 | Hysterectomy | 235 |
Overuse of Hysterectomy | 236 | |
Approaches to Hysterectomy | 238 | |
Laparoscopic Hysterectomy | 240 | |
Removing Ovaries | 241 | |
Removing the Cervix | 244 | |
Quality of Life | 245 | |
Sex after Hysterectomy | 246 | |
Complications and Side Effects | 248 | |
Before Surgery | 250 | |
After Surgery | 250 | |
Hormone Replacement Therapy | 253 | |
Chapter 14 | Into the Future | 256 |
New Drugs | 256 | |
New Forms of Invasive Therapy | 257 | |
Uterine Fibroid Embolization | 258 | |
Endometrial Ablation | 258 | |
Myoma Coagulation (Myolysis) | 259 | |
High-Intensity Focused Ultrasound (HIFUS) | 261 | |
Gamma Knife | 262 | |
Alternative Therapy | 262 | |
Genetics | 263 | |
Final Thought | 264 | |
Glossary | 265 | |
Bibliography | 279 | |
Additional Resources | 297 | |
Books | 297 | |
Organizations | 298 | |
Websites | 302 | |
Index | 305 | |
About the Authors | 321 |