You are not signed in. Sign in.

List Books: Buy books on ListBooks.org

What Your Doctor May Not Tell You about Fibroids: New Techniques and Therapies--Including Breakthrough Alternatives to Hysterectomy »

Book cover image of What Your Doctor May Not Tell You about Fibroids: New Techniques and Therapies--Including Breakthrough Alternatives to Hysterectomy by Scott C. Goodwin

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)

Find Best Prices for This Book »

Author Biography: Scott C. Goodwin

Book Synopsis

Fibroid tumors are the leading reason why more than 500,000 American women have hysterectomies each year.

Library Journal

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.

Table of Contents

Forewordxv
Introductionxix
xix
xxi
Chapter 1Fibroids1
Advice and Consent5
Unnecessary Surgeries7
Financial Costs9
About This Book11
Moving Ahead12
Chapter 2What are Fibroids?14
What Are Fibroids?16
The Amazing Uterus18
How Big Are They?19
Types of Fibroids21
Female Hormones23
Cancer and Fibroids24
Chapter 3Diagnosing Fibroids31
A Question of Trust32
Medical Tests35
Similar Conditions42
Chapter 4Managing Symptoms48
Symptoms of Fibroids50
Bleeding51
Pain55
Pressure57
Bloating/Feeling of Fullness59
Sexual Dysfunction59
Infertility62
Pregnancy Complications69
Pain69
Preterm Labor70
Cesarean Delivery71
Urinary Problems74
Depression75
Chapter 5Watchful Waiting77
Treating Fibroids78
Evaluating Symptoms79
Managing Symptoms81
Monitoring Fibroids82
Menopause84
Watchful Waiting86
Chapter 6Diet87
A Healthy Diet90
Estrogen92
Low-Fat, High-Fiber Diets93
Phytoestrogens98
Foods That May Help Bleeding99
Foods That May Help Pain103
Nutrients: Replacing Animal Products105
Chapter 7Exercise108
Controlling Pain111
Choosing an Exercise113
Yoga as Exercise114
Exercise after Surgery114
Chapter 8Stress118
Research on Stress and Fibroids119
Mind/Body Therapies121
Chapter 9Alternative Medicine125
Complementary Treatment of Uterine Fibroids126
Traditional Chinese Medicine127
Western Herbal Medicine130
Herbs for Bleeding131
Herbs for Pain133
Herbs to Help the Liver135
Homeopathy136
Natural Progesterone137
Chapter 10Drug Treatments140
Medical Therapies That Control Symptoms141
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)142
Birth Control Pills144
Progestins146
Tranexamic Acid147
Progestin-Releasing IUD148
Medical Therapies That Shrink Fibroids150
Gonadotropin-Releasing Hormone (GnRH)151
Mifepristone (RU-486)156
Raloxifene and Tamoxifen158
Androgen Therapy160
Interferon161
Chapter 11Uterine Fibroid Embolization163
Who Chooses This Procedure?165
How It Works172
Variations in the Uterine Artery174
Variations in Technique176
Embolic Particles177
Distinguished History178
UAE or UFE?180
Results180
Large Fibroids182
Risks of the Procedure184
Realistic Outcome Expectations188
Fertility189
Leiomyosarcoma190
Preoperative Preparation for UFE191
After Embolization195
Chapter 12Myomectomy197
Life-Saving Surgery200
Myomectomy History201
Fibroid Recurrence202
Surgical Technique207
Abdominal Myomectomy208
Laparoscopy214
Hysteroscopy216
How to Prepare for Surgery218
Postoperative Care223
Continued Problems after Surgery227
Choosing a Doctor231
Good Choices233
Chapter 13Hysterectomy235
Overuse of Hysterectomy236
Approaches to Hysterectomy238
Laparoscopic Hysterectomy240
Removing Ovaries241
Removing the Cervix244
Quality of Life245
Sex after Hysterectomy246
Complications and Side Effects248
Before Surgery250
After Surgery250
Hormone Replacement Therapy253
Chapter 14Into the Future256
New Drugs256
New Forms of Invasive Therapy257
Uterine Fibroid Embolization258
Endometrial Ablation258
Myoma Coagulation (Myolysis)259
High-Intensity Focused Ultrasound (HIFUS)261
Gamma Knife262
Alternative Therapy262
Genetics263
Final Thought264
Glossary265
Bibliography279
Additional Resources297
Books297
Organizations298
Websites302
Index305
About the Authors321

Subjects