Uterine Hysterectomy

Endometriosis is an abnormal growth of endometrial cells it is most commonly found in the organs of the pelvis. Endometrial tissue is shed during each month during menstruation. Rarely endometriosis can occur outside of the pelvis. The surrounding tissue can become irritated and eventually be scrapping scar tissue and adhesions. Bands of fibrous tissue can cause tissues and organs stick to each other. Though the exact cause has never been identified, endometriosis is more common in women who experience infertility than in fertile women. There might be a couple of explanations such to why endometriosis occurs such as retrograde menstruation. Retrograde menstruation is blood that contains endometrial cells that flow back through the fallopian tubes and also into the pelvic cavity

Endometriosis is a common but often underdiagnosed disease in women during active reproductive years of 25 to 35 years. Endometriosis is an estrogen dependent chronic pelvic disorder that can cause severe pain and adversely affect fertility. Endometriosis is described as the occurrence of endometrial glands and connective tissue called stroma in the extra uterine mucosa located throughout the pelvis (Solnik, 2015). Therefore, as Family Nurse Practitioner (FNP) accurately diagnoses this disease, this patient population can increase the awareness become educated about endometriosis treatment options.

Coming from a small, broken home, Mary always knew she wanted to have a large family of her own. Having an emergency hysterectomy at the age of 27, three children was all that Mary could have, not fulfilling her dream of a great, overbearing family. All of her three girls coming from a previous marriage, adoption was the only option for Mary and her new husband. Now, one mother faces the horrors of; attempted murder, mental disabilities and an agonizing lifetime commitment all because of international adoption.

Although Fibrocystic Disease is common, women don’t know about it until they actually get it. The physicians are not calling this a disease, but rather a condition now.

Janet presented with uterine fibroids, otherwise referred to as leiomyomas. These tumours are composed of muscular tissue and are found within the uterus. Research has found no direct cause of leiomyomas however, it is known that the development and growth are dependent on ovarian hormones (Brown, Edwards, Seaton, & Buckley, 2015). Levels of these hormones vary throughout a woman’s life depending on her age and genetic predisposition; risk of developing leiomyomas is lowest in prepubescent and post-menopausal women and highest during pregnancy (Tinelli & Malvasi, 2014). An increase in hormone production causes these fibroids to grow rapidly.

Get ready to say goodbye to fibroids as Texas Fertility Center introduces new fibroid treatment known as the Acessa Procedure

There are many disorders that a female can go through from just the reproductive system. The one I am going to describe is called Endometriosis. Endometriosis is a condition in which the endometrial tissue appears outside the endometrial cavity. Endometrial tissue is found in the ovaries, the fallopian tubes, and the uterus. This condition affects about 40% to 60% of women in the United States. Women who have this disorder may experience painful menstruation, displaced tissue bleeds each month and forms endometrial crust, in which can cause the development of endometrial cysts. The cyst can rupture and cause future reproduction of tissue.

Some of the risk factors associated with uterine fibroids are African American women, obesity, and socioeconomic status (SES) and health access (National Institute Health, 2015).

Endometriosis affects 10% of reproductive-age women (Yale School of Medicine). It affects nearly 176 million women, ranging from 15-49, all over the world (World Endometriosis, 2011). “Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus (endometrial implant) (Mayo Clinic, 2013)” It most commonly involves your ovaries and the lining of the pelvis, but in extreme cases can spread to other parts of the body. The displaced tissue continues to act like it normally would in the uterus, thickening and breaking down with each menstrual cycle. Since the displaced tissue has nowhere to go, it becomes trapped with no way to get out (Mayo Clinic, 2013).

Developed in approximately 30% of women over 35 years and many women who are Driving first past their childbearing years, uterine fibroids are the most common type of pelvic tumors in women.

Menorrhagia can have hormonal or non-hormonal causes. Uterine fibroids, or myomas, are a common non-hormonal cause. (1) Clinically, there are three main categories of myomas, classified according to their site in the uterus: subserosal myomas grow in the outer portion of the uterus, intramural myomas develop within the uterine wall, and submucosal myomas grow just below the lining of the uterine cavity and close to the endometrial cavity. This last group of myomas, the submucosal, that have the most effect on menorrhagia.(4,5) Because of their location on the endometrium, these myomas place pressure on the uterine lining that builds with each menstrual cycle. This, in turn, can cause heavy bleeding. Even very small submucosal myomas may cause very heavy bleeding.(4,5) Myomas in the submucosal location specifically may cause abnormal uterine bleeding or subfertility, and are agreeable to hysteroscopic removal. The European Society of Gynecological Endoscopy (ESGE) classifies submucosal myomas as Type 0 if the entire lesion is intracavitary, Type I if less than 50% extends into the myometrium, and Type

Studies have discovered that 50% of women who are afflicted with endometriosis develop a case of infertility and must seek corrective surgical treatment to reverse the damage and improve the likelihood of conceiving. Studies also show that “endometriosis-associated infertility in women has been associated with subtle, explicit, or multifaceted abnormalities. Indeed, endometriosis appears to affect every part of a woman’s reproductive tract. Many women with minimal, mild, or moderate endometriosis experience” (Stilley, Birt & Sharp-Timms, 2012, p. 850). Endometriosis causes reproductive irregularities and has a huge detrimental impact on the ovaries and the process of

If one breaks down endometriosis, one will find that it means an abnormal condition of the lining inside a uterus. Specifically, the tissue that is inside the uterus will form on an external structure. This has unpleasant consequences when a tissue made for a certain region of the body is acting elsewhere. This condition will mainly affect women and young ladies during their most reproductive years and can affect them both physically and mentally (Reich et al., 2016). Even though most cases are, it is a myth that endometriosis occurs exclusively in women over twenty years of age. This disease can begin in a body as soon as the female obtains her first menstrual cycle and will unfortunately persist over a lifetime in the body unless an act of

The presenting condition of the patient as said above was Uterine Fibroids. Also known as leiomyomas, these tumours are the most common benign tumour found within the female reproductive system. (Jacques Donnez, 2016) These tumours develop in the corpus of the smooth muscle within the uterus. These growths can be identified as intermural, sub serosal and submucosal, these classifications are used to identify which area of the uterus the tumour is forming. (Porth, 2011 )The intramural fibroid is embedded into the myometrium and is the most common form of uterine fibroids in women who present to healthcare department. The presentation of this is the

To differentiate between the clinical impression of leiomyoma and adenomyosis, transvaginal ultrasonography and magnetic resonance imaging may be necessary albeit dictated in favor of ultrasonography when considering availability and cost.iii On ultrasonography, a myoma is seen as a well-defined hypo- to hyperechogenic lesion surrounded by or attached to the myometrium with circumferential blood flow at the outer border. In comparison, asymmetric thickening of the myometrium, myometrial cysts, hyperechogenic islands, fan-shaped shadowing, subendometrial echogenic lines and buds (linear striation), and an irregular endometrial–myometrial junction are suggestive of adenomyosis.