ตรวจภายในไม่ใช่เรื่องน่าอายเพราะ “เนื้องอกมดลูก” เกิดขึ้นได้เสมอ!!

<h3 style="display: none;">Internal exams are not embarrassing… because “uterine fibroids” can always occur!!</h3>
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<div>Because the <span style="color: #00826a;"><strong>“uterus”</strong></span> is the source of estrogen hormones… the main cause of uterine fibroids! Taking care and visiting a doctor for an internal exam is therefore very important. It’s time… for every woman to stop feeling embarrassed! Before unknowingly harming their own uterus..</div>
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<h2><span style="color: #00826a;">Uterine fibroids… often occur in working-age women</span></h2>
<div>Because the occurrence of uterine fibroids is related to estrogen hormone levels, which are high in women of reproductive age or between 20-50 years old. The increased estrogen levels during this period stimulate the uterine muscle to grow abnormally.</div>
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<h2><span style="color: #00826a;">Types of fibroid tumors</span></h2>
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<li><span style="color: #00826a;"><strong>Intramural fibroid</strong></span> occurs when uterine muscle cells grow abnormally, causing the fibroid to embed within the uterine muscle.</li>
<li><span style="color: #00826a;"><strong>Subserosal fibroid</strong></span> the fibroid grows and pushes out to the outer surface of the uterus.</li>
<li><span style="color: #00826a;"><strong>Submucosal fibroid</strong></span> the fibroid grows and pushes into the uterine cavity.</li>
<li><span style="color: #00826a;"><strong>Intracavitary fibroid</strong></span> the fibroid may protrude out to the outer surface of the uterus or push back into the uterine cavity, attached to the uterus by a small stalk.</li>
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<h2><span style="color: #00826a;">Know early… with 6 warning signs!!</span></h2>
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<li>Heavy and prolonged menstrual bleeding, including blood clots or increased menstrual pain.</li>
<li>Frequent urination. Large fibroids may press on the bladder, causing difficulty urinating or frequent urination.</li>
<li>Pain and discomfort during sexual intercourse, possibly caused by fibroids growing and protruding into the vagina or cervix area.</li>
<li>Constipation. Fibroids may press on the rectum and grow larger, compressing or pressing on the organs in the abdominal cavity.</li>
<li>Bloating and fullness. Large fibroids cause discomfort, abdominal tightness, swelling, or enlargement in the lower abdomen or pelvic area.</li>
<li>Infertility and frequent miscarriage. Fibroids growing into the uterine cavity may block the fallopian tubes and interfere with embryo implantation.</li>
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<h2><span style="color: #00826a;">Uterine fibroids can be treated by…</span></h2>
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<li>Taking pain relief medication if the fibroid is small, about the size of a lime or orange, or in older patients at risk from other treatments. Doctors will prescribe medication accordingly.</li>
<li>Surgery, which is divided into 3 types…</li>
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<li><span style="color: #00826a;"><strong>Open abdominal surgery</strong></span> involves making a 6-8 inch incision on the abdomen. The fibroid may be removed alone or the uterus may be removed, depending on the condition and severity.</li>
<li><span style="color: #00826a;"><strong>Laparoscopic surgery</strong></span> surgery performed by making small incisions of 0.5 – 1 cm in the abdomen, usually 3-4 incisions, to insert surgical instruments and a laparoscope connected to a monitor, allowing the doctor to see inside the abdomen and pelvis and control the surgery externally.</li>
<li><span style="color: #00826a;"><strong>Vaginal surgery</strong></span> this method leaves no abdominal scars, causes less pain, and allows faster recovery. However, if the fibroid is large, there are pelvic adhesions, or the vaginal canal is narrow, surgery may be more difficult.</li>
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<p>&nbsp;</p>
<p style="text-align: right;"><span style="color: #00826a;"><strong>Captain (Navy) Dr. Sosakul Boonyawiroj</strong></span><br />
Gynecologic Oncology Specialist<br />
Women’s Health Center, Phyathai 1 Hospital</p>

Working-age women are at risk of uterine fibroids. If you experience abnormally heavy menstrual bleeding, pain in the vagina or cervix during intercourse, you should see a doctor for an internal examination promptly. Don’t be shy and harm your own uterus.

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Internal examinations are not embarrassing because "uterine fibroids" can always occur!!

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