Uterine Fibroids

Uterine fibroids are a painful condition that may also create serious limitations on a patient's reproductive options. This new text from an acknowledged expert at a major regional referral center fully reviews the relevant diagnostic factors as well as the potential new medical treatments and current thinking about the various - sometimes controversial - surgical options available for management.

Print versions of this book also include access to the eBook version with links to procedural videos.

Table of Contents
Contributors

1. The Health Care Costs of Uterine Fibroids

May-Tal Sauerbrun-Cutler and Eden R. Cardozo

2. Environmental Chemicals and Risk of Uterine Leiomyomata

Lauren A. Wise

3. Dietary Factors and Uterine Fibroids

Holly R. Harris, Stacey A. Missmer, and Kathryn L. Terry

4. Types of Fibroids

Christine C. Skiadas

5. Genetics of Uterine Leiomyomata

C. Scott Gallagher and Cynthia C. Morton

6. Growth Patterns and Endometrial Changes

Jovana Kaludjerovic

7. Causes of Bleeding

Ophelia Yin, Carter M. Owen, Kamaria Cayton, and James H. Segars

8. Ultrasound

Caitlin R. Sacha and Bryann Bromley

9. Leiomyomata and Reproduction

Amy L. Harris and Aaron K. Styer

10. Hormonal Regulation in the Treatment of Fibroids

Victoria Fitz and Steven L. Young

11. The Role of Gonadotropin-Releasing Hormone (GnRH) Agonists in the Treatment of Uterine Fibroids

Whitney A. Leonard and Alexander M. Quaas

12. GnRH Antagonists in the Treatment of Uterine Fibroids

Tejumola Adegoke and Shruthi Mahalingaiah

13. Role of Aromatase Inhibitors (AIs) and Selective Estrogen Receptor Modulators (SERMs) in the Treatment of Uterine Leiomyoma

Luis S. Noble and Diego Ramirez

14. Tranexamic Acid (TA)

John Storment and Camille Storment

15. Alternative Therapies in the Treatment of Uterine Leiomyoma

Anatte E. Karmon

16. Laparotomy for Surgical Treatment of Uterine Fibroids

Jeffrey M. Goldberg and Zaraq Khan

17. Laparoscopic Myomectomy

Anthony N. Imudia and Erika Parker New

18. Computer-Assisted Laparoscopic Myomectomy

Randi H. Goldman and Antonio R. Gargiulo

19. Hysteroscopic Vaporization of Uterine Myoma

Annie Leung and Togas Tulandi

20. Hysteroscopic Myomectomy

Karissa Hammer and John C. Petrozza

21. Fibroids: Location is (Almost) Everything

Emily A. Seidler and Louise P. King

22. Manual or Hand Morcellation in Minimally Invasive Surgery

Janelle K. Moulder, Tarek Toubia, and Michelle Louie

23. Uterine Leiomyosarcoma

Roni Nitecki and J. Alejandro Rauh-Hain

24. Minimizing Blood Loss

Elise Bardawil and Jessica B. Spencer

25. Fibroid Adhesions

Eleni Greenwood Jaswa and Evelyn Mok-Lin

26. How Long Does it Take Uterine Scar(s) to Heal?

Hope Y. Yu and Gary N. Frishman

27. When to Recommend a Cesarean Section

Matthew S. Smith and Joan M. Mastrobattista

28. Uterine Artery Embolization

Gloria M. Salazar and Eric Paul Wehrenberg-Klee

29. Magnetic Resonance-Guided Focused Ultrasound (MRgFUS)

Zubin Irani

Index

John C. Petrozza is a Reproductive Endocrinologist, Reproductive Surgeon, and Chief, Division of Reproductive Medicine. He is also IVF Director, Massachusetts General Fertility Center and Co-Director, MGH Integrated Fibroid Program, Boston and Danvers, Massachusetts, USA. He has focused on the surgical aspect of infertility and reproduction, including fibroids, endometriosis, surgical repair of uterine anomalies and scar tissue, and repair of damaged fallopian tubes. He also directs a Chronic Pelvic Pain Clinic within the gynecology division and co-directs the Minimally Invasive Gynecologic Surgery Program. He has a strong interest in fertility treatment outcomes and policies.