Fibroids, Hormone Imbalances

hormone imbalance treatment


Uterine fibroids (myomas) are tumors that grow in the uterine walls. They are usually benign, and vary in size and quantity. The exact cause of uterine fibroids is unknown, but their formation may be affected by genetics, with a woman being more likely to develop them if she has a family member similarly afflicted. Most fibroids do not cause any symptoms and do not require any treatment, although, in some cases, they lead to pregnancy complications. Uterine fibroids are most common in women older than 30, and during the reproductive years.

Symptoms of Uterine Fibroids

Uterine fibroids can form on the inside or outside of the uterus. In many cases, they are asymptomatic. If symptoms are present, however, they include the following:

  • Heavy bleeding
  • Feeling of fullness
  • Pelvic pressure
  • Lower-back pain
  • Frequent urination

If uterine fibroids grow very large, they may put pressure on the large bowel, causing painful bowel movements, constipation or hemorrhoids. In some cases, sexual intercourse becomes painful.

Complications of Uterine Fibroids

In rare cases, uterine fibroids cause infertility or pregnancy complications. They can prevent implantation or growth of an embryo. If the fibroids cause infertility or miscarriage, a doctor may recommend removing them before another pregnancy is attempted. Fibroids present during pregnancy may increase the risk of premature delivery and Cesarean section.

Diagnosis of Uterine Fibroids

Uterine fibroids are commonly discovered during a pelvic exam. If fibroids are suspected, the doctor may confirm the diagnosis with blood tests, and additional imaging tests such as ultrasound, hysterosonography, MRI scans and hysterosalpingography.

Treatment of Uterine Fibroids

In cases in which uterine fibroids are not causing problems, monitoring them may be all that is necessary. Uterine fibroids usually grow slowly, and tend to shrink after menopause, when reproductive-hormone levels drop. When uterine fibroids cause uncomfortable symptoms, hormonal medications may be prescribed to shrink them. A common method used to treat uterine fibroids is fibroid embolization, which is a minimally invasive procedure that blocks blood flow to the fibroids, shrinking or destroying them. There are several other minimally invasive procedures, including the following, available to treat uterine fibroids:

  • Laparoscopic myomectomy
  • Myolysis
  • Endometrial ablation and resection of fibroids

In cases in which uterine fibroids have grown very large, more traditional surgical methods such as abdominal myomectomy or hysterectomy may be performed. A hysterectomy, which removes the uterus, is an option only for women who no longer want to have children. Except with a hysterectomy, it is possible that new fibroids will develop even after being treated.

* We would be happy to discuss with you any questions or concerns you might have! Please call us at (516) 439-5300 for a consultation, or to setup an appointment!

Hormone Imbalances

Hormone replacement therapy, or HRT, is a common treatment for women going through menopause or experiencing the symptoms associated with menopause.

Some of the symptoms for which a doctor may prescribe hormone replacement therapy are:

  • Slowed metabolism
  • Hot flashes
  • Mood swings
  • Memory loss
  • Low libido
  • Aging

A more natural method of treatment, called bioidentical hormone replacement therapy, or BHRT, is becoming increasingly popular among doctors and patients alike.

Benefits of Bioidentical Hormone Replacement Therapy

Unlike synthetic hormones, bioidentical hormones are compounded to have the identical molecular structure of the hormones made by your own body. Your body can metabolize the bioidentical hormones as it was designed to do, with minimal side effects. As opposed to the general, mass-produced synthetic hormones, bioidentical hormones are individually matched to each woman's specific hormonal needs. Synthetic hormones can cause serious side effects and are only available as a generic hormone replacement.

Considerations and Risks of BHRT

Although bioidentical hormone replacement therapy is not FDA approved, many of the individual hormones used have been approved. This method of treatment has been used in clinical trials for over 20 years and is considered a generally safe procedure offering women a more specialized, effective treatment for their troubling menopause symptoms.

There are certain risks associated with BHRT. Some of these risks include an increased chance of developing certain cancers, breast pain, nausea and mood swings. Talk to the doctor to find out if this method of treatment is right for you.

* We would be happy to discuss with you any questions or concerns you might have! Please call us at (516) 439-5300 for a consultation, or to setup an appointment!