We are IntechOpen, the world's leading publisher of Open Access books Built by scientists, for scientists

5,200+

Open access books available

128,000+

International authors and editors

150M+

Downloads

156 Countries delivered to Our authors are among the

Top 1% most cited scientists

12.2%

Contributors from top 500 universities

Selection of our books indexed in the Book Citation Index in Web of Science™ Core Collection (BKCI)

## Interested in publishing with us? Contact book.department@intechopen.com

Numbers displayed above are based on latest data collected. For more information visit www.intechopen.com

## Meet the editor

Hassan S. Abduljabbar, MD, FRCSC, is Professor of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia. He is president of the Saudi Society of Obstetrics and Gynecology and the Federation of Arab Gynecology Obstetrics Societies. Dr. Abduljabbar graduated from King Abdulaziz University in 1980 and the University of Western Ontario in 1986. He was board certified by the American Board of Obstetrics and

Gynecology (ABOG) in 1988. He is a reviewer for many international scientific journals and an examiner of master's degrees and Ph.D.'s as well as for the Saudi and Arab board exams. He has published seventy-five articles and edited several books. He also writes on scientific subjects for local newspapers like Al-Bilad.

Contents

**Section 1**

Bleeding

**Section 2**

*by Kizito Omona*

Inflammation and Ovulation

Extra-Uterine Fibroids

*by Cinta Vidal Mazo*

*and José Fugarolas Marín*

Option for Uterine Fibroids

*Nikolaos Nikolettos and Vasileios Souftas*

**Section 3**

*by Pankaj Pant and Havagiray R. Chitme*

*by Rakesh Kumar Gupta and Poonam Wasnik*

Fibroids and Hysteroscopy: An Overview

Bleeding and Hysteroscopy in Uterine Myomatosis *by Sergio Rosales-Ortiz, Tammy Na Shieli Barrón Martínez,* 

**Preface XI**

Clinical Presentation **1**

**Chapter 1 3**

**Chapter 2 13**

Diagnosis **23**

**Chapter 3 25**

**Chapter 4 33**

**Chapter 5 55**

Management **73**

**Chapter 6 75**

*Diana Sulvaran Victoria, Jocelyn Arias Alarcon, Janeth Márquez-Acosta* 

The Contribution of Uterine Artery Embolization as a Safe Treatment

*Thedosia Vogaitzaki, Stefanos Zervoudis, George Iatrakis, Werner Rath,* 

*Anna Chalkidou, Spyridon Michalopoulos, Nistikoulis George, Ioannis Tsirkas, Fotini Gaitatzi, Selma Gyroglou, Irene Babageorgaka, Natalia Sachnova, Michael Koutsogiannis, Apostolos Lazarou, Arsou Chalil Bouratzan,* 

*Theopi Nalbanti, Panagiotis Peitsidis, Konstantinos Nikolettos, George Dragoutsos,* 

*by Panagiotis Tsikouras, Anastasia Bothou, Xanthoula Anthoulaki,* 

## Contents



Preface

This important book explores one of the most common pathologic abnormalities of the female genital tract: fibroids. A fibroid is a benign tumor originating from

Written by authors and researchers in the field, this book examines uterine fibroids over four sections. The first section covers the clinical presentation of myoma. Some tumors are asymptomatic, whereas others may cause pelvic masses, abnormal vaginal bleeding, or pelvic pain. It also discusses sexual dysfunction as well as reproductive symptoms like infertility and recurrent pregnancy loss.

The second section deals with the diagnosis, which can be accomplished by conducting a clinical history and physical examination, including pelvic examination. Diagnosis can be confirmed via pelvic ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI), all of which can also be used to diagnose extra-uterine fibroids as well. This section includes a chapter about submucous myoma and hysteroscopy and how the latter can treat

The third section deals with the management of uterine fibroids, including medical hormonal or non-hormonal treatment, herbal medicine, surgery (either open or endoscopic), and uterine artery embolization. It also discusses women's

**Hassan Abduljabbar**

King Abdulaziz University, Jeddah, Saudi Arabia

Department of Obstetrics and Gynecology,

the smooth muscle of the uterus.

bleeding in uterine myxomatosis.

perspectives about their bodies after hysterectomy.

*by Eman Alshawish*
