GEWICHT: 47 kg
Boobs: 75 DD
Intime Dienste: Fetisch, Dreier MMF, Schuh- und Fu?erotik, Bisexuell, Massagen
Abnormal uterine bleeding AUB is a common and debilitating condition with high direct and indirect costs. AUB frequently co-exists with fibroids, but the relationship between the two remains incompletely understood and in many women the identification of fibroids may be incidental to a menstrual bleeding complaint.
Office hysteroscopy and increasing sophisticated imaging will assist provision of robust evidence for the underlying cause. Increased availability of medical options has expanded the choice for women and many will no longer need to recourse to potentially complicated surgery. Treatment must remain individualised and encompass the impact of pressure symptoms, desire for retention of fertility and contraceptive needs, as well as address the management of AUB in order to achieve improved quality of life.
Abnormal uterine bleeding AUB is a significant clinical entity. Along with the direct impact on the woman and her family, there are significant costs to both economy and health service. AUB is the fourth most common reason for referral to UK gynaecological services . While there may be relief from HMB during pregnancy and lactation, and an end to the problem at menopause, women affected will tend to suffer the adverse impacts of AUB over what should be the prime years of their lives.
Fibroids are associated with subfertility, miscarriage, preterm labour and obstruction of labour. In addition, they may cause discomfort and pressure symptoms, typically urinary.
In rare circumstances, at larger sizes, they may cause compression of the renal tract and pelvic vasculature leading to impaired renal function and venous thromboembolism, respectively. Conversely, many women with fibroids will be entirely asymptomatic . However, many women most commonly present to gynaecological services with AUB and associated iron-deficiency anaemia.