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Flashcards in female reproductive system Deck (1):
1

A 35 year-old female client talks to the nurse in her health care provider’s office about her new diagnosis of uterine fibroids. What statement by the woman is incorrect and indicates that more teaching is needed?

A: Even if the fibroids cause no problems, they will still need to be taken out."

B: "I sometimes experience pelvic pressure and pain, heavy menstrual bleeding, and I feel the need to urinate more often."

C: "Fibroids occur more frequently in women my age but no one knows what causes them."

D: "Uterine fibroids are noncancerous tumors that grow slowly."

A: Even if the fibroids cause no problems, they will still need to be taken out."

Fibroids that cause no findings may require only "watchful waiting." The client may just need pelvic exams or ultrasounds every once in a while to monitor the fibroid's growth. Treatment for the symptoms of fibroids (such as painful menses and heavy periods) may include oral contraceptives, IUDs, iron supplements to prevent or treat anemia (due to heavy periods), NSAIDs for cramps or pain or even short-term hormonal therapy to help shrink the fibroids. Surgical removal using myomectomy or hysterectomy is usually reserved as a final alternative after other treatment options have failed to provide adequate relief. In addition, concerns about loss of fertility with this diagnosis and its treatment may be important to this client who is still in her childbearing years.