Types: • Body • Cervical
Body: The fibroids are mostly located in the body of the uterus and are usually multiple.
Interstitial or intra-mural: - (75%) Initially, the fibroids are intramural in position but subsequently, some are pushed outward or inward. Eventually, in about 70 percent, they persist in that position.
SUBPERITONEAL OR SUB SEROUS (15%)
In this condition, the intramural fibroid is pushed outwards towards the peritoneal cavity. The fibroids
are either partially or completely covered by peritoneum. When completely covered by peritoneum, it usually attains a pedicle—called pedunculated subserous fibroid. On rare occasion, the pedicle may be torn through; the fibroid gets its nourishment from the omental or mesenteric adhesions and is called ‘wandering’ or ‘parasitic’ fibroid. Sometimes, the intramural fibroid may be pushed out in between the layers of broad ligament and is called broad ligament fibroid (false or pseudo).
The intramural fibroid when pushed toward the uterine cavity, and is lying underneath the endometrium, it is called submucous fibroid. Submucous fibroid can make the uterine cavity irregular and distorted. Pedunculated submucous fibroid may come out through the cervix. It may be infected or ulcerated to cause metrorrhagia.
The medicines that can be thought of use are:-