Heavy bleeding from fibroids and other GYN conditions can cause anemia. If blood test results show that you are anemic, it is important to put what that means into context, so that you can monitor your symptoms and make sure to seek treatment if they worsen.
The Dangers of Anemia
Knowing the dangers of anemia can help women get ahead of potentially life-threatening complications such as congestive heart failure, angina, arrhythmia, and/or heart attack.
Blood loss is the most common cause of anemia. In addition to the loss of red blood cells from the body, which your bone marrow must replace, loss of iron that is contained in these cells will ultimately lead to iron deficiency once tissue stores have been depleted. Iron deficiency associated with chronic bleeding leads to a reduced bone marrow response, worsening the degree of anemia.
Your body needs iron to make a protein called hemoglobin. This protein carries oxygen which is essential for tissue and muscles to function effectively. When there isn’t enough iron in the blood stream, the rest of the body can’t get the amount of oxygen it needs.
Anemia symptoms vary depending on the cause of your anemia but may include:
- Pale skin
- A fast or irregular heartbeat
- Shortness of breath
- Chest pain
- Cognitive problems
- Cold hands and feet
Approximately 25 percent of reproductive age women have absent iron stores, and any amount of bleeding will result in anemia for them. Iron deficiency in the United States and Western Europe is almost always due to blood loss.
Abnormal GYN Bleeding Due to Fibroids
Fibroids within the uterine lining (submucosal) can cause severe bleeding, even if they are small. These fibroids can increase the area of the lining, and also increase menstrual flow and decrease the normal ability of the lining to stop the bleeding.
Fibroids within the uterine muscle (intramural) that are larger or close to the cavity will increase blood flow to the uterus and affect the normal systems that control bleeding in the uterus. These fibroids will also increase the size of the cavity of the uterus, thereby increasing bleeding.
Increased bleeding in the uterine cavity due to these types of fibroids can result in the formation of clots. Pain is caused by distension of the womb and passage of the clots. Many women pass very large clots and have extreme pain with their menstrual cycle as a result.
Thorough Fibroid Removal Is Essential For Long-term Relief
Thoroughly removing fibroids from the uterus can only be performed by a highly skilled minimally invasive GYN surgeon, without using a robot. Fibroids that are deep in the muscle, or are very small can be hard to find unless they are felt and removed by hand. Unless all of the fibroids are removed, they can continue to grow, and cause problems with heaving bleeding, pelvic pain and infertility. Standard laparoscopic or robotic techniques do not allow a surgeon to feel the fibroids, and often, those that are left behind become problematic.
Fibroid removal surgery can be performed as a myomectomy, removing the fibroids from the uterus, or as a hysterectomy, removing the uterus itself. A myomectomy is performed for women who wish to retain the ability to get pregnant. A hysterectomy for fibroid removal is performed for women who no longer wish to get pregnant, and who suffer from recurring fibroids. Depending on your future plans for fertility, it is important to find a surgeon who will work with you as a partner, and who can perform either procedure through minimally invasive techniques, such as LAAM or DualPortGYN.
A delicate procedure like a myomectomy requires the ability to feel in order to create the best possible result. A successful myomectomy requires the surgeon to remove fibroids often deep in the muscle of the uterus that cannot be easily seen. It also requires the surgeon to remove all of the fibroids, including smaller ones, which can only be located by feeling them. The LAAM is a minimally invasive fibroid removal technique that allows the surgeon to feel all of the fibroids at any location in or around the uterus, and allows for their safe and effective removal no matter the size.
A DualPortGYN hysterectomy is one of the most minimally invasive GYN surgery techniques available. A hysterectomy is the most effective way to eliminate fibroids. Once the uterus is removed, fibroids cannot regrow. It is important to understand what a hysterectomy entails, and to choose a skilled minimally invasive GYN surgeon who will explain in detail what will happen during and after the surgery.
BOOK A CONSULTATION
GYN surgical specialists can often see women sooner because they are focused entirely on surgery. Each patient gets detailed, in depth attention from Dr. Natalya Danilyants and Dr. Paul MacKoul. This personalized care helps patients understand their condition and the recommended treatment so that they can have confidence from the very start. Our surgeons have performed over 20,000 GYN procedures and are constantly finding better ways to improve outcomes for patients.
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