{"id":130,"date":"2017-03-23T18:37:59","date_gmt":"2017-03-23T18:37:59","guid":{"rendered":"http:\/\/papergp.com\/index.php\/womens-health\/fibroids\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"fibroids","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/womens-health\/fibroids\/","title":{"rendered":"Fibroids"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; IMB, PCB, weight loss<\/li>\n<li>Others &#8211; periods, abdo pain, back pain, urinary symptoms<\/li>\n<li>Examine &#8211; abdo, pelvis, speculum<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC<\/li>\n<li>Pelvic USS<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>fibroids are noncancerous growths in the womb causing symptoms such as heavy periods, abdominal swelling, urinary problems.<\/li>\n<li>Can get larger with age and pregnancy and get smaller after menopause.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Watch and wait<\/li>\n<li>Medications &#8211; tranexamic acid, NSAIDs, COCP<\/li>\n<li>Mirena coil &#8211; sometimes difficult to insert<\/li>\n<li>Refer &#8211; medications to shrink, uterine artery embolisation, myomectomy, hysterectomy<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety-net &#8211; PIL, review if not improved for referral<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; IMB, PCB, weight loss Others &#8211; periods, abdo pain, back pain, urinary symptoms Examine &#8211; abdo, pelvis, speculum &nbsp; Clinical management Investigations Bloods &#8211; FBC Pelvic USS Explanation fibroids are noncancerous growths in the womb causing symptoms such as heavy periods, abdominal swelling, urinary problems. Can get larger with age &hellip; <a href=\"https:\/\/papergp.com\/index.php\/womens-health\/fibroids\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Fibroids<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":122,"menu_order":108,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-130","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=130"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/130\/revisions"}],"predecessor-version":[{"id":1964,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/130\/revisions\/1964"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/122"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}