Women's Health
Resources
Basic InformationLatest News
Leading U.S. Ob-Gyn Groups Urge COVID Vaccines for All Pregnant WomenAcne Can Take Big Emotional Toll on WomenVitamin D May Lower Black Women's Odds for COVID-19Mom's Weight-Loss Surgery Lowers Many Pregnancy Complications, Raises OthersPregnant Women Need to Take Care in Sweltering Summer HeatAre Antibiotics Really the Answer for UTIs in Women?Stronger Hearts, Better Outcomes in Pregnancy: StudyCould Menopausal Hormone Therapy Reduce Women's Odds for Dementia?Screening Often Misses Endometrial Cancer in Black WomenAHA News: Pregnant Mom's Diet May Influence Baby's Cardiovascular HealthPandemic Delays in Screening Mean More Breast Cancer Deaths Ahead: StudyCOVID Vaccine Doesn't Infiltrate Breast MilkGap in Breast Cancer Survival for Black, White Patients Shrinks, But Not by EnoughCost a Barrier to Cervical Cancer Screening for Many U.S. WomenAlcohol Still a Threat in Too Many American Pregnancies: StudyWomen's Cancer Screenings Plummeted During PandemicPandemic Day Care Closures Forced 600,000 U.S. Working Moms to Leave JobsNo Sign Prior COVID Infection Affects a Woman's Fertility: StudyWomen, Take These Key Steps to Good Urological HealthAre Women Absorbing Toxins From Their Makeup?Race Doesn't Affect Risk for Genes That Raise Breast Cancer RiskHealthy Levels of Vitamin D May Boost Breast Cancer OutcomesHeavy Drinking Could Lower a Woman's Odds of ConceptionAHA News: Asian and Pacific Islander Women May Be at Greatest Risk for Preeclampsia ComplicationsFibroid Pain, Bleeding Is Driving Thousands of Women to the ERA Woman's Diet Might Help Her Avoid Breast CancerBreast Cancer's Spread Is More Likely in Black Women, Study FindsAHA News: Menopause Before 40 Tied to Higher Stroke RiskHealthy Eating Lowers Pregnancy Complication RiskAortic Tears Are Even More Deadly for Women, Study FindsFDA Warns of Bogus Fertility Claims for Some SupplementsAHA News: Surprisingly Few Women May Have Good Heart Health Before PregnancyOsteoporosis Might Also Raise a Woman's Odds for Hearing LossModerate Use of Hair Relaxers Won't Raise Black Women's Cancer Risk: StudyMammography Rates Plummeted During Pandemic'Yo-Yo' Dieting May Mean Sleepless Nights for WomenGluten Doesn't Trigger 'Brain Fog' for Women Without Celiac Disease: StudyHPV Vaccination Is Lowering U.S. Cervical Cancer RatesSmoggy Air Might Raise Black Women's Odds for FibroidsAHA News: Preterm Deliveries May Pose Long-Term Stroke Risk for MothersWomen Get Help Later Than Men When Heart Attack StrikesLots of Sugary Drinks Doubles Younger Women's Colon Cancer Risk: StudyHeart Risk Factors Show Up Earlier in U.S. Black WomenBetter Access to Birth Control Boosts School Graduation RatesA Vitamin Could Be Key to Women's Pain After Knee ReplacementFreezing Tumors Could Be New Treatment for Low-Risk Breast CancersGiving Birth During the Pandemic? Facts You Need to KnowDo Your Genes Set You Up for Hot Flashes?Common Complication of Pregnancy Tied to Higher Stroke Risk LaterMigraine Before Menopause Could Be Linked to High Blood Pressure Later
LinksSelf-Help Groups
Related Topics

Wellness and Personal Development
Mental Disorders

Fibroid Pain, Bleeding Is Driving Thousands of Women to the ER

HealthDay News
by By Denise Mann HealthDay Reporter
Updated: Jun 8th 2021

new article illustration

TUESDAY, June 8, 2021 (HealthDay News) -- Far too many women are showing up in U.S. emergency rooms due to fibroids, according to a new study spanning 12 years.

Fibroids are common noncancerous growths in the uterus. They don't always cause symptoms, but those that do may result in heavy menstrual bleeding and severe abdominal pain.

Fully tens of thousands of women are seen annually in the emergency department for fibroids across the United States, but only 1 in 10 are admitted to the hospital. That suggests that many of these cases could have been successfully treated elsewhere, if women had access to care.

"If you have symptomatic fibroids, it's important for you to establish care with a women's health provider so you can be counseled on all the options for treatment and symptom relief in a relaxed and trusted setting," said study author Dr. Erica Marsh. She is the chief of the division of reproductive endocrinology and infertility at the Center for Reproductive Medicine at Michigan Medicine Von Voigtlander Women's Hospital in Ann Arbor.

"The ER can be avoided by not delaying care for your symptoms, even in the midst of a pandemic, and working with your health care provider on short-term interventions and long-term interventions if needed," Marsh added.

Fibroids can be treated with medications, surgery, and/or interventional radiology procedures such as uterine artery embolization to block blood supply to the fibroid, she said.

To arrive at their findings, the researchers looked at more than 487 million emergency visits by U.S. women aged 18 to 55 that took place between 2006 and 2017 using a nationwide database. They found that the number of ER visits for fibroids more than doubled during the study period, going from more than 28,700 visits to nearly 65,700 visits. At the same time, hospital admissions for these visits fell from about 24% to 11%, the study found.

The study can't say why more women seem to be going to the emergency room to treat fibroids, but it could be that they don't have a primary care doctor or health insurance, and many may delay seeking care until the symptoms become overwhelming.

Emergency department visits for fibroids were most common among women aged 36-45 and those with lower incomes. Women who came to the emergency room for bleeding-related issues were 15 times more likely to be admitted. By contrast, hospital admission was least likely for women without insurance who came to the emergency room with fibroid symptoms, the study showed.

There will be times when seeking emergency care is necessary, Marsh said. But "the vast majority of women who present to the ER with fibroids as their primary diagnosis are discharged home," she said.

"We need better infrastructure for women's health in general and for urgent women's health care specifically," Marsh said. "When patients don't get timely care, they often end up needing more expensive and invasive care, and have more limited options for treatment."

Fibroid care can be twice as expensive as other emergency room visits among similarly aged women, likely because of pricey imaging scans and other tests needed to assess bleeding.

During the study period, the average emergency room visit charge for fibroids more than doubled, costing more than $6,000 per visit and totaling $500 million during 2017.

The study appears in the May issue of the journal Obstetrics & Gynecology.

Getting regular gynecologic exams will likely help identify fibroids before they become an emergency, said Dr. Jennifer Wu, an obstetrician-gynecologist at Lenox Hill Hospital in New York City. "Knowledge is power, and if you know that you have fibroids, you can better recognize the symptoms, such as pain before you get your period, and take steps to treat them."

There are times when a fibroid and its symptoms can constitute an emergency, stressed Wu, who was not part of the study. "If you are bleeding so heavily that you feel faint and/or become anemic, you may need a blood transfusion and should seek care immediately."

There are more treatments than ever before to address the symptoms of fibroids, she said. Over-the-counter medications including NSAIDs can help relieve pain, and birth control pills can control heavy bleeding and painful periods.

Surgeries may involve removal of the fibroids (myomectomy), and sometimes a hysterectomy is still needed if other treatments have not worked or if the fibroids are extremely large, Wu said.

More information

The Office on Women's Health offers more information on fibroids and their treatments.

SOURCES: Erica Marsh, MD, chief, division of reproductive endocrinology and infertility, Center for Reproductive Medicine, Michigan Medicine Von Voigtlander Women's Hospital, Ann Arbor; Jennifer Wu, MD, obstetrician-gynecologist, Lenox Hill Hospital, New York City; Obstetrics & Gynecology, May 2021




328 W. Claiborne St.
P.O. Box 964
Monroeville,
Alabama 36460
Tel: (251)575-4203
Fax:(251)575-9459


powered by centersite dot net