Mayo Clinic • Science & Technology
SIMPLE HERBAL REMEDY FOR UTERINE FIBROID (OGUN OYUN IJU) BY BABALAWO OBANIFA -Obanifa extreme documentaries
In this current work Babalawo
Obanifa will document one of the formula available in field of Africa
herbal medicine for treatment of uterine fibroid which is known as Oyun Iju
in field of Yoruba herbal medicine. Before I embark on this documentation. I
will first adopt some educational information on this subject under discussion by
Mayo Clinic team as mine in this work to give the reader the bird eye view what
we mean by uterine fibroid within the context of this work. It is instructive
to note that Medical information made available in this work should not be regards
as substitute to the service of a qualified trained health practitioners where
the service of one is required. According to the aforementioned source ,Uterine
fibroids are noncancerous growths of the uterus that often appear during
childbearing years. Also called leiomyomas (lie-o-my-O-muhs) or myomas, uterine
fibroids aren't associated with an increased risk of uterine cancer and almost
never develop into cancer.
Fibroids range in
size from seedlings, undetectable by the human eye, to bulky masses that can
distort and enlarge the uterus. You can have a single fibroid or multiple ones.
In extreme cases, multiple fibroids can expand the uterus so much that it
reaches the rib cage and can add weight.
Many women have
uterine fibroids sometime during their lives. But you might not know you have
uterine fibroids because they often cause no symptoms. Your doctor may discover
fibroids incidentally during a pelvic exam or prenatal ultrasound.
Symptoms
Many
women who have fibroids don't have any symptoms. In those that do, symptoms can
be influenced by the location, size and number of fibroids.
In
women who have symptoms, the most common signs and symptoms of uterine fibroids
include:
- Heavy menstrual bleeding
- Menstrual periods lasting more than a week
- Pelvic pressure or pain
- Frequent urination
- Difficulty emptying the bladder
- Constipation
- Backache or leg pains
Rarely,
a fibroid can cause acute pain when it outgrows its blood supply, and begins to
die.
Rarely, a fibroid
can cause acute pain when it outgrows its blood supply, and begins to die.
Fibroids are
generally classified by their location. Intramural fibroids grow within the
muscular uterine wall. Submucosal fibroids bulge into the uterine cavity.
Subserosal fibroids project to the outside of the uterus.
When to see a doctor
See your doctor if
you have:
- Pelvic pain that doesn't go away
- Overly heavy, prolonged or painful periods
- Spotting or bleeding between periods
- Difficulty emptying your bladder
- Unexplained low red blood cell count (anemia)
Seek prompt
medical care if you have severe vaginal bleeding or sharp pelvic pain that
comes on suddenly.
Causes
Doctors
don't know the cause of uterine fibroids, but research and clinical experience
point to these factors:
- Genetic changes. Many fibroids contain changes in genes that differ from those in normal uterine muscle cells.
- Hormones. Estrogen and progesterone, two hormones that stimulate development of the uterine lining during each menstrual cycle in preparation for pregnancy, appear to promote the growth of fibroids.
Fibroids
contain more estrogen and progesterone receptors than normal uterine muscle
cells do. Fibroids tend to shrink after menopause due to a decrease in hormone
production.
- Other growth factors. Substances that help the body maintain tissues, such as insulin-like growth factor, may affect fibroid growth.
- Extracellular matrix (ECM). ECM is the material that makes cells stick together, like mortar between bricks. ECM is increased in fibroids and makes them fibrous. ECM also stores growth factors and causes biologic changes in the cells themselves.
Doctors believe
that uterine fibroids develop from a stem cell in the smooth muscular tissue of
the uterus (myometrium). A single cell divides repeatedly, eventually creating
a firm, rubbery mass distinct from nearby tissue.
The growth
patterns of uterine fibroids vary — they may grow slowly or rapidly, or they
may remain the same size. Some fibroids go through growth spurts, and some may
shrink on their own.
Many fibroids that
have been present during pregnancy shrink or disappear after pregnancy, as the
uterus goes back to a normal size.
Risk factors
There are few
known risk factors for uterine fibroids, other than being a woman of
reproductive age. Factors that can have an impact on fibroid development
include:
- Race. Although any woman of reproductive age can develop fibroids, black women are more likely to have fibroids than are women of other racial groups. In addition, black women have fibroids at younger ages, and they're also likely to have more or larger fibroids, along with more-severe symptoms.
- Heredity. If your mother or sister had fibroids, you're at increased risk of developing them.
- Other factors. Onset of menstruation at an early age; obesity; a vitamin D deficiency; having a diet higher in red meat and lower in green vegetables, fruit and dairy; and drinking alcohol, including beer, appear to increase your risk of developing fibroids.
Complications
Although uterine
fibroids usually aren't dangerous, they can cause discomfort and may lead to
complications such as a drop in red blood cells (anemia), which causes fatigue,
from heavy blood loss. Rarely, a transfusion is needed due to blood loss.
Pregnancy and fibroids
Fibroids usually
don't interfere with getting pregnant. However, it's possible that fibroids —
especially submucosal fibroids — could cause infertility or pregnancy loss.
Fibroids may also
raise the risk of certain pregnancy complications, such as placental abruption,
fetal growth restriction and preterm delivery.
Prevention
Although
researchers continue to study the causes of fibroid tumors, little scientific
evidence is available on how to prevent them. Preventing uterine fibroids may
not be possible, but only a small percentage of these tumors require treatment.
But, by making
healthy lifestyle choices, such as maintaining a normal weight and eating
fruits and vegetables, you may be able to decrease your fibroid risk.
Also, some
research suggests that using hormonal contraceptives may be associated with a
lower risk of fibroids.
Diagnosis
Uterine fibroids
are frequently found incidentally during a routine pelvic exam. Your doctor may
feel irregularities in the shape of your uterus, suggesting the presence of
fibroids.
If you have
symptoms of uterine fibroids, your doctor may order these tests:
·
Ultrasound. If confirmation is needed, your doctor may order an
ultrasound. It uses sound waves to get a picture of your uterus to confirm the
diagnosis and to map and measure fibroids.
A
doctor or technician moves the ultrasound device (transducer) over your abdomen
(transabdominal) or places it inside your vagina (transvaginal) to get images
of your uterus.
- Lab tests. If you have abnormal menstrual bleeding, your doctor may order other tests to investigate potential causes. These might include a complete blood count (CBC) to determine if you have anemia because of chronic blood loss and other blood tests to rule out bleeding disorders or thyroid problems.
If traditional
ultrasound doesn't provide enough information, your doctor may order other
imaging studies, such as:
- Magnetic resonance imaging (MRI). This imaging test can show in more detail the size and location of fibroids, identify different types of tumors and help determine appropriate treatment options. An MRI is most often used in women with a larger uterus or in women approaching menopause (perimenopause).
- Hysterosonography. Hysterosonography (his-tur-o-suh-NOG-ruh-fee), also called a saline infusion sonogram, uses sterile saline to expand the uterine cavity, making it easier to get images of submucosal fibroids and the lining of the uterus in women attempting pregnancy or who have heavy menstrual bleeding.
- Hysterosalpingography. Hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fee) uses a dye to highlight the uterine cavity and fallopian tubes on X-ray images. Your doctor may recommend it if infertility is a concern. This test can help your doctor determine if your fallopian tubes are open or are blocked and can show some submucosal fibroids.
- Hysteroscopy. For this, your doctor inserts a small, lighted telescope called a hysteroscope through your cervix into your uterus. Your doctor then injects saline into your uterus, expanding the uterine cavity and allowing your doctor to examine the walls of your uterus and the openings of your fallopian tubes.
Treatment
There's no single
best approach to uterine fibroid treatment — many treatment options exist. If
you have symptoms, talk with your doctor about options for symptom relief.
Many women with
uterine fibroids experience no signs or symptoms, or only mildly annoying signs
and symptoms that they can live with. If that's the case for you, watchful
waiting could be the best option.
Fibroids aren't
cancerous. They rarely interfere with pregnancy. They usually grow slowly — or
not at all — and tend to shrink after menopause, when levels of reproductive
hormones drop.
Medications for
uterine fibroids target hormones that regulate your menstrual cycle, treating
symptoms such as heavy menstrual bleeding and pelvic pressure. They don't
eliminate fibroids, but may shrink them. Medications include:
·
Gonadotropin-releasing
hormone (GnRH) agonists.
Medications called GnRH
agonists treat fibroids by blocking the production of estrogen and
progesterone, putting you into a temporary menopause-like state. As a result,
menstruation stops, fibroids shrink and anemia often improves.
GnRH agonists include leuprolide (Lupron,
Eligard, others), goserelin (Zoladex) and triptorelin (Trelstar, Triptodur
Kit).
Many
women have significant hot flashes while using GnRH
agonists. GnRH agonists
typically are used for no more than three to six months because symptoms return
when the medication is stopped and long-term use can cause loss of bone.
Your
doctor may prescribe a GnRH
agonist to shrink the size of your fibroids before a planned surgery or to help
transition you to menopause.
- Progestin-releasing intrauterine device (IUD). A progestin-releasing IUD can relieve heavy bleeding caused by fibroids. A progestin-releasing IUD provides symptom relief only and doesn't shrink fibroids or make them disappear. It also prevents pregnancy.
- Tranexamic acid (Lysteda, Cyklokapron). This nonhormonal medication is taken to ease heavy menstrual periods. It's taken only on heavy bleeding days.
·
Other
medications. Your doctor might
recommend other medications. For example, oral contraceptives can help control
menstrual bleeding, but they don't reduce fibroid size.
Nonsteroidal
anti-inflammatory drugs (NSAIDs), which are not hormonal medications, may be
effective in relieving pain related to fibroids, but they don't reduce bleeding
caused by fibroids. Your doctor may also suggest that you take vitamins and
iron if you have heavy menstrual bleeding and anemia.
MRI-guided focused
ultrasound surgery (FUS) is:
- A noninvasive treatment option for uterine fibroids that preserves your uterus, requires no incision and is done on an outpatient basis.
- Performed while you're inside an MRI scanner equipped with a high-energy ultrasound transducer for treatment. The images give your doctor the precise location of the uterine fibroids. When the location of the fibroid is targeted, the ultrasound transducer focuses sound waves (sonications) into the fibroid to heat and destroy small areas of fibroid tissue.
- Newer technology, so researchers are learning more about the long-term safety and effectiveness. But so far data collected show that FUS for uterine fibroids is safe and effective.
Certain procedures
can destroy uterine fibroids without actually removing them through surgery.
They include:
·
Uterine
artery embolization. Small
particles (embolic agents) are injected into the arteries supplying the uterus,
cutting off blood flow to fibroids, causing them to shrink and die.
This
technique can be effective in shrinking fibroids and relieving the symptoms
they cause. Complications may occur if the blood supply to your ovaries or
other organs is compromised. However, research shows that complications are
similar to surgical fibroid treatments and the risk of transfusion is
substantially reduced.
·
Radiofrequency
ablation. In this procedure,
radiofrequency energy destroys uterine fibroids and shrinks the blood vessels
that feed them. This can be done during a laparoscopic or transcervical
procedure. A similar procedure called cryomyolysis freezes the fibroids.
With
laparoscopic radiofrequency ablation, also called Lap-RFA, your doctor makes
two small incisions in the abdomen to insert a slim viewing instrument
(laparoscope) with a camera at the tip. Using the laparoscopic camera and a
laparoscopic ultrasound tool, your doctor locates fibroids to be treated.
After
locating a fibroid, your doctor uses a specialized device to deploy several
small needles into the fibroid. The needles heat up the fibroid tissue,
destroying it. The destroyed fibroid immediately changes consistency, for
instance from being hard like a golf ball to being soft like a marshmallow.
During the next three to 12 months, the fibroid continues to shrink, improving
symptoms.
Because
there's no cutting of uterine tissue, doctors consider Lap-RFA a less invasive
alternative to hysterectomy and myomectomy. Most women who have the procedure
get back to regular activities after 5 to 7 days of recovery.
The
transcervical — or through the cervix — approach to radiofrequency ablation
also uses ultrasound guidance to locate fibroids.
·
Laparoscopic
or robotic myomectomy. In a
myomectomy, your surgeon removes the fibroids, leaving the uterus in place.
If
the fibroids are few in number, you and your doctor may opt for a laparoscopic
or robotic procedure, which uses slender instruments inserted through small
incisions in your abdomen to remove the fibroids from your uterus.
Larger
fibroids can be removed through smaller incisions by breaking them into pieces
(morcellation), which can be done inside a surgical bag, or by extending one
incision to remove the fibroids.
Your
doctor views your abdominal area on a monitor using a small camera attached to
one of the instruments. Robotic myomectomy gives your surgeon a magnified, 3D
view of your uterus, offering more precision, flexibility and dexterity than is
possible using some other techniques.
- Hysteroscopic myomectomy. This procedure may be an option if the fibroids are contained inside the uterus (submucosal). Your surgeon accesses and removes fibroids using instruments inserted through your vagina and cervix into your uterus.
·
Endometrial
ablation. This treatment,
performed with a specialized instrument inserted into your uterus, uses heat,
microwave energy, hot water or electric current to destroy the lining of your
uterus, either ending menstruation or reducing your menstrual flow.
Typically,
endometrial ablation is effective in stopping abnormal bleeding. Submucosal
fibroids can be removed at the time of hysteroscopy for endometrial ablation,
but this doesn't affect fibroids outside the interior lining of the uterus.
Women
aren't likely to get pregnant following endometrial ablation, but birth control
is needed to prevent a pregnancy from developing in a fallopian tube (ectopic
pregnancy).
With any procedure
that doesn't remove the uterus, there's a risk that new fibroids could grow and
cause symptoms.
Options for
traditional surgical procedures include:
·
Abdominal
myomectomy. If you have multiple
fibroids, very large fibroids or very deep fibroids, your doctor may use an
open abdominal surgical procedure to remove the fibroids.
Many
women who are told that hysterectomy is their only option can have an abdominal
myomectomy instead. However, scarring after surgery can affect future
fertility.
·
Hysterectomy. This surgery — the removal of the uterus — remains
the only proven permanent solution for uterine fibroids. But hysterectomy is
major surgery.
Hysterectomy
ends your ability to bear children. If you also elect to have your ovaries
removed, the surgery brings on menopause and the question of whether you'll
take hormone replacement therapy. Most women with uterine fibroids may be able
to choose to keep their ovaries.
Morcellation — a
process of breaking fibroids into smaller pieces — may increase the risk of
spreading cancer if a previously undiagnosed cancerous mass undergoes
morcellation during myomectomy. There are several ways to reduce that risk,
such as evaluating risk factors before surgery, morcellating the fibroid in a
bag or expanding an incision to avoid morcellation.
All myomectomies
carry the risk of cutting into an undiagnosed cancer, but younger,
premenopausal women generally have a lower risk of undiagnosed cancer than do
older women.
Also,
complications during open surgery are more common than the chance of spreading
an undiagnosed cancer in a fibroid during a minimally invasive procedure. If
your doctor is planning to use morcellation, discuss your individual risks
before treatment.
The Food and Drug
Administration (FDA) advises against the use of a device to morcellate the
tissue (power morcellator) for most women having fibroids removed through
myomectomy or hysterectomy. In particular, the FDA
recommends that women who are approaching menopause or who have reached
menopause avoid power morcellation. Older women in or entering menopause may
have a higher cancer risk, and women who are no longer concerned about
preserving their fertility have additional treatment options for fibroids.
Hysterectomy and
endometrial ablation won't allow you to have a future pregnancy. Also, uterine
artery embolization and radiofrequency ablation may not be the best options if
you're trying to optimize future fertility.
Have a full
discussion of the risks and benefits of these procedures with your doctor if
you want to preserve the ability to become pregnant. Before deciding on a
treatment plan for fibroids, a complete fertility evaluation is recommended if
you're actively trying to get pregnant.
If fibroid
treatment is needed — and you want to preserve your fertility — myomectomy is
generally the treatment of choice. However, all treatments have risks and
benefits. Discuss these with your doctor.
For all procedures
except hysterectomy, seedlings — tiny tumors that your doctor doesn't detect
during surgery — could eventually grow and cause symptoms that warrant
treatment. This is often termed the recurrence rate. New fibroids, which may or
may not require treatment, also can develop.
Also, some
procedures — such as laparoscopic or robotic myomectomy, radiofrequency
ablation, or MRI-guided focused ultrasound surgery (FUS) — may only treat some
of the fibroids present at the time of treatment.
Alternative medicine
Some websites and
consumer health books promote alternative treatments, such as specific dietary
recommendations, magnet therapy, black cohosh, herbal preparations or
homeopathy. So far, there's no scientific evidence to support the effectiveness
of these techniques.
Preparing for your appointment
Your first
appointment will likely be with either your primary care provider or a
gynecologist. Because appointments can be brief, it's a good idea to prepare
for your appointment.
- Make a list of any symptoms you're experiencing. Include all of your symptoms, even if you don't think they're related.
- List any medications, herbs and vitamin supplements you take. Include doses and how often you take them.
- Have a family member or close friend accompany you, if possible. You may be given a lot of information during your visit, and it can be difficult to remember everything.
- Take a notebook or electronic device with you. Use it to note important information during your visit.
- Prepare a list of questions to ask your doctor. List your most important questions first, in case time runs out.
For uterine
fibroids, some basic questions to ask include:
- How many fibroids do I have? How big are they?
- Are the fibroids located on the inside or outside of my uterus?
- What kinds of tests might I need?
- What medications are available to treat uterine fibroids or my symptoms?
- What side effects can I expect from medication use?
- Under what circumstances do you recommend surgery?
- Will I need a medication before or after surgery?
- Will my uterine fibroids affect my ability to become pregnant?
- Can treatment of uterine fibroids improve my fertility?
Make sure that you
understand everything your doctor tells you. Don't hesitate to have your doctor
repeat information or to ask follow-up questions.
Some questions
your doctor might ask include:
- How often do you have these symptoms?
- How long have you been experiencing symptoms?
- How severe are your symptoms?
- Do your symptoms seem to be related to your menstrual cycle?
- Does anything improve your symptoms?
- Does anything make your symptoms worse?
- Do you have a family history of uterine fibroids?
HERBAL REMEDY FOR UTERINE FIBROID IN
YORUBA HERBAL MEDICINE AS DOCUMENT BY BABALAWO OBANIFA
Preparation
You will burn the entire aforementioned items
together to fine powder. You will mix it with a bottle of gin.
Usage
You will be drinking one shot of it two times daily morning and
night.
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