{"id":3499,"date":"2021-01-29T11:41:47","date_gmt":"2021-01-29T11:41:47","guid":{"rendered":"https:\/\/tiagobilhim.pt\/fibromiomas-uterinos\/"},"modified":"2022-12-20T13:26:06","modified_gmt":"2022-12-20T13:26:06","slug":"uterine-fibroids","status":"publish","type":"page","link":"http:\/\/tiagobilhim.pt\/en\/uterine-fibroids\/","title":{"rendered":"Uterine Fibroids"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10em;--awb-background-image:linear-gradient(180deg, rgba(255,255,255,0) 40%,var(--awb-color6) 100%),url(https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2020\/02\/3-2.jpg);;--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h1 style=\"color: white;\">Uterine Fibroids<\/h1>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-small-visibility fusion-no-medium-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-background-color:var(--awb-color2);--awb-background-image:url(&quot;https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/12\/background-left-white.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-video fusion-youtube\" style=\"--awb-max-width:600px;--awb-max-height:360px;\"><div class=\"video-shortcode\"><div class=\"fluid-width-video-wrapper\" style=\"padding-top:60%;\" ><iframe title=\"YouTube video player 1\" src=\"https:\/\/www.youtube.com\/embed\/-TdDhaQu0cU?wmode=transparent&autoplay=0\" width=\"600\" height=\"360\" allowfullscreen allow=\"autoplay; fullscreen\"><\/iframe><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><h2>What are Fibroids<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\"><strong>Fibroids, leiomyoma, or myomas<\/strong> are benign tumors that arise on the uterus walls. Its size can go from some millimeters to over 20 cm.\u00a0<\/span><\/p>\n<p><strong>Around 20% to 40% of women of fertile age are bearers of fibroids, and its frequency in African women is around 70%.<\/strong><\/p>\n<\/div><div ><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:var(--awb-color3);--button_gradient_bottom_color:var(--awb-color3);--button_gradient_top_color_hover:var(--awb-custom12);--button_gradient_bottom_color_hover:var(--awb-custom12);--button_text_transform:none;--button_typography-font-family:&quot;Monsal Gothic - Regular&quot;;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_self\" href=\"#consulta\"><span class=\"fusion-button-text\">Contact Us<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-large-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-background-color:var(--awb-color2);--awb-background-image:url(&quot;https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/12\/background-left-white.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:1;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:1;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-video fusion-youtube\" style=\"--awb-max-width:600px;--awb-max-height:360px;--awb-align-self:center;--awb-width:100%;\"><div class=\"video-shortcode\"><div class=\"fluid-width-video-wrapper\" style=\"padding-top:60%;\" ><iframe title=\"YouTube video player 2\" src=\"https:\/\/www.youtube.com\/embed\/-TdDhaQu0cU?wmode=transparent&autoplay=0\" width=\"600\" height=\"360\" allowfullscreen allow=\"autoplay; fullscreen\"><\/iframe><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:2;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:2;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"md-text-align-center sm-text-align-center\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:var(--awb-color3);--button_gradient_bottom_color:var(--awb-color3);--button_gradient_top_color_hover:var(--awb-custom12);--button_gradient_bottom_color_hover:var(--awb-custom12);--button_text_transform:none;--button_typography-font-family:&quot;Monsal Gothic - Regular&quot;;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_self\" href=\"#consulta\"><span class=\"fusion-button-text\">Contact Us<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><h2>What are Fibroids<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\"><strong>Fibroids, leiomyoma, or myomas<\/strong> are benign tumors that arise on the uterus walls. Its size can go from some millimeters to over 20 cm.\u00a0<\/span><\/p>\n<p><strong>Around 20% to 40% of women of fertile age are bearers of fibroids, and its frequency in African women is around 70%.<\/strong><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\"><h3>What is the <span style=\"color: #3867ce;\">uterus<\/span>?<\/h3>\n<p><span style=\"font-weight: 400;\"><strong>The uterus is an organ of the feminine reproductive system in the pelvic area, behind and above the bladder, ahead of the rectum, continuing down the vagina.<\/strong>\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is an organ with a central cavity, the uterine cavity, covered by the endometrium. The uterine wall is made mostly by a muscular layer called the myometrium.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The endometrium proliferates during the menstrual cycle and flakes off during menstruation, being externalized through the uterine cavity to the vagina and then to the exterior.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The endometrium and myometrium are separated by a layer called junctional line or transitional zone that defines the transition between the endometrium and the myometrium.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The uterus has different areas, being the uterus fundus the superior one, the cervix the inferior, and the body the biggest area, between the fundus and the cervix. The uterine cavity communicates with the interior of the uterine tubes (Fallopian tubes) at the uterine fundus level.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-background-color:var(--awb-color2);--awb-background-image:url(&quot;https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/12\/background-right.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-5\"><h3>What are the <span style=\"color: #3867ce;\">causes for the development<\/span> of fibroids?<\/h3>\n<p><span style=\"font-weight: 400;\"><strong>Fibroids<\/strong> are benign tumors developed in the uterus muscular wall (myometrium). <strong>They are benign tumors that are developed since the beginning of fertile age, after the first menstruation, and end with menopause<\/strong>. This is because they are tumors that depend on the hormonal stimulus of progesterone and estrogens to develop and grow.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>The main risk factors for fibroids development are age and race<\/strong>. They are very rare during adolescence and start being more frequent until women reach menopause.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That is to say, <strong>the chance of a 40-50-years-old woman being diagnosed with fibroids is much higher than in a 20-30-years-old woman<\/strong>.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We often treat patients between 30 and 50 years old. <strong>Black women have 2 to 3 more chances to develop fibroids and to complain more, in comparison with Caucasian women<\/strong>.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Women who had been pregnant are less likely to develop fibroids<\/strong>, as pregnancy has been associated with the reduction of fibroids size.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>A red meat-rich diet, drinking alcohol, a vegetable-poor diet, and Vitamin D deficiency have been associated with fibroids development. On the other hand, eating 4 or more portions of dairy products daily is associated with a less probability of having fibroids<\/strong>. Symptomatic fibroids (with complaints) occur approximately in 25%-50% of women of fertile age.<\/span><\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-3 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:var(--awb-color3);--button_gradient_bottom_color:var(--awb-color3);--button_gradient_top_color_hover:var(--awb-custom12);--button_gradient_bottom_color_hover:var(--awb-custom12);--button_text_transform:none;--button_typography-font-family:&quot;Monsal Gothic - Regular&quot;;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_self\" href=\"#consulta\"><span class=\"fusion-button-text\">Contact Us<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-small-visibility fusion-no-medium-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-max-width:600px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"761\" title=\"Untitled-1\" src=\"https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1.png\" alt class=\"img-responsive wp-image-3602\" srcset=\"http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1-200x149.png 200w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1-400x297.png 400w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1-600x446.png 600w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1-800x595.png 800w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1.png 1024w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 600px) 100vw, 600px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-6\"><h2 style=\"text-align: left;\">What types of fibroids are there<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to the location of fibroids inside the uterus, they can be classified as:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #3867ce;\"><strong>Subserosal fibroids<\/strong><\/span> \u2013 develop in the external part of the uterus wall and grow outwards.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #3867ce;\"><strong>Intramural fibroids<\/strong><\/span> \u2013 are the most frequent and develop in the uterine wall, on the myometrium.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #3867ce;\"><strong>Submucosal fibroids<\/strong><\/span> \u2013 are less frequent and develop in the internal surface of the uterine cavity walls, on the endometrium, growing into the uterine cavity.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-large-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:1;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:1;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-max-width:600px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"761\" title=\"Untitled-1\" src=\"https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1.png\" alt class=\"img-responsive wp-image-3602\" srcset=\"http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1-200x149.png 200w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1-400x297.png 400w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1-600x446.png 600w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1-800x595.png 800w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/Untitled-1.png 1024w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 600px) 100vw, 600px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-7\"><h2 style=\"text-align: left;\">What types of fibroids are there<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to the location of fibroids inside the uterus, they can be classified as:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #3867ce;\"><strong>Subserosal fibroids<\/strong><\/span> \u2013 develop in the external part of the uterus wall and grow outwards.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #3867ce;\"><strong>Intramural fibroids<\/strong><\/span> \u2013 are the most frequent and develop in the uterine wall, on the myometrium.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #3867ce;\"><strong>Submucosal fibroids<\/strong><\/span> \u2013 are less frequent and develop in the internal surface of the uterine cavity walls, on the endometrium, growing into the uterine cavity.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 fusion-flex-container fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-background-color:var(--awb-color2);--awb-background-image:url(&quot;https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/12\/background-left-white.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-8\"><h3>What are the <span style=\"color: #3867ce;\">treatment options<\/span> for fibroids?<\/h3>\n<p><span style=\"font-weight: 400;\"><strong>When symptomatic, fibroids should be treated<\/strong>. The first step is a medical treatment that usually consists of anti-inflammatory medication, hormones-based medication, oral contraceptives, or intrauterine devices.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The effect is often temporary and after its interruption, it is possible to see the fibroids and bleeding size increase, or other complaints. This way, a more invasive treatment is often necessary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Until a few years ago, the only treatment option was surgery to remove fibroids (myomectomy) or the whole uterus (hysterectomy).<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong><a href=\"https:\/\/tiagobilhim.pt\/en\/uterine-embolization\/\" target=\"_blank\" rel=\"noopener noreferrer\">Uterine embolization<\/a> was developed as a minimally invasive technique, as an alternative to surgery, to treat fibroids less painfully, with a faster recovery while preserving the uterus, enabling future pregnancies<\/strong>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Myomectomy \u2013 is the removal of each fibroid. It may not be ideal if they are multiple or big. <strong>In these situations, <a href=\"https:\/\/tiagobilhim.pt\/en\/uterine-embolization\/\" target=\"_blank\" rel=\"noopener noreferrer\">embolization<\/a> is the only alternative to hysterectomy. Hysterectomy \u2013 is the full removal of the uterus. It eliminates fibroids, but both hospital stay and recovery time are long. And hysterectomy eliminates the possibility of a posterior pregnancy<\/strong>.<\/span><\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-4 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:var(--awb-color3);--button_gradient_bottom_color:var(--awb-color3);--button_gradient_top_color_hover:var(--awb-custom12);--button_gradient_bottom_color_hover:var(--awb-custom12);--button_text_transform:none;--button_typography-font-family:&quot;Monsal Gothic - Regular&quot;;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_self\" href=\"#consulta\"><span class=\"fusion-button-text\">Contact Us<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-9 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-small-visibility fusion-no-medium-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-max-width:600px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><img decoding=\"async\" width=\"1020\" height=\"1260\" title=\"fibromiomas-uterinos-4\" src=\"https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4.png\" alt class=\"img-responsive wp-image-3604\" srcset=\"http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4-200x247.png 200w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4-400x494.png 400w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4-600x741.png 600w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4-800x988.png 800w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4.png 1020w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 600px) 100vw, 600px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-9\"><h2>What are fibromatosis and its symptoms<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When there are a lot of fibroids, it is called fibromatosis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fibroids might not be symptomatic and can only be detected in routine exams. However, the presence of both fibroids and fibromatosis can lead to symptoms like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Long-term menstrual periods, sometimes with bleeding that can result in anemia,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Pelvic pain <\/strong>and\/or in the lumbar area<strong>,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Pain during intercourse,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Feeling of heaviness and abdomen size increase,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Constipation,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Frequent need to urinate or difficulty in urinating,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Spontaneous abortions.<\/strong><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-10 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-large-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:1;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:1;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-max-width:600px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-4 hover-type-none\"><img decoding=\"async\" width=\"1020\" height=\"1260\" title=\"fibromiomas-uterinos-4\" src=\"https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4.png\" alt class=\"img-responsive wp-image-3604\" srcset=\"http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4-200x247.png 200w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4-400x494.png 400w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4-600x741.png 600w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4-800x988.png 800w, http:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/04\/fibromiomas-uterinos-4.png 1020w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 600px) 100vw, 600px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-10\"><h2>What are fibromatosis and its symptoms<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When there are a lot of fibroids, it is called fibromatosis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fibroids might not be symptomatic and can only be detected in routine exams. However, the presence of both fibroids and fibromatosis can lead to symptoms like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Long-term menstrual periods, sometimes with bleeding that can result in anemia,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Pelvic pain <\/strong>and\/or in the lumbar area<strong>,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Pain during intercourse,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Feeling of heaviness and abdomen size increase,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Constipation,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Frequent need to urinate or difficulty in urinating,<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Spontaneous abortions.<\/strong><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div id=\"consulta\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-11 fusion-parallax-fixed formulariodaniel hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns fusion-no-small-visibility fusion-no-medium-visibility\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-background-color:var(--awb-color2);--awb-background-image:url(&quot;https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/12\/background-right-blue.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_2_5 2_5 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style=\"--awb-padding-top:4em;--awb-padding-right:2em;--awb-padding-bottom:4em;--awb-padding-left:3em;--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-11\"><h2>Get in Touch<span style=\"color: #3867ce;\">.<\/span><\/h2>\n<\/div><div class=\"fusion-text fusion-text-12\"><p style=\"text-align: left;\">Submit the form to schedule your appointment with Dr. Tiago.<\/p>\n<\/div>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3571-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3571\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/3499#wpcf7-f3571-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input 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