FIBROIDS

What are Fibroids (Leiomyoma)?

Fibroids are non-cancerous (benign) tumors, commonly seen in women of childbearing age. Fibroids are composed of muscle cells and other tissues. They develop in and around the wall of the uterus or womb. Uterine fibroids are usually round or semi-round in shape. . Fibroids are extremely common, affecting 40-80% of women in the U.S

Based on their location within the uterus, uterine fibroids can be classified as:

Subserosal: Located beneath the serosa (the membrane covering the outer surface of the uterus). Some may be peduculated fibroids that develop on a stalk attached to the outer wall of the uterus.

Submucosal : Located all or partially inside the uterine cavity below the inside layer of the uterus. Some of these may be completely intracavity fibroids, located completely within the uterine cavity.

Intramural: Located within the muscular wall of the uterus

Causes of Fibroids

The exact cause for the development of fibroids remains unknown, but some of the proposed causes include:

 

  • Genetics
  • Alterations in expression of growth factor (a protein involved in rate and extent of cell proliferation)
  • Abnormalities in the vascular system
  • Tissue response to injury
  • Hormonal imbalance

Symptoms of Fibroids

The majority of women with uterine fibroids may have no symptoms, in which case fibroids do not require treatment. However, symptoms often associated with the presence of fibroids include:

 

  • Heavy menstrual bleeding
  • Prolonged menstrual periods
  • Pelvic pressure or pain
  • Frequent urination
  • Constipation
  • Backache or leg pain
  • Difficulty in emptying your bladder
  • Infertility
  • Pregnancy complications (pregnancy loss, preterm labor, placental problems, need for cesarean section)

Diagnosis of Fibroids

The diagnosis of uterine fibroids involves a pelvic examination, followed by ultrasound evaluation. Other imaging techniques such an MRI scan may also be employed.

Treatment of Fibroids

Treatment of fibroids can vary significantly based on your symptoms or desire for fertility or pregnancy. Options may include:

 

  • Hormones (birth control pills, progesterone intrauterine device or injection)
  • Hysteroscopic myomectomy: Removal of fibroids with surgery performed inside the uterus
  • Uterine artery embolization: blockage of the arteries supplying the fibroid with tiny beads
  • Ablation procedures to cause tissue breakdown of the fibroid
  • Myomectomy: fibroid removal
  • Hysterectomy: removal of uterus

Your doctor can help you decide which is the safest, most effective treatment option to meet your unique physical and personal needs. If you and your doctor ultimately decide surgery is the best option, myomectomy (removal of fibroids) or hysterectomy (removal of uterus including the fibroids) will be discussed.

Risks during Pregnancy

Some studies indicate that the presence of uterine fibroids during pregnancy increases the risk of complications such as the first trimester bleeding, breech presentation, placental abruption, increased chance of caesarean section and problems during labor.

In Office Proceedures

Find out more about how we can help you by visiting our services page.

Patient resources

Doctor
Angela Intili M.D.

I came to Dr. Intili on referral when the gynecologist I had been a patient to retired in 2021. I found Dr. Intili and her staff to be cordial and very professional. After i began to follow in her care she suggested a test and re-examination in 6 months. My uterus had thickened lining and she recommended a procedure to investigate this condition. A number of pre-tests were required by the hospital. Dr. Intili and her staff walked me through this process and the histoscopy was performed. I am fortunate that it is not benign. She explained all to me, and provided good follow up instructions and guidance . Dr. Intili is bright, personable , and very competent in her chosen profession. I intend to continue with her, and will certainly recommend her to my friends as opportunities arise.

Carol Cooley

Dr. Intili delivered both of my children and hopefully will deliver any future children! We have always felt heard, cared for and important in Dr. Intili’s care. She is thorough and personal in her care, remembering our concerns and needs whether in the office or on the labor & delivery floor at the hospital! She goes above & beyond for her patients and I am always happy to be in her care!

Elizabeth

Dr. Intili delivered both of my children and hopefully will deliver any future children! We have always felt heard, cared for and important in Dr. Intili’s care. She is thorough and personal in her care, remembering our concerns and needs whether in the office or on the labor & delivery floor at the hospital! She goes above & beyond for her patients and I am always happy to be in her care!

Elizabeth

Dr. Intili and her staff have offered excellent care during my recent hysterectomy and follow up appointments. Doctor has always treated my complicated case with the best knowledge and technology. At the same time of procedure I was nervous and worried about the hospital stay and she was incredibly caring ! I never doubted her care plan. Dr. Intili’s staff and the nurses at the St-Joe’s were so kind and patient with me as I healed. The front desk attendants have been so wonderful on the phone as I made appointments and asked questions. From start to finish, it’s been a great experience and I highly recommend Dr. Intili and her staff for gynecological care!

Cailey Walker

Wish there was a way to “clone” Dr. Intili !!!! then she could practice EVERYWHERE !!!! 
Thank you so much you’ve helped change my life

Delle West

Dr. Intili has been an amazing Dr. She delivered our first child and is always so thorough. She has always treated us with the upmost care and respect. I would go to follow ups with my child(daughter #1) and Intili is always so caring to me and my daughter. We became pregnant again and Dr. Intili is my number one Dr, even now with child number 2, Dr. Intili is so kind and understanding if I need to bring both girls with me to appointments she is by far the best dr caring human being we’ve met, and honestly does anything at my time of the day or night to resume her patients and to make sure we always had her there. Thank you so much for being you and respecting our family. You are an example of what a good doctor and human should be like.


Erin & Galaxia Martin

Dr. Intili was referred to me when Dr. Khather retired. I wasn’t so sure about the change, but I gave her try. I’m so glad that I did. There is a level of empathy that Dr. Intili provides that adds to the thoroughness of her practice. I would imagine that it would be difficult to meet expectations that a lot of patients have from Dr. Khather. But she has surpassed mine.

Mary Jane Wolfe

Dr. Intili and her staff were very helpful in getting surgery schedule very quickly. They also called and checked up on me while in recovery. Everyone is friendly and caring. I highly recommend Dr. Intili and her staff. They are the best office I have ever been to. 
I’m so happy I found them.

Marcie McMickon

I have been a patient of Dr. Intili’s for over 29 years. While she is an amazing physician and surgeon she is also one of the most caring and compassionate people I have met.

Michelle Schoenhofen

Frequently asked
questions

What Insurance does your practice take?
Some insurance companies we accept: BlueCross Blue Shield PPO, BlueCross Blue Shield Presence EPO, BlueCross Blue Shield Presence St. Joe’s HMO, BlueCross Blue Shield Silver Cross HMO, Aetna PPO (Choice POS), Cigna PPO (Open Access), United Health Care PPO (Choice Plus) and Humana PPO (Open Access)
What office procedures do you perform in the office?
The following are performed at our office: Leep Procedure, Colposcopy Procedure, Cryosurgery  and  Endometrial  ablation  via  novasure ,  and  hysteroscopy
Is your practice able to do OB Ultrasound at the office?
We  perform  obstetrical  ultrasounds  and  gynecological
Which hospital(s) are you affiliated with?
Silver  Cross  Hospital  and  Adventist  St  Joseph  Hospital
Which hospitals do Dr Angela Intili deliver at?

Silver  Cross  Hospital  and  Adventist  St  Joseph  Hospital

Is Dr Angela Intil a Sole Practitioner?

Yes  ,  I have  been  solo practitioner  since  1994

Do you perform Gynecological Ultrasounds?

Yes

How often do I need a pap smear?
New guidelines  are 3-5  years,  however  a  pelvic  exam  may  be  needed  every year
At what age do I need a pap smear?
21  years  old
What age is menopause?
A median  age  of  menopause  is  54 years  old.  Perimenopause  may  begin 5-7 years earlier  ,  presents  with  irregular menses,  hot  flashes,  irritability    due  to  the  lack  of  progesterone ,  at  times  progesterone  supplement  may  improve  some of  these  symptoms
Are there conservative measures for hot flashes?

At  times  over  the  counter  supplement  may help,  however  some  contains  soy  which  should  be  avoided  in  women with  hormonal  related  cancers

How safe is hormonal replacement therapy?
There are  clear  benefits  to  hormonal  replacement  therapy ,  decreasing  the  risk of  cardiac  heart  disease,  osteoporosis,  and cognition. These  benefits are  present  within  the first  5  years of menopause.