"As many as three out of four women have uterine fibroids, but most are unaware of them because they often cause no symptoms. Your doctor may discover them incidentally during a pelvic exam or prenatal ultrasound," according to the Mayo Clinic.
Although their exact cause is unknown, myomas appear to be influenced by the female hormone estrogen which is made in the ovaries, and the human growth hormone. These smooth muscle tumors shrink or disappear after menopause following a decrease in the body's estrogen production.
Symptoms include a heavy feeling in the abdomen, backache, constipation, frequent urination, pain, menorrhagia (excessive bleeding during menstruation), dysmenorrhea (painful periods) and dyspareunia (difficult or painful intercourse). While myomas are often benign, they can cause trouble depending on their size, location and the patient's general health.
"In general, uterine fibroids cause no problems and seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain," said the Mayo Clinic.
However, if they are near the cervix, fibroids can make childbirth difficult and lead to hemorrhage or abortion. If they block the Fallopian tube, they can cause sterility.
A doctor's advice is needed to determine whether you can safely get pregnant if you have a uterine myoma. Small tumors can easily be removed, but large ones may require hysterectomy (the surgical removal of the uterus). In the latter, pregnancy is impossible.
"Research indicates that pregnant women with fibroids are at slightly increased risk of miscarriage, premature labor and delivery, abnormal fetal position, and separation of the placenta from the uterine wall. But not all studies confirm these associations. Furthermore, complications vary based on the number, size and location of fibroids. Multiple fibroids and large submucosal fibroids that distort the uterine cavity are the type most likely to cause problems. A more common complication of fibroids in pregnancy is localized pain, typically between the first and second trimesters. This is usually easily treated with pain relievers," warned the Mayo Clinic.
To monitor tumor growth, a woman should have a pelvic examination every six to 12 months even though she doesn't have symptoms of the disease. A woman whose uterus is as big as a six-month normal uterus by the 16th week of pregnancy can usually get along without surgery. However, if the myoma grows to the size of a five-month uterus by the ninth week of pregnancy, fetal growth is affected and spontaneous abortion may occur.
Tumors which press against the Fallopian tube may cause ectopic pregnancy. But most myomas don't cause any trouble except the enlargement of the uterus. Consult a doctor about this.
Early research suggests that athletic women have a lower risk of fibroids but this has not been confirmed by other studies. Nevertheless, the benefits of exercise are well documented and it can ease backaches, tone muscles, and help pregnant women sleep better. To help you regain your figure after childbirth, take Phenocal, a safe, natural, and effective weight loss supplement that boosts your metabolism, suppresses your appetite, reduces food cravings, and increases energy levels to give you the body you want. Visit for details.
How To Calculate Payback
Cargo insurance is one the most effective methods to decrease transportation risks. However many companies in order to save their money refuse to insure their cargo, and hope that "things will come right ". The experience shows that such saving is risky, because in case if cargo is damaged or lost material losses may be severe. Miracle movers, Toronto movers advise you to approach seriously cargo transportation. Since company's financial director is interested in minimization of possible financial losses, he should imagine clearly against what types of risks the transported cargo is insured and which are factors that must be taken into account.
Today miracle movers, Corporate moves will share with you their experience regarding cargo insurance.
What should we take into account in case of cargo insurance?
Company may decide to conclude an insurance agreement at any time before cargo transportation. The conditions of insurance depend on cargo type, route and so on. The main document which stipulates these conditions is the agreement with insurance company.
Types of agreements
Each insurance company works on the basis of license granted by the official body and special document ? rules of insurance, which are drawn up by each company. The rules describe types of insurance agreements, which may be concluded by the company, list of insured risks according to each type of the agreements, as well as mode of payment of losses to the insured party. Most of the companies have similar documents, because they are based on the Institute Cargo Clauses elaborated by the Institute of London Insurers. In case of cargo transportation to the other countries, in order to avoid problems with foreign partners the ICC terms are used. Miracle movers, Professional office movers, among others, transport cargos besides the Canada borders. That is why they work only with the most reliable insurance companies.
Types of insurance agreements differ by insured risks:
- "all risks": insurer bears responsibility for losses caused by cargo damage or full or partial cargo loss, which took place by any cause, except causes stipulated in rules of the insurance company;
- " with particular average": the insurance company bears responsibility and undertakes to cover losses caused by cargo damage or full or partial cargo loss, which took place as a result of natural hazard or vehicles crash, as well as in consequence of ship in missing. Some companies, including miracle movers, Toronto movers include in such agreement risk of full or entire cargo theft.
- "free of particular average ": the insurer undertakes the responsibility for losses as a result of full or partial cargo loss caused by natural hazard or vehicles crash, as well as for losses in consequence of ship in missing.
Beside the aforesaid main agreements types insurance companies may conclude agreements of insurance of the allied risks, for example damages, which may appear when during cargo transportation goods cost increases or they are not delivered at all due to the political or other events. However the insurance premium in case of such agreements is rather high. But in case when clients of miracle movers, Corporate moves wish to bear such expenses, company concludes such agreements in their name.
Important clauses
Miracle movers, Professional office movers have experienced lawyers who have a serious approach to the insurance of the client's cargo. Each insurance agreement, as well as the insurance company rules, contains a list of exception cases when the insurer is not liable. As a rule, to the exception cases refer risks related to:
- acts of war and their consequences;
- bad faith or gross negligence of the insured party or his representative с (violation of transportation conditions stipulated in the agreement).
The insurer also will not pay cargo shortage in case when the package has no visible damages (for example, loss of goods from container with unbroken seals).
In our next article we'll discuss such crucial points in insurance as term of validity of the insurance agreements, factors which influence the underwriting rate, and how to obtain the insurance.
Both Janet Martin & Eugene Smith are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Janet Martin has sinced written about articles on various topics from Womens Health, Pregnancy Problems and Asthma. Janet Martin is an avid health and fitness enthusiast and published author. Many of her insightful articles can be found at the premiere online news magazine