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We take a comprehensive approach to help you get a diagnosis and holistic management plan."}],"markDefs":[],"style":"normal"},{"_key":"4fd6ea8d061a","_type":"buttonBlock","items":[{"_key":"9fd1ec6b2b24","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bcorange","linkCta":"Book appointment","linkType":"join-scroll-shape"}],"onlyStackButtons":false}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"360c3a3b783a","_type":"shape","backgroundColor":"secondary-1","shapeColor":"secondary-2","shapeType":"shape-1"},{"_key":"6fb264e0c70b","_type":"editorialText","backgroundColor":"bccream","editorialText":[{"_key":"95d0b0510de8","_type":"block","children":[{"_key":"ed9c835f2e11","_type":"span","text":"What are fibroids?"}],"style":"h3"},{"_key":"6d9a5a4f1f51","_type":"block","children":[{"_key":"648e4b67bb26","_type":"span","text":"Uterine fibroids are non-cancerous growths that can form in the uterus during the years of menstruation. They are also known as leiomyomas or myomas. Unlike other types of cancer in the uterus, they are not linked to cancerous growth and do not typically develop into cancerous tumors."}],"style":"normal"},{"_key":"34840c1efc11","_type":"block","children":[{"_key":"42ebb97c87df","_type":"span","text":"Fibroids can vary in size and number. Some can be too small to see, while others can grow as big as a grapefruit or even larger. Large fibroids can change the shape of the uterus, causing it to expand. In severe cases, fibroids can grow so big that they occupy the pelvis or abdominal area, making a person's abdomen look swollen."}],"style":"normal"},{"_key":"73aff4386fc1","_type":"block","children":[{"_key":"5f05a8358afd","_type":"span","marks":["68c124663643"],"text":"Many people"},{"_key":"153448281b32","_type":"span","text":" develop uterine fibroids at some point in their lives, but they often go unnoticed as they do not cause symptoms. They may be discovered during a pelvic exam or ultrasound."}],"markDefs":[{"_key":"68c124663643","_type":"annotation","text":[{"_key":"c041f7336ce2","_type":"block","children":[{"_key":"da46e9c53031","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"117682176f3e","_type":"block","children":[{"_key":"1d2adc0b52c8","_type":"span","marks":[],"text":"About 20% to 80% of individuals with a uterus develop fibroids by age 50. They're most common in those in their 40s and 50s, but not everyone shows symptoms."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"f68b184bbcea","_type":"block","children":[{"_key":"a300644a2560","_type":"span","text":"When to see a doctor about fibroids"}],"style":"h3"},{"_key":"3f4069a57913","_type":"block","children":[{"_key":"a9429a40f826","_type":"span","text":"The most common symptoms of uterine fibroids include:"}],"style":"normal"},{"_key":"4118e2c8b817","_type":"block","children":[{"_key":"10c09947b421","_type":"span","text":"Heavy menstrual bleeding or painful periods."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"ca767c3ca9bf","_type":"block","children":[{"_key":"7b354d6d4ca3","_type":"span","text":"Longer or more frequent periods."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"fb8926031491","_type":"block","children":[{"_key":"c21e79dcf836","_type":"span","text":"Pelvic pressure or pain."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"405770457524","_type":"block","children":[{"_key":"362b368e1304","_type":"span","text":"Frequent urination or trouble urinating."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"84b176e24080","_type":"block","children":[{"_key":"de92edde3c7b","_type":"span","text":"Growing stomach area."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"9880dc416ea3","_type":"block","children":[{"_key":"ba7dd73c4832","_type":"span","text":"Constipation."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"70e69ad8d633","_type":"block","children":[{"_key":"3a28c6032408","_type":"span","text":"Pain in the stomach area or lower back, or pain during sex."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"898800ed8f81","_type":"block","children":[{"_key":"6f5a4832a524","_type":"span","text":"What to expect during a fibroids appointment"}],"style":"h3"},{"_key":"943f7286755d","_type":"block","children":[{"_key":"ebb2231d4e32","_type":"span","text":"Fibroid visits can be conducted both virtually and in clinic at Tia. This is a consultation based visit usually focused on a thorough review of current concerns, medical, family, medication, and pregnancy history and discussion or risk factors. If you choose to schedule an in-person appointment at a clinic, this visit may include a pelvic exam as large fibroids can sometimes be felt from the outside. Many times, additional information can be gained by ordering an ultrasound during the initial visit."}],"style":"normal"},{"_key":"a7e6fcebaed1","_type":"block","children":[{"_key":"65b0b171153a","_type":"span","text":"Potential treatment plans for fibroids"}],"style":"h3"},{"_key":"af659616bafb","_type":"block","children":[{"_key":"837ae259b3a5","_type":"span","text":"For those with disruptive symptoms like heavy bleeding and pain, treatment may include:"}],"style":"normal"},{"_key":"449ad1ff92e4","_type":"block","children":[{"_key":"1fe91399625b","_type":"span","marks":["strong"],"text":"Medications:"},{"_key":"fb4cd633455e","_type":"span","text":" These can treat heavy periods and temporarily shrink fibroids."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"c3b3cefcbb6a","_type":"block","children":[{"_key":"573c475dd465","_type":"span","marks":["strong"],"text":"Non invasive:"},{"_key":"d2762b948848","_type":"span","text":" A noninvasive treatment doesn't involve surgical cuts called incisions. It also doesn't involve tools being placed in the body."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"86eb8e007866","_type":"block","children":[{"_key":"9c9f44171b79","_type":"span","marks":["strong"],"text":"Minimally invasive: "},{"_key":"ab1079388a42","_type":"span","text":"These procedures use no cuts or small cuts. They're linked with faster recovery times and fewer complications compared with traditional open surgery."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"8c6ae507ab26","_type":"block","children":[{"_key":"989ce42d38b0","_type":"span","marks":["strong"],"text":"Traditional surgery:"},{"_key":"6b7c8ea414db","_type":"span","text":" Surgical intervention might be recommended depending on the severity of symptoms and size of the fibroids."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"eaf764663aa7","_type":"block","children":[{"_key":"f065302178d1","_type":"span","text":"Not all diagnosis of fibroids will require medical intervention/treatment. Your Tia provider might recommend a more holistic approach to easing the symptoms of fibroids including:"}],"style":"normal"},{"_key":"47450175ec42","_type":"block","children":[{"_key":"2baa1afed035","_type":"span","marks":["strong"],"text":"Acupuncture:"},{"_key":"9d122c638514","_type":"span","text":" Acupuncture can help decrease both the intensity and duration of menstrual cramps While there isn’t a one size fits all for acupuncture, we typically recommend coming in 1x weekly for 4-6 weeks for best results."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"295cbc5ac00d","_type":"block","children":[{"_key":"ef2e0dacc529","_type":"span","marks":["strong"],"text":"Turmeric:"},{"_key":"2c4e23f968b4","_type":"span","text":" There is research citing that adding in a Turmeric supplement can help to reduce the size and activity of endometriosis lesions. Turmeric helps to reduce inflammation and regulates blood flow to help reduce pain."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"20107c151a65","_type":"block","children":[{"_key":"b691ba3c5e0d","_type":"span","marks":["strong"],"text":"CBD:"},{"_key":"e21cc8cdd34e","_type":"span","text":" CBD oral capsules or tincture can help with inflammation, cramping, and sleep."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"573e0f7839d7","_type":"block","children":[{"_key":"95626639e996","_type":"span","marks":["strong"],"text":"Ginger:"},{"_key":"4004c324b002","_type":"span","text":" Ingesting ginger during the first few days of menstruation may reduce the severity of your menstrual cramps."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"40056444d73f","_type":"block","children":[{"_key":"a371db603a1d","_type":"span","marks":["strong"],"text":"Magnesium glycinate:"},{"_key":"491b9e95b6df","_type":"span","text":" Helpful for reducing menstrual pain both preventatively and in the moment. It also helps to calm the mind, support healthy sleep, relax muscle tension, and encourage healthy cycles."}],"level":1,"listItem":"bullet","style":"normal"},{"_key":"f0af42581e24","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"f3eafa0e650b","_type":"block","children":[{"_key":"30d621d02ab7","_type":"span","text":"Need to see a doctor about your fibroids? 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fibroids are a topic that deserves our attention. These non-cancerous growths in the uterus affect a significant number of women, with studies indicating that up to "},{"_key":"a5de1512f3cc","_type":"span","marks":["75bffa3dee2f"],"text":"70% of white women and 80% of black women"},{"_key":"01693062f28f","_type":"span","marks":[],"text":" may develop fibroids "},{"_key":"4af7e20cffed","_type":"span","marks":["cddfdf79db89"],"text":"by the age of 50"},{"_key":"124d8287fd43","_type":"span","marks":[],"text":". Despite their prevalence, fibroids are often overlooked and their impact on women's lives underestimated. That's why we're here to provide you with the information you need to understand and manage your health."}],"markDefs":[{"_key":"75bffa3dee2f","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1097/AOG.0b013e3181b48f41"},{"_key":"cddfdf79db89","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1067/mob.2003.99"}],"style":"normal"},{"_key":"fca372039f76","_type":"block","children":[{"_key":"eab6708cab9d0","_type":"span","marks":[],"text":"At Tia, we're committed to addressing healthcare inequality and bias. We strive to create a safe and inclusive space where you can find personalized, comprehensive care. Our mission is to empower you to advocate for your well-being, ensuring that you have the tools and knowledge to make informed decisions about your health. So, let's dive into the "},{"_key":"eab6708cab9d1","_type":"span","marks":["em"],"text":"Fibroid Files"},{"_key":"eab6708cab9d2","_type":"span","marks":[],"text":" and explore the symptoms, causes, and ways to take control of uterine fibroids together."}],"markDefs":[],"style":"normal"},{"_key":"982aff030700","_type":"editorialImageCarousel","items":[{"_key":"b1b57b695686","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bbede46abfd3099c3889d4fd0eaa9805cba7e137-1090x1090-png","_type":"reference"}}}}]},{"_key":"a7e731c05c7d","_type":"sectionHeader","title":"What are Uterine Fibroids and What Causes Them"},{"_key":"b01770aba264","_type":"block","children":[{"_key":"5a0f612366640","_type":"span","marks":[],"text":"Uterine fibroids, also known as leiomyomas, are common benign tumors that develop in the muscular wall of the uterus. These growths are composed of smooth muscle tissue and fibrous connective tissue. While the exact cause of fibroids is not fully understood, researchers believe that a combination of genetic, hormonal, and environmental factors may play a role. Fibroids can vary in size, ranging from as "},{"_key":"67e06e52b8c4","_type":"span","marks":["76beeac38a40"],"text":"small as a seed to as large as a grapefruit"},{"_key":"054b14d4a505","_type":"span","marks":[],"text":". They can be classified into different types based on their location within or on the uterus:"}],"markDefs":[{"_key":"76beeac38a40","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1097/AOG.0b013e3181b48f41"}],"style":"normal"},{"_key":"f542dffd7385","_type":"block","children":[{"_key":"492001a877c90","_type":"span","marks":["strong"],"text":"Intramural fibroids:"},{"_key":"d29619d7c726","_type":"span","marks":[],"text":" These fibroids develop within the muscular wall of the uterus and are the most common type."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"cf76f49f8429","_type":"block","children":[{"_key":"69f6e0b648840","_type":"span","marks":["strong"],"text":"Subserosal fibroids:"},{"_key":"715f7263afc7","_type":"span","marks":[],"text":" These fibroids grow outside the uterus, on the outer wall. They can cause pressure on surrounding organs and may lead to abdominal discomfort."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"a3c38ac2d7d3","_type":"block","children":[{"_key":"dc0286aa27d80","_type":"span","marks":["strong"],"text":"Submucosal fibroids:"},{"_key":"ecf7783d0f9d","_type":"span","marks":[],"text":" These fibroids project into the inner cavity of the uterus and can cause heavy or prolonged menstrual bleeding, as well as fertility issues."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"202a6a977df4","_type":"block","children":[{"_key":"5755c97c13ef0","_type":"span","marks":["strong"],"text":"Pedunculated fibroids:"},{"_key":"32cd04c35075","_type":"span","marks":[],"text":" These fibroids are attached to the uterus by a stalk, known as a peduncle. They can either be subserosal or submucosal in nature."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"f8e806f68ada","_type":"block","children":[{"_key":"adca93ec5a520","_type":"span","marks":[],"text":"So, what causes the development of uterine fibroids? While there is no definitive answer, several factors have been identified as potentially contributing to their formation:"}],"markDefs":[],"style":"normal"},{"_key":"7dbfbdd734d3","_type":"block","children":[{"_key":"65b30e7fa4a30","_type":"span","marks":["strong"],"text":"Hormonal factors:"},{"_key":"1741aedbce3a","_type":"span","marks":[],"text":" Estrogen and progesterone, two hormones involved in the regulation of the menstrual cycle, are believed to influence the growth of fibroids. These hormones can stimulate the proliferation of uterine cells and may contribute to the development of fibroids."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"7561eb56c04b","_type":"block","children":[{"_key":"0a63fa7e69430","_type":"span","marks":["strong"],"text":"Genetic predisposition:"},{"_key":"5922bce41c15","_type":"span","marks":[],"text":" There is evidence to suggest that certain genetic mutations or alterations may increase the likelihood of developing fibroids. If you have a family history of fibroids, you may be at a higher risk of experiencing them yourself."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"2dca60b6c279","_type":"block","children":[{"_key":"ed3cd8d274940","_type":"span","marks":["strong"],"text":"Racial and ethnic disparities:"},{"_key":"435db2f27784","_type":"span","marks":[],"text":" Research has shown that fibroids are more prevalent among women of African descent, along with women from other racial and ethnic backgrounds, such as Caribbean and Hispanic. The reasons for these disparities are complex and still being explored."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"b5788799b4af","_type":"block","children":[{"_key":"9d549065da500","_type":"span","marks":[],"text":"While we continue to unravel the intricate mechanisms behind fibroid development, it's crucial to remember that every individual's experience with fibroids is unique. Understanding the different types of fibroids and the possible causes can serve as a foundation for navigating your healthcare journey with confidence and seeking the personalized care you deserve."}],"markDefs":[],"style":"normal"},{"_key":"f6eb605114e4","_type":"sectionHeader","title":"Recognizing the Symptoms of Uterine Fibroids"},{"_key":"8197fea843ad","_type":"block","children":[{"_key":"9b3d27f025120","_type":"span","marks":[],"text":"While some women may experience no symptoms at all, others may find that fibroids significantly "},{"_key":"1f3216c6a10e","_type":"span","marks":["3098ab34cd3e"],"text":"impact their quality of life"},{"_key":"b11caab15d7b","_type":"span","marks":[],"text":". By recognizing these symptoms, you can better communicate with your healthcare provider and receive the support and treatment you need."}],"markDefs":[{"_key":"3098ab34cd3e","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1097/AOG.0b013e3181b48f41"}],"style":"normal"},{"_key":"6f0dcfed0fe5","_type":"editorialImageCarousel","items":[{"_key":"4eb1e2ac4bc2","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e3b2bf5950765191158ff56fd8c7fffd1393817b-1090x1090-png","_type":"reference"}}}}]},{"_key":"0b640696dc80","_type":"block","children":[{"_key":"adb4d9af85b30","_type":"span","marks":["strong"],"text":"Menstrual changes:"},{"_key":"2c78b31cae37","_type":"span","marks":[],"text":" Fibroids can cause heavy, prolonged menstrual bleeding, also known as menorrhagia. You may notice that your periods become longer, with increased clotting and the need to change sanitary products frequently. The excessive bleeding can lead to anemia, resulting in fatigue or weakness."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"3d5d86261741","_type":"block","children":[{"_key":"c08d04946a270","_type":"span","marks":["strong"],"text":"Pelvic pressure and pain:"},{"_key":"5e36a2c3c1a3","_type":"span","marks":[],"text":" As fibroids grow in size or number, they can cause a sense of pelvic pressure or fullness. This pressure can lead to discomfort or pain in the pelvis, lower back, or abdomen. Some women also experience pain during intercourse, known as dyspareunia."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"0a83a12d6698","_type":"block","children":[{"_key":"4f343da62b180","_type":"span","marks":["strong"],"text":"Urinary symptoms:"},{"_key":"780c993e879f","_type":"span","marks":[],"text":" Large fibroids can exert pressure on the bladder, leading to frequent urination, increased urgency, or even difficulty fully emptying the bladder."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"7194b0710dee","_type":"block","children":[{"_key":"4e158e51e7230","_type":"span","marks":["strong"],"text":"Bowel symptoms:"},{"_key":"82f7e8b3734d","_type":"span","marks":[],"text":" Depending on the size and location of fibroids, they may put pressure on the rectum or intestines, resulting in constipation, bloating, or difficulty with bowel movements. In rare cases, fibroids can cause urinary or bowel obstruction."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"1f557532203b","_type":"block","children":[{"_key":"44b21eebf8390","_type":"span","marks":["strong"],"text":"Fertility concerns:"},{"_key":"d7d62a872b3b","_type":"span","marks":[],"text":" For some women, fibroids can interfere with fertility. The presence of submucosal fibroids, in particular, may affect the implantation of a fertilized egg or result in recurrent miscarriages."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"914a17e61f89","_type":"block","children":[{"_key":"561060e0b80f0","_type":"span","marks":[],"text":"These symptoms are nonspecific and can be associated with other conditions as well. If you experience any of these symptoms, it's crucial to consult with a healthcare provider who can properly evaluate your situation and provide personalized care. If you have questions or concerns about fibroids, check in with your provider during your yearly preventative check-up -- "},{"_key":"a351143a2b6c","_type":"span","marks":["a10c86d642aa"],"text":"like the Tia Whole Health Exam"},{"_key":"97ef72de4d2f","_type":"span","marks":[],"text":"!"}],"markDefs":[{"_key":"a10c86d642aa","_type":"internalLink","linkType":"text","reference":{"_ref":"14e50fcc-2ef7-4fde-8427-19929cc6fd81","_type":"reference"}}],"style":"normal"},{"_key":"43261bd33755","_type":"sectionHeader","title":"Diagnosing and Treating Uterine Fibroids"},{"_key":"eb28bdc1794c","_type":"block","children":[{"_key":"b838c4a743eb0","_type":"span","marks":[],"text":"When it comes to diagnosing and treating uterine fibroids, a personalized and comprehensive approach is key. Let's explore how fibroids are diagnosed and the treatment options available, empowering you to make informed decisions about your own health."}],"markDefs":[],"style":"normal"},{"_key":"b6410490df4c","_type":"block","children":[{"_key":"5e2fa09b5f8f0","_type":"span","marks":[],"text":"Diagnosing Uterine Fibroids"}],"markDefs":[],"style":"h3"},{"_key":"23f2ab2f07f3","_type":"block","children":[{"_key":"d7d08cbb2e250","_type":"span","marks":["strong"],"text":"Medical history:"},{"_key":"ee0e0d52805d","_type":"span","marks":[],"text":" Your healthcare provider will begin by discussing your medical history and any symptoms you may be experiencing. Sharing your concerns openly and honestly will enable your provider to better understand your unique situation."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e7c6eda000b0","_type":"block","children":[{"_key":"0f6a3ed4e0820","_type":"span","marks":["strong"],"text":"Physical examination:"},{"_key":"9db9e7b0c53f","_type":"span","marks":[],"text":" During a physical examination, your healthcare provider may conduct a pelvic exam to assess the condition of your uterus. They will check for any abnormalities, such as the presence of fibroids, and evaluate their size and location."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f9eff8e732a0","_type":"block","children":[{"_key":"ef2ba0a3b5750","_type":"span","marks":["strong"],"text":"Imaging tests:"},{"_key":"ebf82187aca2","_type":"span","marks":[],"text":" In some cases, imaging tests may be necessary to confirm the presence of fibroids and examine their characteristics. These tests may include ultrasound, magnetic resonance imaging (MRI), or hysterosonography. These imaging modalities can provide detailed information about the size, number, and location of fibroids, helping your healthcare provider determine the most appropriate treatment approach."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f17ac98bfd58","_type":"block","children":[{"_key":"25955a9a81c10","_type":"span","marks":[],"text":"Treatment Options for Uterine Fibroids"}],"markDefs":[],"style":"h3"},{"_key":"26e481ebc01a","_type":"block","children":[{"_key":"2f439bd594110","_type":"span","marks":[],"text":"The type of treatment recommended will "},{"_key":"5de9efd37111","_type":"span","marks":["685dbff92bdb"],"text":"depend on factors"},{"_key":"24e764832593","_type":"span","marks":[],"text":" such as the severity of your symptoms, your age, your desire for future fertility, and the size and location of the fibroids. Treatment decisions are highly individualized, and what works for one person may not be the best option for another. Your healthcare provider will work closely with you to develop a treatment plan tailored to your specific needs. Here are some common treatment options:"}],"markDefs":[{"_key":"685dbff92bdb","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1097/AOG.0b013e3181b48f41"}],"style":"normal"},{"_key":"338babad0e89","_type":"block","children":[{"_key":"e9a4858ae4250","_type":"span","marks":["strong"],"text":"Watchful waiting:"},{"_key":"0b49da102e27","_type":"span","marks":[],"text":" If you have fibroids that are small, asymptomatic, or nearing menopause, your healthcare provider may suggest monitoring them without immediate intervention. Regular check-ups and discussions with your provider will ensure that any changes or symptoms are promptly addressed."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"a207f5f2f133","_type":"block","children":[{"_key":"df3c21a359cc0","_type":"span","marks":["strong"],"text":"Medications:"},{"_key":"22edf226610f","_type":"span","marks":[],"text":" Certain medications, such as hormonal birth control, can help manage the symptoms associated with fibroids. These medications work by regulating hormonal fluctuations and reducing heavy menstrual bleeding or pain. However, medications may not shrink or eliminate the fibroids themselves."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"c61718c92614","_type":"block","children":[{"_key":"cb87d6e8dbf20","_type":"span","marks":["strong"],"text":"Minimally invasive procedures:"},{"_key":"6daffb96c24c","_type":"span","marks":[],"text":" For those seeking symptom relief or fertility preservation, minimally invasive procedures may be recommended. These procedures aim to either remove the fibroids (myomectomy) or shrink them (uterine artery embolization). Minimally invasive procedures can offer potential benefits such as shorter recovery times, minimal scarring, and preservation of the uterus."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"1d42e947c1ff","_type":"block","children":[{"_key":"38500c4957330","_type":"span","marks":["strong"],"text":"Surgical intervention:"},{"_key":"6f22d190bbdf","_type":"span","marks":[],"text":" In cases where fibroids are larger, multiple, or causing severe symptoms, surgical intervention may be necessary. A hysterectomy, which involves the removal of the uterus, may be recommended if fertility is no longer desired. However, there may be alternative surgical approaches that preserve the uterus, such as a myomectomy or robotic-assisted surgery. These options can be discussed with your healthcare provider."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"1fec5f0cd64f","_type":"block","children":[{"_key":"5ee534ff16610","_type":"span","marks":[],"text":"The decision-making process regarding treatment for uterine fibroids should always be collaborative. Our healthcare providers at Tia are committed to providing members with the necessary information, support, and advocacy to ensure you receive the personalized, specific care that is right for you. By empowering yourself with knowledge and engaging in open communication, together we can navigate this journey with compassion and expertise."}],"markDefs":[],"style":"normal"},{"_key":"dbed88b3f4d4","_type":"sectionHeader","title":"Lifestyle Changes and Self-Care for Uterine Fibroids"},{"_key":"4fc48b268329","_type":"block","children":[{"_key":"55c369fde1340","_type":"span","marks":[],"text":"Taking care of yourself goes beyond medical treatments. At Tia, we understand the importance of holistic well-being and empowering our members with knowledge and tools to manage their health. While medical interventions may be necessary for uterine fibroids, there are also lifestyle changes and self-care practices that can support your overall well-being:"}],"markDefs":[],"style":"normal"},{"_key":"379da5733100","_type":"block","children":[{"_key":"2a2543c985af0","_type":"span","marks":["strong"],"text":"Healthy eating:"},{"_key":"fb3054ccae31","_type":"span","marks":[],"text":" Nourishing your body with a balanced diet can have a positive impact on managing fibroid symptoms. Focus on incorporating nutrient-rich foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats. You may also consider reducing your consumption of processed foods, refined sugars, and caffeine, as these can potentially worsen symptoms for some individuals."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"5606f4d9d48d","_type":"block","children":[{"_key":"0fa45eabb9030","_type":"span","marks":["strong"],"text":"Managing stress:"},{"_key":"8bd5b71c5c7c","_type":"span","marks":[],"text":" Chronic stress can affect your hormonal balance and overall well-being. Finding healthy ways to manage stress is crucial. Explore stress-relieving techniques such as meditation, deep breathing exercises, yoga, or engaging in activities that bring you joy and relaxation."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"b4ba2573d1e2","_type":"block","children":[{"_key":"f8f01613f39d0","_type":"span","marks":["strong"],"text":"Exercise and movement:"},{"_key":"956f835c9637","_type":"span","marks":[],"text":" Regular physical activity can help improve circulation, reduce inflammation, and promote overall health. Engage in exercises that you enjoy and that align with your physical capabilities. Options may include walking, swimming, cycling, or gentle stretching."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"b2f6c41fd6c0","_type":"block","children":[{"_key":"c84c1d6fcc170","_type":"span","marks":["strong"],"text":"Adequate sleep:"},{"_key":"f12c64c6ddd7","_type":"span","marks":[],"text":" Prioritizing quality sleep is essential for your body's healing and overall well-being. Aim for 7-9 hours of uninterrupted sleep each night."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"6ef849dc93d1","_type":"block","children":[{"_key":"d87fa5afd90e0","_type":"span","marks":["strong"],"text":"Support and community:"},{"_key":"9d55c2261958","_type":"span","marks":[],"text":" Living with uterine fibroids can sometimes feel overwhelming, but you don't have to face it alone. Seek out support groups or online communities where you can connect with others who share similar experiences. These communities can provide a space for sharing advice, gathering information, and finding emotional support."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"cc00de0914f9","_type":"block","children":[{"_key":"fb9ef28a56d90","_type":"span","marks":[],"text":"Lifestyle changes and self-care practices can help manage symptoms, but they may not shrink or eliminate fibroids. If you continue to experience significant symptoms or have concerns, consult with your healthcare provider for personalized advice and appropriate medical interventions."}],"markDefs":[],"style":"normal"},{"_key":"2b1db5c051a6","_type":"sectionHeader","title":"Take Control of Uterine Fibroids"},{"_key":"8d057f9993dc","_type":"block","children":[{"_key":"8f01e93b4836","_type":"span","marks":[],"text":"Understanding uterine fibroids is a crucial aspect of women's healthcare.  Armed with knowledge about fibroids, their symptoms, diagnosis, and treatment options, you can make informed decisions about your own health."}],"markDefs":[],"style":"normal"},{"_key":"58f6c01a5d9e","_type":"block","children":[{"_key":"6a4565cc0eaf0","_type":"span","marks":[],"text":"We encourage you to prioritize your well-being, advocate for your health needs, and be proactive in seeking medical attention if you have concerns about fibroids or any other aspect of your reproductive 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They are also known as leiomyomas or myomas. Unlike other types of cancer in the uterus, they are not linked to cancerous growth and do not typically develop into cancerous tumors."}],"markDefs":[],"style":"normal"},{"_key":"7cfbd8b75a08","_type":"block","children":[{"_key":"d8492e0a3c9a0","_type":"span","marks":[],"text":"Fibroids can vary in size and number. Some can be too small to see, while others can grow as big as a grapefruit or even larger. Large fibroids can change the shape of the uterus, causing it to expand. In severe cases, fibroids can grow so big that they occupy the pelvis or abdominal area, making a person's abdomen look swollen."}],"markDefs":[],"style":"normal"},{"_key":"f3fcc1003f03","_type":"block","children":[{"_key":"cbe04d212aa10","_type":"span","marks":["3aafa9da2280"],"text":"Many people"},{"_key":"48cfd9791ec6","_type":"span","marks":[],"text":" develop uterine fibroids at some point in their lives, but they often go unnoticed as they do not cause symptoms. They may be discovered during a pelvic exam or ultrasound."}],"markDefs":[{"_key":"3aafa9da2280","_type":"annotation","text":[{"_key":"c041f7336ce2","_type":"block","children":[{"_key":"da46e9c53031","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"117682176f3e","_type":"block","children":[{"_key":"1d2adc0b52c8","_type":"span","marks":[],"text":"About 20% to 80% of individuals with a uterus develop fibroids by age 50. They're most common in those in their 40s and 50s, but not everyone shows symptoms."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"461b938a6ffa","_type":"block","children":[{"_key":"f0d45f77c386","_type":"span","marks":[],"text":"When to see a doctor about fibroids"}],"markDefs":[],"style":"h3"},{"_key":"3b2a81976293","_type":"block","children":[{"_key":"9f61f767aed00","_type":"span","marks":[],"text":"The most common symptoms of uterine fibroids include:"}],"markDefs":[],"style":"normal"},{"_key":"ec25eeebb798","_type":"block","children":[{"_key":"5d88a4b9e671","_type":"span","marks":[],"text":"Heavy menstrual bleeding or painful periods."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9854a75bfed7","_type":"block","children":[{"_key":"48f2440239ae","_type":"span","marks":[],"text":"Longer or more frequent periods."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b84657fd786f","_type":"block","children":[{"_key":"171101831544","_type":"span","marks":[],"text":"Pelvic pressure or pain."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1df5b7c90f0b","_type":"block","children":[{"_key":"761926ac4992","_type":"span","marks":[],"text":"Frequent urination or trouble urinating."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2c535a515668","_type":"block","children":[{"_key":"a42bd62f9323","_type":"span","marks":[],"text":"Growing stomach area."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2fa1af0622c2","_type":"block","children":[{"_key":"2b1d74adf5e9","_type":"span","marks":[],"text":"Constipation."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"167ab08c4bb6","_type":"block","children":[{"_key":"43f528a5c726","_type":"span","marks":[],"text":"Pain in the stomach area or lower back, or "},{"_key":"269470f371f2","_type":"span","marks":["08b4a1de5bf4"],"text":"pain during sex"},{"_key":"ed2b48d01c7e","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"08b4a1de5bf4","_type":"internalLink","linkType":"text","reference":{"_ref":"7460abee-d476-4d6d-b1c5-1c565101e2bf","_type":"reference"}}],"style":"normal"},{"_key":"437e1197862c","_type":"block","children":[{"_key":"4d6c02b3517a","_type":"span","marks":[],"text":"What to expect during a fibroids appointment"}],"markDefs":[],"style":"h3"},{"_key":"532f3026c0f7","_type":"block","children":[{"_key":"482143fae5130","_type":"span","marks":[],"text":"Fibroid visits can be conducted both virtually and in clinic at Tia. This is a consultation based visit usually focused on a thorough review of current concerns, medical, family, medication, and pregnancy history and discussion or risk factors. If you choose to schedule an in-person appointment at a clinic, this visit may include a pelvic exam as large fibroids can sometimes be felt from the outside. Many times, additional information can be gained by ordering an ultrasound during the initial visit."}],"markDefs":[],"style":"normal"},{"_key":"a76425367d25","_type":"block","children":[{"_key":"a04b7b393ac6","_type":"span","marks":[],"text":"Potential treatment plans for fibroids"}],"markDefs":[],"style":"h3"},{"_key":"41a558fb173e","_type":"block","children":[{"_key":"b5d826504d2e","_type":"span","marks":[],"text":"For those with disruptive symptoms like heavy bleeding and pain, treatment may include:"}],"markDefs":[],"style":"normal"},{"_key":"a7e1088482cf","_type":"block","children":[{"_key":"535bb82b41ec","_type":"span","marks":["strong"],"text":"Medications:"},{"_key":"4bad520aaee7","_type":"span","marks":[],"text":" These can treat heavy periods and temporarily shrink fibroids."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5f77374e5633","_type":"block","children":[{"_key":"7fa9542aaffc","_type":"span","marks":["strong"],"text":"Non invasive:"},{"_key":"530192c86363","_type":"span","marks":[],"text":" A noninvasive treatment doesn't involve surgical cuts called incisions. It also doesn't involve tools being placed in the body."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d1e8530a5cf5","_type":"block","children":[{"_key":"9f1ab52a9106","_type":"span","marks":["strong"],"text":"Minimally invasive: "},{"_key":"ec5ee93afb10","_type":"span","marks":[],"text":"These procedures use no cuts or small cuts. They're linked with faster recovery times and fewer complications compared with traditional open surgery."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ba5ead6776ef","_type":"block","children":[{"_key":"4aeaec3d5f4d","_type":"span","marks":["strong"],"text":"Traditional surgery:"},{"_key":"05366af13a6f","_type":"span","marks":[],"text":" Surgical intervention might be recommended depending on the severity of symptoms and size of the fibroids."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9dc8de32b785","_type":"block","children":[{"_key":"f07920d3c255","_type":"span","marks":[],"text":"Not all diagnosis of fibroids will require medical intervention/treatment. Your Tia provider might recommend a more holistic approach to easing the symptoms of fibroids including:"}],"markDefs":[],"style":"normal"},{"_key":"8505e02fbca6","_type":"block","children":[{"_key":"1eeb5798b7e30","_type":"span","marks":["strong"],"text":"Acupuncture:"},{"_key":"a52a1ac56f6e","_type":"span","marks":[],"text":" Acupuncture can help decrease both the intensity and duration of menstrual cramps While there isn’t a one size fits all for acupuncture, we typically recommend coming in 1x weekly for 4-6 weeks for best results."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f30e98c910ba","_type":"block","children":[{"_key":"1fbc176bd7d3","_type":"span","marks":["strong"],"text":"Turmeric:"},{"_key":"d624c2a94bb7","_type":"span","marks":[],"text":" There is research citing that adding in a Turmeric supplement can help to reduce the size and activity of endometriosis lesions. Turmeric helps to reduce inflammation and regulates blood flow to help reduce pain."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fbc6dcd415b2","_type":"block","children":[{"_key":"6bbd9b26cda6","_type":"span","marks":["strong"],"text":"CBD:"},{"_key":"33795ce90593","_type":"span","marks":[],"text":" CBD oral capsules or tincture can help with inflammation, cramping, and sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e85e98ac483d","_type":"block","children":[{"_key":"387dc4e6c287","_type":"span","marks":["strong"],"text":"Ginger:"},{"_key":"c865a1e9cddf","_type":"span","marks":[],"text":" Ingesting ginger during the first few days of menstruation may reduce the severity of your menstrual cramps."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"032993b9376e","_type":"block","children":[{"_key":"fe2321a49a48","_type":"span","marks":["strong"],"text":"Magnesium glycinate:"},{"_key":"56a82b3c5cab","_type":"span","marks":[],"text":" Helpful for reducing menstrual pain both preventatively and in the moment. It also helps to calm the mind, support healthy sleep, relax muscle tension, and encourage healthy cycles."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec63013bae59","_type":"cta","backgroundColor":"bccream","text":[{"_key":"d26267f9f44e","_type":"block","children":[{"_key":"851e1225750c","_type":"span","marks":[],"text":"Need to see a doctor about your fibroids? Sign up for Tia's membership and schedule an appointment at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"633c1d33e4a7","_type":"block","children":[{"_key":"7cc2bcc8f5ff0","_type":"span","marks":["em"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."}],"markDefs":[],"style":"normal"},{"_key":"77789bacfaad","_type":"buttonBlock","items":[{"_key":"bfe21b999243","_type":"singleButton","linkCta":"Join Tia","linkType":"join-scroll"},{"_key":"d3ccc8a8add3","_type":"singleButton","linkCta":"Find your clinic","linkType":"button","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}]}]}],"spacing":"pys"},{"_key":"426191f43ed7","_type":"shape","backgroundColor":"secondary-1","shapeColor":"secondary-2","shapeType":"shape-2"},{"_key":"fcb5133e6ad5","_type":"featuredArticles","articles":[{"_key":"183a5d17804e","_ref":"f158fe1b-1e16-4ebf-b284-ccbb466ed379","_type":"reference"}],"backgroundColor":"bccream","spacing":"pys","title":"Read more on Fibroids"},{"_key":"6ff7aa6a2076","_type":"spacer","backgroundColor":"bccream","spacing":"pys"}],"redirectLanding":true,"shortDescription":"Do you have or think you might have fibroids? 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But if it spreads to your kidneys, it can become a serious health problem."}],"markDefs":[{"_key":"cefd4cec85bc","_type":"annotation","text":[{"_key":"60c390accabd","_type":"block","children":[{"_key":"0e001d40d69c","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"44a4b4a92011","_type":"block","children":[{"_key":"ff6e13adabaa0","_type":"span","marks":[],"text":"Urinary tract infections (UTIs) are the most common outpatient infections, with a lifetime incidence of 50-60% in adult women, according to the National Institutes of Health."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8c69fcd4802d","_type":"block","children":[{"_key":"de659deca53e","_type":"span","marks":[],"text":"What are symptoms of a urinary tract infection?"}],"markDefs":[],"style":"h3"},{"_key":"e6816e62044d","_type":"block","children":[{"_key":"547383ef225c0","_type":"span","marks":[],"text":"Symptoms of urinary tact infection can include:"}],"markDefs":[],"style":"normal"},{"_key":"5ca28ebae704","_type":"block","children":[{"_key":"5b0a7c493fa2","_type":"span","marks":[],"text":"Pain or burning while urinating"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"548bbeff6d50","_type":"block","children":[{"_key":"3cb94c951d6d","_type":"span","marks":[],"text":"Frequent urination"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b22bc44767bd","_type":"block","children":[{"_key":"5efb2562f979","_type":"span","marks":[],"text":"Feeling like you can not completely empty your bladder or feeling the need to urinate despite having an empty bladder"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"29cb07163215","_type":"block","children":[{"_key":"41328a550a33","_type":"span","marks":[],"text":"Bloody urine"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5636c4aa6cd4","_type":"block","children":[{"_key":"63d9b3da22e9","_type":"span","marks":[],"text":"Pressure or cramping in the groin or lower abdomen"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d4d2fd1efc6f","_type":"block","children":[{"_key":"c6a2a4529c2c","_type":"span","marks":[],"text":"What to expect during a UTI appointment"}],"markDefs":[],"style":"h3"},{"_key":"f518b4511f24","_type":"block","children":[{"_key":"4299ac62b7500","_type":"span","marks":[],"text":"A UTI visit can take place virtually or in-person with referral for testing if indicated. If you have symptoms of a UTI, your visit will likely include:"}],"markDefs":[],"style":"normal"},{"_key":"88c7bc84813a","_type":"block","children":[{"_key":"f320307092c8","_type":"span","marks":[],"text":"Review of your medical history and any medications that you take with special attention to current symptoms and urinary history."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0bce35628da0","_type":"block","children":[{"_key":"369070398697","_type":"span","marks":[],"text":"If you are suspected to have a urinary tract infection (UTI), your healthcare provider may ask for a urine sample to confirm the diagnosis. In such cases, a urinalysis test is conducted to screen for different parts of urine and detect potential infections. The test checks for germs that cause bladder infections. Sometimes, your healthcare provider may start you on antibiotics right away without waiting for the test results if they suspect that you have a UTI."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aa6cc58ecf23","_type":"block","children":[{"_key":"2135131004d6","_type":"span","marks":[],"text":"Potential treatment plans"}],"markDefs":[],"style":"h3"},{"_key":"953ba0d060ca","_type":"block","children":[{"_key":"e143987aadd40","_type":"span","marks":[],"text":"Treatment for UTI requires an antibiotic. If you are diagnosed, your provider will write you a prescription. "}],"markDefs":[],"style":"normal"},{"_key":"a191b1647f6b","_type":"block","children":[{"_key":"28f25c8356ee","_type":"span","marks":[],"text":"How to prevent a UTI in the future"}],"markDefs":[],"style":"h3"},{"_key":"56153e48f884","_type":"block","children":[{"_key":"2ec021163e020","_type":"span","marks":[],"text":"Even thought UTIs are fairly common, they are also easy to prevent with proper hygiene and personal care:"}],"markDefs":[],"style":"normal"},{"_key":"13fe6f8a7c75","_type":"block","children":[{"_key":"52d8f65932c4","_type":"span","marks":["strong"],"text":"Urinate after sexual activity:"},{"_key":"1880b3bb76c0","_type":"span","marks":[],"text":" During intercourse, bacteria and other germs can find its way into your urethra (where you pee from), which can cause UTI's. Urinating after sex forces that unwanted bacteria to be flushed out of your urinary tract."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"06c3590570d8","_type":"block","children":[{"_key":"5068844ccfc0","_type":"span","marks":["strong"],"text":"Stay well hydrated:"},{"_key":"cf71e051589a","_type":"span","marks":[],"text":" Drinking a lot of water helps hydrate bladder tissue, which keeps it healthy. Staying hydrated also dilutes your urine and lowers the concentration of bacteria in the bladder. In some cases, women have been able to cure themselves of a UTI just by drinking water. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d0f43c8dac3","_type":"block","children":[{"_key":"14478351d5ab","_type":"span","marks":["strong"],"text":"Take showers instead of baths:"},{"_key":"2192c7c61adb","_type":"span","marks":[],"text":" Bacteria thrive in warm environments, like hot tubs and baths. Taking showers instead will slow any bacteria from rapidly growing in your urethra. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3eb4f81cbf37","_type":"block","children":[{"_key":"f59120dbe507","_type":"span","marks":["strong"],"text":"Do not use douches, sprays, or powders in the genital area:"},{"_key":"71362096f734","_type":"span","marks":[],"text":" Your vagina is already self-cleaning and does not need help from a douche or any additional \"vaginal cleaning\" products. These products can also wash out the good bacteria that keeps your vagina health and your pH balanced, which could allow for harmful bacteria to take over. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec93c15ddd7b","_type":"block","children":[{"_key":"5337e6106b21","_type":"span","marks":["strong"],"text":"Wipe front to back after using the bathroom:"},{"_key":"55894adae30c","_type":"span","marks":[],"text":" This helps avoid any bacteria from your rectum to contaminate your urethra, which can lead to infection."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68337be97d34","_type":"block","children":[{"_key":"a6e06fe99e29","_type":"span","marks":[],"text":"Consume D Mannose: This is a sugar compound naturally occurring in cranberries that will help coat the bladder making it difficult for bacteria to adhere to it. This is helpful to prevent UTIs when going through a period of frequent bladder infections. 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