Rockledge, Florida

Marja Sprock, M.D., FACOG, FPMRS Board Certified
Fellowship Trained Urogynecologist

Now Accepting New Patients      Phone:  321-806-3929

Recently Published

new  New Treatments for Vaginal Atrophy

new  The Healthy Weight Lifestyle Formula

new  Small Battery Can Fix Bowel Control Issues

new  Laser and the Vagina

new  Fecal Incontinence  - More Common Than You Think!

new  Overactive Bladder

new  Painful Bladder Syndrome / Interstitial Cystitis

new  Stress Urinary Incontinence

new  The Thrill is Gone

new  Chronic Constipation

Laser Treatment for Vaginal Atrophy

Have You Had Your Pap Smear?

Resources for Pelvic Floor Disorders

The Uterine Fibroid Dilemma

Are You Leaking ?

New Non-Surgical Laser Solution for Stress Urinary Incontinence

New Treatment Option for Stress Urinary Incontinence

Non-hormonal Vaginal Atrophy Treatment -- Non-painful Sex Without Estrogen

In-Office Painless Laser Vaginal Tightening

Central Florida UroGynecology Announces LASER 4D Aesthetics

Accidental Bowel Loss - A Socially Hidden Problem

Nerve Stimulation to Treat Urinary and Fecal Problems

Is UTI a Major Health Problem?

It Appeared to be an Overactive Bladder

Pessary Treatment of Prolapse

Overactive Bladder Evaluation Chart

Accidental Bowel Loss or Fecal Incontinence

Overactive Bladder Guidelines

Vaginoplasty and the “Designer Vagina”

Surgical Treatment of Stress Urinary Incontinence

Recurrent UTI - Urinary Tract Infection

Pads are "Out of Style"

Stool or Bowel Incontinence

Pain with Sex

Nightime Urination

A Tighter Vagina - the Answer to Happiness

Do not Let Urine Loss Color the Golden Years

Office Injection Procedure for Urinary Incontinence

Read a Magazine and Regain Urinary Continence

Position Statement on Mesh Midurethral Slings

Botox Covered by Insurance

Walk to Guard Against Disease!

Estrogen Treatment Possible Side-Effects Often Overstated -- Consider the Benefits!

What the doctor does not tell you…

Tips from Dr. Sprock
September 2013

Health and Feeling Good About Yourself

I have to Go All the Time

Treatments for Fecal Incontinence

Third Generation i-Lipo Xcell now available!  FIRST IN U.S.A.

Central Florida UroGynecology Opens Its New Facility on Eyster in Rockledge

Tips from Dr. Sprock
 March 19     March 10

But I don't have to go ...

Pelvic floor muscle training and the In Tone® device

Jessica Alba had i-Lipo, Would you?

Take Action in the New Year !!

InTone Home Device to Treat Urinary Incontinence

Regenlite Skin Tightening and Collagen Stimulation

New Options for Incontinence

Sexy Meshes ???

Control Incontinence.  Enjoy Being a Senior!

A Happy Patient Testimonial - Swimming Again After Bladder Procedure  <external>

Getting Rid of Adult Diapers

Nocturia, Nighttime Voiding

Dr. Sprock Connects with her Patients

Inches Off Where You Want Them Off - I-Lipo® Introduction

Another Incontinence Success Story

Space Coast Daily:  Dr. Sprock Does I-Lipo  <external>

Previously Published by Category








Technical & Educational Info

All Published Articles

The Uterine Fibroid Dilemma
by: Katrina Davis M.D., F.A.C.O.G.

Do you have heavy or prolonged bleeding during or between your menstrual periods? Do you have severe cramps during your period? If you do, you may have uterine fibroids. Also known as leiomyomas, fibroids are benign (non-cancerous) smooth muscle tumors that can grow from your uterus. The uterus or womb is a large muscle. Fibroids can grow on the outside; within the wall; or inside of the uterus. The location and size of the fibroids determines what symptoms you may have.

In addition to bleeding and cramping, fibroids can cause problems with pregnancy such as miscarriage or preterm labor. They can even cause problems with getting pregnant. Other possible issues are pain and urinary problems such as leakage of urine or frequent urination (more than 8 times a day). If the fibroids grow large enough, they can increase the size of the abdomen or block the ureters (tubes carrying urine from kidneys to the bladder).

By some sources, uterine fibroids occur in 20-25% of women. Most women don’t have symptoms and therefore may not know that they have them. Fibroids are most common among women of childbearing age. African-American women are three times more likely to get fibroids than other women and within this group, fibroids seem to occur at a younger age, grow more quickly, and are more likely to cause symptoms.

Though uncommon, there is a cancer of the uterus that can present like uterine fibroids. This cancer is called leiomyosarcoma which is an aggressive cancer that resembles a fibroid. This type of uterine cancer is more common in older women and African-Americans. Suspicion is increased in women with suspected fibroids that rapidly increase in size since this is not their typical growth pattern. For this reason, sometimes it is recommended to repeat ultrasounds or MRI’s periodically to watch for changes in the size of fibroids.

Treatments are usually focused on either the symptoms or removal of the fibroids. There are various hormones and medications that can be taken to treat bleeding. The goal can be to make bleeding more regular; decrease the amount of bleeding; or to stop the bleeding all together.

Another option aimed at treating bleeding is uterine ablation. This is a procedure where an instrument is used to heat or freeze the lining of the uterus which decreases bleeding. There are different methods available, but most can either be done in the office or as an outpatient surgery.

Uterine fibroid embolization or UFE is a procedure performed through a blood vessel in the patient’s leg and where small particles are directed to blood vessels that feed the fibroids. The particles cause a blockage in those blood vessels and without good blood flow, the fibroids get smaller or stop growing. This procedure is not usually recommended for women who want the possibility of future pregnancies.

Another treatment is myomectomy or the actual removal of fibroids. If the fibroid is submucosal or within the lining of the uterus, it possibly can be removed through the vagina using a hysteroscope (camera to look inside the uterus). No incision is made and there is little if any downtime. In the past, this approach was limited to smaller fibroids. With newer technologies, even larger submucosal fibroids can be removed using a hysteroscope. If fibroids are intramural (located within the wall of the uterus) or subserosal (growing from the surface of the uterus), they can be removed through a laparoscope (camera placed through small incisions in the abdomen) or a laparotomy (larger incision in the abdomen).

Finally, there is the option of hysterectomy (removal of the uterus). This can be performed through an incision in the vagina, laparoscopy or laparotomy. Once again the size, number and location of the fibroids effects the decision of how to perform the hysterectomy. The patient’s body type, prior surgeries, age and medical condition can also influence the choice of procedure.

Cindy is a 35 year-old who complained of irregular and heavy periods. She had recently gotten married and wanted to have children. She also was relatively new at her job and had very little sick time. An ultrasound revealed a large submucosal fibroid. She had a myomectomy using a hysteroscope and was able to return to work in two days. One month later, she became pregnant and has since then delivered a healthy baby girl.

Fibroids are common and often cause no symptoms. However, if you have been diagnosed with them or think you may have them, seek care as there are many options for treatment.

Call Central Florida UroGynecology in Rockledge 321-806-3929 or check us out at

Marja Sprock, M.D and Katrina Davis M.D. are board certified in OB/GYN and Female Pelvic Medicine and Reconstructive Surgery (Urogynecology) and are offering academic level medicine in a private practice setting.

"Central Florida UroGynecology where high tech and common sense meet"

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

Copyright 2009-2016 Central Florida Urogynecology.  All Rights Reserved.


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updated:  January 11, 2016