Health
Black Women Less Likely to Get Laparoscopic Fibroid Surgeries
Surgery for uterine fibroids can often be done through minimally invasive techniques that avoid a hospital stay. But Black and Hispanic women may be less likely to receive these treatments, a recent study finds.
Uterine fibroids are non-cancerous growths in the uterus. Sometimes they cause no problems, but when they do — like heavy monthly bleeding and pain — treatment may be necessary.
One option is surgery: a myomectomy, which removes just the fibroids; or a hysterectomy, which removes the uterus. Either surgery can often be done in a minimally invasive way — vaginally or through small incisions in the abdomen.
Yet in the new study, researchers found that Black and Hispanic women often did not receive those less extensive procedures — instead getting traditional surgery, with a large abdominal incision and a hospital stay.
The reasons are not completely clear, the researchers said.
But the investigators did find that Black and Hispanic women were less likely than white women to see a doctor who specialized in minimally invasive techniques.
Uterine fibroids are very common, but especially so among Black women, said researcher Dr. Rebecca Schneyer, an obstetrician/gynecologist at Cedars-Sinai Medical Center, in Los Angeles.
Studies show that about 80% of Black women will have uterine fibroids by age 50, as will 70% of white women. But Black women typically develop them sooner: By some estimates, one-quarter of Black women have fibroids by age 30.
They are also more prone to having numerous or large fibroids, suffer more intense symptoms, and more often undergo surgery compared to white women.
“That’s all the more reason we should be trying to reduce disparities in care,” Schneyer said.
Traditional abdominal surgery for fibroids is generally safe. But it causes more pain and blood loss, and has a longer recovery time than minimally invasive procedures.
For the new study — recently published in the Journal of Minimally Invasive Gynecology — Schneyer’s team examined records of more than 1,300 women who had surgery for uterine fibroids at Cedars-Sinai in recent years.
Most had a minimally invasive myomectomy or hysterectomy, but there were substantial racial gaps: Among white women, 81% underwent minimally invasive procedures, versus 57% of Black women and 65% of Hispanic women. Asian women, meanwhile, had a rate comparable to white women.
Schneyer said there are times when traditional surgery is the better option, depending on the number of fibroids or size of the uterus, for example.
But those factors did not explain the disparities in surgery type, the study found.
Instead, Black and Hispanic women were less likely than white women to see a doctor who specialized in minimally invasive techniques: They often saw an obstetrician/gynecologist without that “sub-specialty” training.
Why is unclear, since all patients were treated at the same medical center and nearly all had private insurance.
It’s possible, Schneyer said, the doctors whom Black and Hispanic women initially saw were less likely to refer them to sub-specialists, perhaps due to “implicit biases.”
But she suspects that “disparities in awareness” might play a bigger role: White women may be more likely to know about minimally invasive options, or seek a second opinion.
Dr. Hye-Chun Hur specializes in minimally invasive gynecologic surgery at NYU Langone Hospital Brooklyn. She said that in her experience, some patients with uterine fibroids are indeed more likely to “doctor shop” and seek second or third opinions, while others accept the initial option presented to them.
The onus should be on doctors, both Schneyer and Hur said, to explain all treatment options.
It’s also important, they said, for primary care doctors and general ob/gyns — the ones who refer women to sub-specialists — to be aware that minimally invasive procedures can often be done even when there are numerous fibroids or the uterus is large.
“A lot has changed in the past 20 years,” Schneyer said. “More often than not, minimally invasive surgery is an option.”
For women who have traditional surgery recommended, Hur said, “seeking a second opinion is always a good idea.” But they should try, if possible, to get that opinion from a specialist in minimally invasive techniques, she added.
Author: WebMD
United States President Donald Trump has been declared medically fit to continue in office, with his physician describing him as being in “excellent health” while recommending weight loss and increased physical activity weeks before his 80th birthday.
The White House disclosed on Friday that Trump underwent his annual medical and dental examination on Tuesday at Walter Reed Military Hospital near Washington, amid growing scrutiny over his health and fitness for office.
In a three-page medical memo released by the White House, Trump’s physician, US Navy Captain Sean Barbabella, said the president demonstrated strong overall physical and mental capacity.
“President Trump remains in excellent health, demonstrating strong cardiac, pulmonary, neurological, and overall physical function,” Barbabella stated, adding that the president was “fully fit to carry out all duties of the Commander-in-Chief and Head of State.”
However, the physician advised Trump to adopt healthier lifestyle measures, including dietary adjustments, increased physical activity, continued weight loss and low-dose aspirin therapy for cardiovascular prevention.
According to the report, Trump, who will turn 80 on June 14, stands at 6ft 3in tall and weighs 238 pounds (108 kilograms), about 14 pounds more than he weighed during his last full annual medical check-up in April last year.
Despite concerns surrounding his age, the report noted that Trump’s cardiac health reflected an estimated age roughly 14 years younger than his chronological age.
The president also reportedly scored a perfect “30 out of 30” in a cognitive assessment, a result Trump has repeatedly cited in public while contrasting himself with his Democratic predecessor, former President Joe Biden.
The medical report further addressed concerns over bruising frequently seen on Trump’s right hand, attributing it to “minor soft tissue irritation” caused by repeated handshaking and aspirin use.
The memo also referenced scarring on Trump’s right ear linked to the assassination attempt against him during a campaign rally in Butler, Pennsylvania, in 2024, when a gunman opened fire, killing a supporter and slightly wounding the president.
Trump’s latest health evaluation comes amid public concerns after he was occasionally seen appearing drowsy during White House meetings and events. He had also previously been diagnosed with chronic venous insufficiency, a condition that affects blood circulation in the veins and can lead to swelling in the legs.
Reacting shortly after Tuesday’s examination, Trump wrote on his Truth Social platform that the medical exercise had gone “PERFECTLY,” while the White House later shared his photograph online with the caption, “PERFECT BILL OF HEALTH!”
The release of the report also sparked debate in the United States after the White House initially delayed making the medical details public, breaking with the traditional practice of releasing presidential health summaries shortly after such examinations.
Trump has long faced criticism over transparency regarding his health records, with questions also raised over the scheduling and description of his medical evaluations since returning to office.
The Oyo State Government has confirmed a Lassa fever case at the University College Hospital, Ibadan, where a 44-year-old woman died, prompting the activation of emergency response measures and immediate contact tracing to contain the disease.
The state Commissioner for Health, Oluwaserimi Ajetunmobi, disclosed this in a statement on Wednesday, saying, “The patient died on April 11, 2026, while receiving treatment, while laboratory confirmation of Lassa fever was received on April 13.”
She added that the Ministry of Health had swiftly activated its emergency response system, including the establishment of an Incident Management System to coordinate response activities across the state.
According to her, “All identified contacts of the deceased are being closely monitored, while necessary measures have been taken to ensure a safe and dignified burial in line with public health protocols.”
Ajetunmobi urged residents to seek immediate medical attention if they experience symptoms such as persistent fever, weakness, sore throat, vomiting, diarrhoea, unexplained bleeding, chest pain or difficulty breathing.
She stressed, “Early presentation at health facilities significantly improves the chances of survival.”
The commissioner explained that Lassa fever is a viral haemorrhagic disease transmitted primarily through contact with food or household items contaminated by urine or faeces of infected rodents.
“It can also spread from person to person through contact with bodily fluids, especially in healthcare settings where infection prevention measures are not strictly observed,” she said.
She advised residents to maintain strict environmental hygiene, including proper waste disposal, safe storage of food in rodent-proof containers and avoiding drying food items on bare ground or roadsides.
Ajetunmobi also urged households to seal holes and entry points to prevent rodent access, while emphasising regular handwashing and good personal hygiene.
Residents, she said, should report suspected cases through designated emergency lines, while health workers must strictly adhere to infection prevention and control protocols.
Reaffirming the government’s commitment, the commissioner said surveillance had been intensified across the state, with all health facilities placed on alert.
“There is no cause for panic. The situation is under control, and Lassa fever is both preventable and treatable when detected early,” she assured.
The lawmaker representing Ibarapa East/Ido Federal Constituency in the House of Representatives, Aderemi Oseni, has pledged to support the breast cancer awareness programme of the ABC Foundation founded by former Oyo First Lady, Dr. Florence Ajimobi.
Oseni, who is Chairman of the House Committee on Federal Roads Maintenance Agency (FERMA), made the commitment on Thursday in Ibadan at the flag-off of Pink Month 2025, an initiative of the foundation.
Contained in a statement by his media aide, Idowu Ayodele, the lawmaker described the campaign as a “lifesaving mission” given the rising burden of breast cancer in Nigeria, with over 28,000 new cases and thousands of deaths reported annually.
The APC chieftain said the free screening of 1,000 women planned by the foundation was timely, stressing that early detection remained the strongest weapon in the fight against cancer.
Hon. Aderemi Oseni exchanging pleasantries with former Oyo State First Lady, Dr. (Mrs.) Florence Ajimobi, at the event.
“Health is life. Only this June, I moved a motion at the National Assembly which led to the Federal Government subsidising dialysis treatment nationwide. Today, dialysis is either free or heavily discounted in federal health facilities,” Oseni said.
He listed his personal interventions to include funding hospital bills of indigent patients, construction of hospitals in Ido and Ibarapa East, establishment of primary health centres, and organisation of medical outreaches. He also disclosed plans to deploy mobile clinics to rural areas.
Commending Mrs. Ajimobi for sustaining her late husband’s legacy through humanitarian service, Oseni assured of partnership with the foundation, saying women’s wellbeing and empowerment remained central to his vision for Oyo State.
In her remarks, Mrs. Ajimobi said the foundation had offered medical care to over 85,000 patients and conducted more than 100,000 investigations since its inception. She added that the campaign was not just corporate social responsibility but “a moral duty and sacred trust.”
The former first lady, who lost her daughter Abisola to breast cancer earlier this year, said the experience had strengthened her resolve to save other families from such tragedy. She appealed to women to take advantage of the free screening and called on partners and development agencies to support the fight.
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