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Uterine Fibroids

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What is Uterine Fibroids?

Fibroids are non-cancerous growths that develop in or around the womb (uterus).Fibroids affect 80% of women aged 30 – 50 yrs. Obesity is a risk factor

Are fibroids common in India?

20-30% women in reproductive age group have uterine fibroids.

What are the symptoms of fibroids?

– Heavy or painful periods
– Tummy and back pain
– Exhaustion
– Frequent need to urinate
– Constipation
– Acidity or distention of abdomen
– Discomfort during sex

How are fibroids diagnosed?

 By the clinical presentation and pelvic ultrasound. Sometimes an MRI may be needed.

How are fibroids treated?

If the symptoms are not troubling, then no treatment is needed. However, a regular follow up is needed. If there are symptoms, the options include medication or surgical treatment.

 

The best treatment depends on number of factors

– Which symptom or symptoms are most bothersome
– The size, number, and locations of fibroids
– The desire for pregnancy
– Age -most fibroids shrink or stop causing symptoms after menopause
– Growth of fibroid after menopause
– Suspicion of malignancy.
– The expertise of the clinician in hysteroscopy and laparoscopy.
– For select cases, medical treatment is advised.
– Submucosal fibroids (SM) grow and bulge towards the inside of the uterus and are mostly symptomatic.
– Traditionally, treated by laparotomy ( a big cut on the tummy ). Now laparoscopy & hysteroscopy is preferred.
– Hysterectomy is not always required.
– It is possible to remove SM fibroids by Outpatient Operative Hysteroscopy ( i.e no or minimal anaesthesia), safe and acceptable by many women. We call it a “ WALK IN & WALK OUT “ procedure.