Uterine Fibroids

Uterine fibroid is the most common benign solid tumor of the female genital tract & is diagnosed in approximately 25-30% of females. The incidence increases in the later years of women's reproductive years.

  • Uterine leiomyomas (fibroids) are frequently asymptomatic in which case no treatment is required.
  • In other cases, fibroids cause heavy menstrual bleeding with menstrual cramps or both.
  • Some women experience difficulty in conceiving.
  • Sometimes these fibroids apply pressure on the surrounding organs like bladder and ureter giving rise to difficulty in emptying the bladder or cause backpressure changes leading to hydronephrosis
  • Haemoglobin - To detect anemia.
  • Clinical examination.
  • Ultrasound pelvis.

Watch the Symptoms -If the fibroids are small and not giving rise to any symptoms, no active treatment is required. The patient is advised for regular annual ultrasound check up to monitor the size of the fibroid(s).

Medications - These can be given to shrink the fibroids temporarily so as to control symptoms such as painful or heavy periods. But, this is not a permanent cure for fibroids.

Surgery - This option is offered when the symptoms are not being controlled with medications or in case the fibroids are too big/growing too rapidly.

  • Laparoscopic Myomectomy - This is indicated when the female is young and wants to preserve her uterus. Through this keyhole surgery the myoma or the fibroid is removed. This procedure leaves no long scar, so better cosmetic results are obtained.
  • Total Laparoscopic Hysterectomy - If the women has completed her family & is having multiple fibroids, then the uterus is removed along with the fibroids.
  • Hysteroscopic Myomectomy - If the fibroid is encroaching the uterine cavity (i.e submucus in position), then this procedure is opted.

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