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Uterine Fibroids : What to Do ? | Best Gynecologist Specialist In Delhi

Updated: Aug 6



Uterine Fibroid

Uterine fibroids are non-cancerous growths that develop in the uterus. They are common, affecting many women during their reproductive years. Although fibroids are often harmless and don't always require treatment, they can sometimes cause symptoms that affect quality of life. This blog post will guide you through understanding uterine fibroids, their symptoms, and the options for managing and treating them.


What Are Uterine Fibroids? | Best Gynecologist Specialist In Delhi

Uterine fibroids, also known as leiomyomas or myomas, are benign tumors made of muscle and fibrous tissue that grow in or on the uterus. They vary in size, shape, and location and can range from very small to large masses.


Symptoms of Uterine Fibroids

Many women with fibroids have no symptoms at all. However, when symptoms do occur, they can include:

  • Heavy Menstrual Bleeding: Prolonged or heavy periods.

  • Pelvic Pain or Pressure: Discomfort or a feeling of fullness in the lower abdomen.

  • Frequent Urination: Increased need to urinate due to pressure on the bladder.

  • Pain During Intercourse: Discomfort or pain during sexual activity.

  • Lower Back Pain: Pain in the lower back that can sometimes radiate to the legs.

  • Reproductive Issues: Difficulty getting pregnant or complications during pregnancy (though this is less common).


Diagnosing Uterine Fibroids

If you experience symptoms or are concerned about fibroids, your healthcare provider may use the following methods to diagnose them:

  • Pelvic Exam: Your doctor may feel for any abnormalities during a physical examination.

  • Ultrasound: A common imaging technique that uses sound waves to create an image of the uterus and detect fibroids.

  • MRI: Provides detailed images to assess the size, location, and type of fibroids.

  • Hysteroscopy: A procedure where a thin, lighted tube is inserted through the vagina and cervix to view the inside of the uterus.


Treatment Options for Uterine Fibroids | Best Gynecologist Specialist In Delhi

Treatment depends on the size, location, and symptoms of the fibroids, as well as your overall health and preferences. Options include:


4.1 Watchful Waiting

  • Description: If fibroids are small and not causing significant symptoms, your doctor may recommend regular monitoring without immediate treatment.

  • Why It Might Work: Many fibroids remain stable or even shrink on their own, especially after menopause.


4.2 Medications

  • Hormonal Treatments: Birth control pills, hormonal IUDs, or other hormone therapies can help manage symptoms like heavy bleeding.

  • GnRH Agonists: Medications that reduce estrogen levels and can shrink fibroids temporarily.

  • Tranexamic Acid: Helps reduce heavy bleeding during periods.

  • Pain Relievers: Over-the-counter pain medications like ibuprofen can help manage pelvic pain and discomfort.


4.3 Non-Surgical Procedures

  • Uterine Artery Embolization (UAE): A minimally invasive procedure where the blood supply to the fibroids is blocked, causing them to shrink.

  • MRI-Guided Focused Ultrasound: Uses high-intensity ultrasound waves to destroy fibroid tissue.


4.4 Surgical Options

  • Myomectomy: Surgical removal of fibroids while preserving the uterus. This can be done through various techniques:

  • Hysteroscopic Myomectomy: Through the vagina and cervix using a thin, lighted tube.

  • Laparoscopic Myomectomy: Through small abdominal incisions using a laparoscope.

  • Open Myomectomy: Through a larger abdominal incision for larger or numerous fibroids.

  • Hysterectomy: Complete removal of the uterus. This is a more definitive solution, especially for women who no longer wish to retain their fertility.


Lifestyle and Home Remedies
In addition to medical treatments, certain lifestyle changes and home remedies may help manage symptoms:
  • Diet: Eat a balanced diet rich in fruits, vegetables, and whole grains to maintain overall health and manage bleeding.

  • Exercise: Regular physical activity can help reduce pelvic pressure and improve general well-being.

  • Stress Management: Techniques such as yoga, meditation, or counseling can help manage stress, which may alleviate some symptoms.


When to See a Doctor

Seek medical advice if you experience:

  • Severe pain or heavy bleeding that interferes with daily life.

  • Symptoms that worsen over time.

  • Difficulties with pregnancy or reproductive health concerns.


Conclusion |

Uterine fibroids are common and often manageable, but understanding your options is key to addressing them effectively. Whether through monitoring, medication, non-surgical procedures, or surgery, there are many ways to manage and treat fibroids. Always consult with your healthcare provider to determine the best approach based on your symptoms, health, and personal preferences.

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