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Uterine Fibroids Treatment in Jalandhar
Uterine fibroids are very common and are simple (non-cancerous) tumors that are formed inside or on the uterus. One may have a single fibroid or many and their size can also vary from being very small to very large. In medical language, they are known as leiomyoma. They may be growing into the muscle of the uterus or may grow towards the inner or outer side of the uterine wall. They may or may not cause any symptoms and do not always need treatment.
Not all fibroids cause symptoms, but when they do, symptoms can include heavy menstrual bleeding, back pain, frequent urination, and pain during sex. Small fibroids often don’t need treatment, but larger fibroids can be treated with medications or surgery.
Risk Factors For Getting Fibroids-
- Obesity
- Positive family history of fibroids
- Early age at menstruation
- Not bearing child
- Getting early onset of menstruation
- Attaining late menopause
Types of fibroids-
Submucosal fibroids: These fibroids grow inside the uterine space (cavity) where a baby grows during pregnancy.
Intramural fibroids: These fibroids remain inside the wall of the uterus.
Subserosal fibroids: These grow on the outer surface of the uterus.
Pedunculated fibroids: These fibroids are also located on the outside of the uterus but they are connected to the uterus with a thin stem.
Symptoms
Most fibroids do not cause any symptoms and so may not require treatment other than observation under a doctor. But fibroids can cause a variety of symptoms as well like-
- Excessive bleeding during menses.
- Painful menses.
- Pain or fullness in the lower abdomen.
- Low back pain.
- Infertility.
- Vaginal discharge.
- Frequent urination.
- Constipation.
- Abdominal distention like in pregnancy if the fibroid is very big.
- The growth of fibroids is likely to stop after menopause due to hormonal changes.
Causes:-
Most fibroids happen in women of reproductive age but their exact cause is not yet known.
Tests to Diagnose Fibroids
- Ultrasound: This is the most common test where fibroids are diagnosed. In many cases, no other test is required to manage fibroids.
- Magnetic resonance imaging (MRI): in some cases of doubt or when a cancer is suspected, MRI may be recommended.
- Computed tomography (CT): Again in cases of doubt a CT scan may be ordered to get a more detailed view of the uterus and surrounding organs.
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Is There a Risk for Cancer With Fibroids?
It is quite rare for a fibroid to get transformed into cancer but still, it is possible. It can not be said from available tests today that fibroid is going to turn into cancer. Risk factors-
The rapid growth of the size of uterine fibroid
Fibroids that grow during menopause
Management and Treatment
- Observation – If fibroids are small and are not causing any symptoms, one may not need any treatment and wait till menopause when they are expected to shrink or at least stop growing.
- Medication– No drug is uniformly effective against fibroids so that they can dissolve fibroids. At best, they can control heavy menstrual bleeding or temporarily shrink the size of a large fibroid. You can discuss these options with your doctor if you are not willing for surgery at present.
- Myomectomy – This means the removal of fibroid from the uterus. This can be done by open method by laparoscopic (Key Hole) or hysteroscopic method.
- Open Surgery – Incision is given in the lower abdomen and fibroids are removed through this large cut. Not recommended these days by expert doctors unless the same surgery can not be done by laparoscopic method.
- Laparoscopic Surgery – The same surgery is done via very small holes – typically one hole that is 1cm and three holes that are just 0.5cm. The camera is inserted inside the abdomen, uterus, and fibroids are visualized on a monitor, and surgery is performed with the help of very thin and long instruments. Even large fibroids can be removed and later crushed with the help of a machine to be removed from a very small hole. This method has many advantages of open surgery-
- Much smaller cuts
- Much less pain
- Much better recovery
- This may lead to less blood loss
- Early return to work
- Less pelvic adhesions – so much better for patients who wish to conceive after surgery.
Hysteroscopic Surgery: Fibroid that is projecting into the cavity of the uterus can be removed by this method where a thin scope is inserted through the vagina into the uterus. No incisions are made on the skin. Advantages-
- No cuts
- Less pan
- Early recovery
However, not all fibroids can be removed by this procedure and it is applicable to a minority of patients who have suitable fibroids for this surgery.
Hysterectomy: This procedure means the removal of the uterus. This may be a choice for patients who-
Have completed their family and want a one-time procedure as after hysterectomy uterine fibroids can not come back.
Can be done laparoscopically (Key Hole Method or Laser Surgery in layman’s terms) in advanced centers.
There are some new and still not-in-common-use procedures like-
- Uterine fibroid embolization
- Radiofrequency ablation (RFA)
- Magnetic Resonance Imaging (MRI)-guided focused ultrasound
Risks Involved in Fibroid Surgery
In general, these are quite safe surgeries but as with any other surgery, there are certain risks involved-
- Infection
- Bleeding
- Anesthesia risk
- Injury to surrounding structures
As said before, these are in general quite safe surgeries, so these risks should not deter you from getting suitable treatment at the right time.
At What Size Do Fibroids Need Surgery?
This is a common question that many people ask but unfortunately, there is no clear-cut answer to this. Sometimes a small fibroid causes symptoms like excessive bleeding or infertility and needs removal. Sometimes a large fibroid causes symptoms due to its size by putting pressure on surrounding structures like the urinary bladder, ureters, rectum, etc and hence needs removal. Any fast growth in the size of the fibroid is another indication for surgery.
PREVENTION
Quite frankly, nothing can be done to prevent fibroids for sure. One can reduce risk by maintaining a healthy body weight and getting regular health examinations
Can I Get Pregnant With Fibroid?
In many cases, fibroid is not pushing into the uterine cavity and one may become pregnant but in some cases fibroid can cause infertility and your doctor will guide you accordingly.
Can Fibroids Go Away on Their Own?
Fibroids can shrink in some women after menopause. This happens because of a decrease in hormones. When the fibroids shrink, your symptoms may go away. Please see your doctor before making up your mind about the management of fibroids.
Our Achievements
Our remarkable achievements challenge the misconception that multiple fibroids require open surgery. With laparoscopy, we successfully removed over 35 fibroids, setting a new standard in minimally invasive gynecological procedures.
