Uterine Fibroid Treatment in Jaipur
Uterine fibroids are non-cancerous growths of the muscle of the uterus. Many women have them without knowing, and they need no treatment. Others have heavy periods, pain, pressure on the bladder or difficulty conceiving. Treatment depends on the size, number and position of the fibroids and on whether you want to keep your fertility — and for most women today, that means removing the fibroids while keeping the uterus.
Symptoms fibroids can cause
- Heavy or prolonged periods, sometimes with clots, leading to tiredness and anaemia.
- Pelvic pain, period pain, or a feeling of heaviness in the lower abdomen.
- Needing to pass urine frequently, or constipation, from a large fibroid pressing on the bladder or bowel.
- Difficulty conceiving or repeated miscarriage, particularly with fibroids that distort the inside of the uterus.
Types of fibroids
- Submucosal fibroids bulge into the uterine cavity. Even small ones cause heavy bleeding and affect fertility, and most can be removed hysteroscopically through the cervix.
- Intramural fibroids grow within the muscle wall and are the most common type.
- Subserosal fibroids grow on the outer surface and mainly cause pressure symptoms.
Diagnosis
- A pelvic ultrasound, usually transvaginal, maps the number, size and position of fibroids.
- MRI is used for large or multiple fibroids when planning surgery.
- A blood count checks for anaemia caused by heavy bleeding, which is corrected before any operation.
Treatment options
- Watchful monitoring for small fibroids that cause no symptoms.
- Medication to control heavy bleeding and pain, or to shrink fibroids for a limited time before surgery.
- Hysteroscopic myomectomy to remove submucosal fibroids from inside the uterus, as a day-care procedure with no incisions.
- Laparoscopic myomectomy to remove fibroids through keyhole incisions while preserving the uterus and future fertility.
- Hysterectomy for women who have completed their family and have large or recurrent fibroids, performed laparoscopically wherever suitable.
Fibroids and pregnancy
- Many women with fibroids conceive and deliver normally.
- Fibroids that distort the cavity are usually removed before trying to conceive.
- After a myomectomy you are typically advised to wait a few months before conceiving so the uterus heals, and the mode of delivery is planned in advance.
Uterine Fibroid Treatment — frequently asked questions
Can fibroids be removed without removing the uterus?
Yes. A myomectomy removes the fibroids and repairs the uterine wall, preserving the uterus. It can be done laparoscopically for most fibroids, or hysteroscopically through the cervix for fibroids inside the cavity.
Do fibroids turn into cancer?
Fibroids are benign, and becoming cancerous is very rare. A fibroid that grows rapidly, particularly after menopause, is investigated further.
Can fibroids come back after a myomectomy?
New fibroids can develop over time because the tendency to form them remains. Regular follow-up scans detect any recurrence early, when it is easiest to manage.
