The medical treatment of fibroids focuses on managing non-cancerous growths that develop in or on the uterus, commonly known as uterine fibroids, leiomyomas, or myomas. These benign tumors are prevalent among women of reproductive age. While many women may not experience symptoms, some may face discomfort, heavy menstrual bleeding, or fertility issues. Effective treatment options, including medications and minimally invasive procedures, help alleviate symptoms and improve overall well-being.

Fibroid Treatment in Hyderabad: What Are Uterine Fibroids?

Uterine fibroids are noncancerous growths that develop from the uterine wall, consisting of muscle and connective tissue. Their size, shape, and location within the uterus can vary, ranging from small seed-like nodules to large masses that alter the uterus's structure. If you're experiencing symptoms, seeking fibroid treatment in Hyderabad can help manage and treat the condition effectively. Various treatment options, including medication and minimally invasive procedures, are available to ensure the best care for women dealing with fibroids.

Based on where they are located within the uterus, fibroids in the uterus can be divided into numerous types:

  • Intramural Fibroids: These are the most prevalent kind of fibroids and are located inside the uterine tissue. Over time, they may enlarge and may cause the uterus to expand.
  • Sub serosal Fibroids: These fibroids grow on the uterine surface and can spread outward. On occasion, they may put pressure on other organs like the intestines or bladder.
  • Submucosal Fibroids: These fibroids, which are found beneath the endometrium, the uterus' inner lining, have the potential to proliferate into the uterine cavity and are more likely to result in heavy monthly flow and issues with conception.
  • Pedunculated Fibroids: These fibroids can form on the outside (sub serosal) or inside (submucosal) of the uterus and are connected to it by a stalk or stem. A pedunculated fibroid can be quite painful if it twists on its stalk.

Uterine Fibroid Symptoms

  • Excessive or Prolonged Menstrual Bleeding: Women who have fibroids may have periods that are unusually heavy or prolonged. Because of the considerable blood loss, anemia may result.
  • Pelvic Pain and Pressure: Large fibroids may make the pelvic region feel heavy or compressed. Pain or discomfort may result from this, especially during menstruation.
  • Frequent Urination: Fibroids pressing against the bladder can result in a persistent urge to urinate.
  • Constipation or Bloating: Fibroids that press on the intestines may lead to gastrointestinal issues, including bloating and constipation.
  • Lower Back Pain: If fibroids are located on the posterior side of the uterus, they may cause lower back pain.
  • Painful Intercourse: Women with fibroids may experience pain or discomfort during intercourse, especially if the fibroids are located near the cervix or vaginal canal.
  • Fertility Issues and Pregnancy Complications: While many women with fibroids can conceive and have healthy pregnancies, some women may experience difficulties with conception or pregnancy complications, such as miscarriage or preterm labor, particularly if fibroids are large or located within the uterine cavity.

Causes and Risk Factors

  • Hormonal Influence: It is believed that the hormones progesterone and estrogen, which control the menstrual cycle, encourage the development of fibroids. After menopause, when hormone levels drop, fibroids usually get smaller.
  • Hereditary Factors: There may be a hereditary tendency to producing fibroids, as evidenced by the fact that they can run in families.
  • Age: Women between the ages of 30 and 50 are most frequently diagnosed with uterine fibroids. Although fibroids usually decrease after menopause, the chance of acquiring them rises with age.
  • Ethnicity: Compared to women of different ethnic backgrounds, African-American women have a higher risk of developing fibroids and more severe symptoms.
  • Obesity: Because body fat contains more estrogen, women who are overweight or obese are more likely to develop fibroids.
  • Lifestyle Factors: Lifestyle and nutrition may also be important. It's possible that women who eat a lot of red meat and few fruit and vegetables are more likely to develop fibroids.

Uterine Fibroid Diagnosis

  • Ultrasound: This imaging procedure employs sound waves to locate fibroids and produce an image of the uterus.
  • Magnetic Resonance Imaging (MRI): MRI makes it simpler to identify the size, location, and type of fibroids by providing more detailed images of them.
  • Hyster sonography (Son hysterography): This specialized ultrasound involves injecting saline into the uterine cavity to provide clearer images of submucosal fibroids.
  • Hysteroscopy: A thin, lighted tube (hysteroscope) is inserted through the vagina and cervix into the uterus to examine the uterine cavity and identify fibroids.
  • Laparoscopy: A small incision is made in the abdomen to insert a laparoscope, allowing the doctor to view the outside of the uterus and surrounding organs. This method may be used to assess sub serosal or large intramural fibroids.

Treatment Options for Uterine Fibroids

Treatment for uterine fibroids depends on the size, location, and number of fibroids, as well as the severity of symptoms. Women who have mild symptoms or no symptoms may not need treatment. However, for women with significant symptoms, various treatment options are available:

Medications

  • Hormonal Therapies: Birth control pills, patches, or hormone-releasing IUDs can help regulate menstrual bleeding and relieve pain.
  • Gonadotropin-Releasing Hormone (GnRH) Agonists: These medications reduce estrogen and progesterone levels, shrinking fibroids. However, they are typically used for short-term management due to side effects.
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): These medications can relieve pain and discomfort but do not reduce fibroid size.

Non-Surgical Procedures

  • Uterine Fibroid Embolization (UFE): A minimally invasive procedure in which small particles are injected into the arteries supplying blood to the fibroids, cutting off their blood flow and causing them to shrink.
  • MRI-Guided Focused Ultrasound: This treatment uses high-frequency sound waves to heat and destroy fibroid tissue without surgery.

Surgical Options

  • Myomectomy: This procedure keeps the uterus intact while removing fibroids. It is an option for women who wish to maintain fertility.
  • Hysterectomy: A hysterectomy involves removing the uterus and is the only definitive cure for fibroids.

Uterine fibroids are a common condition that can cause a wide range of symptoms, from mild discomfort to significant pain and fertility challenges. If you're experiencing symptoms related to fibroids, it’s important to consult with a healthcare professional to explore your treatment options and develop a plan that works for you.

Frequently Asked Questions

  • Non-cancerous growths in the uterus called fibroids can result in bloating, discomfort, and heavy periods.
  • Ovarian cysts are fluid-filled sacs on the ovaries that can occasionally cause discomfort or other problems.

Fibroids include bloating, frequent urination, pelvic pain, excessive menstrual bleeding, and problems with conception.

Pelvic pain, bloating, irregular periods, and pain during sexual activity are all symptoms of ovarian cysts.

Size, symptoms, and health objectives determine the course of treatment.

  • Hormonal therapy and painkillers are examples of medications. Hysteroscopy, laparoscopy, and embolization are examples of minimally invasive procedures.
  • Surgery (ovarian cystectomy, myomectomy for fibroids)
  • Changes in lifestyle (exercise, stress reduction, food)

Indeed, non-surgical alternatives include of:

  • Hormonal treatment (GnRH agonists, birth control)
  • Dietary adjustments (cutting processed foods, eating more anti-inflammatory foods)
  • Natural supplements (green tea extract, vitamin D)

For fibroids, uterine fibroid embolization (UFE) is used.

Seek medical help if you suffer from: prolonged or heavy periods - Severe pelvic pain or bloating.

Abdominal discomfort that comes on suddenly and sharply—having trouble becoming pregnant.

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