FIBROID TYPES, SYMPTOMS & TREATMENT

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  • Fibroids are non-cancerous (benign) tumors that grow from the muscle layers of the uterus (womb).
  • They are also known as uterine fibroids, myomas, or fibromyomas. The singular of uterine fibroids is Uterine Fibroma.
  • Fibroids are growths of smooth muscle and fibrous tissue. Fibroids can vary in size, from that of a bean to as large as a melon.

Types of Fibroids:

There are 4 types of Fibroids:

    • Intramural
    • Subserosal fibroids
    • Submucosal fibroids
    • Cervical fibroids

Signs and Symptoms of Fibroids:

Most women have no symptoms. That is why most patients with fibroids do not know they have them. When symptoms do develop, they may include:

  • Anemia (as a result of heavy periods)
  • Backache
  • Constipation
  • Discomfort in the lower abdomen (especially if fibroids are large)
  • Frequent urination
  • Heavy painful periods
  • Pain in the legs
  • Swelling in the lower abdomen (especially if fibroids are large)

Diagnosis for Fibroid:

    • Ultrasound
    • Trans-vaginal scan
    • Hysteroscopy
    • Laparoscopy
    • Biopsy

Treatment for Fibroids:

There’s no single best approach to uterine fibroid treatment — many treatment options exist. If you have symptoms, talk with your doctor about options for symptom relief.

Watchful waiting

Many women with uterine fibroids experience no signs or symptoms, or only mildly annoying signs and symptoms that they can live with. If that’s the case for you, watchful waiting could be the best option.

Fibroids aren’t cancerous. They rarely interfere with pregnancy. They usually grow slowly — or not at all — and tend to shrink after menopause, when levels of reproductive hormones.

Medications:

    • Your doctor might recommend some medications.
    • For example, oral contraceptives or progestins can help control menstrual bleeding, but they don’t reduce fibroid size.
    • Nonsteroidal anti-inflammatory drugs (NSAIDs), which are not hormonal medications, may be effective in relieving pain related to fibroids, but they don’t reduce bleeding caused by fibroids. Your doctor also may suggest that you take vitamins and iron if you have heavy menstrual bleeding and anemia.

Noninvasive procedure for Fibroid:

MRI-guided focused ultrasound surgery (FUS) is:

  • A noninvasive treatment option for uterine fibroids that preserves your uterus, requires no incision and is done on an outpatient basis.
  • Performed while you’re inside an MRI scanner equipped with a high-energy ultrasound transducer for treatment. The images give your doctor the precise location of the uterine fibroids. When the location of the fibroid is targeted, the ultrasound transducer focuses sound waves (sonications) into the fibroid to heat and destroy small areas of fibroid tissue.

Traditional surgical procedures:

  • Abdominal myomectomy:

    If you have multiple fibroids, very large fibroids or very deep fibroids, your doctor may use an open abdominal surgical procedure to remove the fibroids. Many women who are told that hysterectomy is their only option can have an abdominal myomectomy instead.

  • Hysterectomy:

    In this surgery the removal of the uterus remains the only proven permanent solution for uterine fibroids. But hysterectomy is major surgery. It ends your ability to bear children. And if you also elect to have your ovaries removed, it brings on menopause and the question of whether you’ll take hormone replacement therapy. Most women with uterine fibroids can choose to keep their ovaries.

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