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Gurukrupa Criticare Hospital

Internal Medicine Specialist Hospital

Bhoir Wadi,Birla College Road, Khadakpada. Landmark-Opposite Kotak Bank Thane
1 Doctor · ₹0
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Gurukrupa Criticare Hospital Internal Medicine Specialist Hospital Bhoir Wadi,Birla College Road, Khadakpada. Landmark-Opposite Kotak Bank Thane
1 Doctor · ₹0
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Gurukrupa Criticare Hospital
Gurukrupa Criticare Hospital is known for housing experienced Internal Medicine Specialists. Dr. Brijendra Saraswat, a well-reputed Internal Medicine Specialist, practices in Thane. Visit this medical health centre for Internal Medicine Specialists recommended by 84 patients.

Timings

MON-SAT
10:00 AM - 11:00 AM

Location

Bhoir Wadi,Birla College Road, Khadakpada. Landmark-Opposite Kotak Bank
Thane, Maharashtra - 421301
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Doctor in Gurukrupa Criticare Hospital

Dr. Brijendra Saraswat

MBBS, MD - Internal Medicine
Internal Medicine Specialist
40 Years experience
Unavailable today
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HIV-AIDS Phobia - What Is It And Can It Be Treated?

MD - General Medicine
Sexologist, Delhi
HIV-AIDS Phobia - What Is It And Can It Be Treated?

AIDS and HIV are words that can still provoke feelings of fear and anxiety in many people today and this in spite of the fact that this viral infection is no longer the killer it once was. With the advent of sophisticated drugs used in combination therapy, HIV has become a largely manageable condition, something that can be successfully lived with. Where HIV was once shrouded in mystery, and even called 'God's vengeance', today we know that HIV is a viral infection that may be acquired through a few well-established routes. We know that HIV transmission can occur through sexual contact, blood-to-blood contact, such as sharing hypodermic needles, and passed from mother to baby during pregnancy, the birthing process or through infected breast milk. HIV simply cannot be transmitted through activities such as hugging or most kissing, nor can it be acquired from toilet seats, shared eating utensils, glasses, cups or plates etc. because of this there is no real need to be anxious about these particular areas.

In fact, HIV is such a fragile virus - or, to be exact, a 'retrovirus' - that the virus can survive for only a brief period of time when outside of the body. 

Joint Pain

BHMS
Homeopath, Ahmedabad
Joint Pain

 Word arthritis comes from the Greek arthronmeaning “joint” and the Latin itis meaning “inflammation.” Arthritis affects the musculoskeletal system, specifically the joints. It is the main cause of disability among people above 55 years of age in industrialized countries.

Arthritis is not a single disease – it is an umbrella term that covers more than 100 medical conditions. Osteoarthritis (OA) is the most common form of arthritis and generally affects elderly patients. Some forms of arthritis can affect people at a much younger age.

OSTEOARTHRITIS – usually occurs with age, as cartilage loses elasticity. Risk factors include: old age; joint injury; poorly formed joints; excessive weight; genetic defects; stress on the joints from certain jobs or sports.The symptoms of osteoarthritis develop slowly and get worse as time goes by. The most common affected joints are in the hips, hands, knees and spine. The joint become stiff sometimes swollen and loses its flexibility, especially first thing in the morning.

RHEUMATOID ARTHRITIS – is an inflammatory form of arthritis. The synovial membrane (synovium) is attacked, resulting in swelling and pain. If left untreated the arthritis can lead to deformity.
Among the symptoms of rheumatoid arthritis are swollen, inflamed, stiff and painful joints. The fingers, arms, legs and wrists are most commonly affected. Symptoms are usually worse on waking in the morning but get better half an hour later. Weight loss is common.

INFECTIOUS ARTHRITIS (septic arthritic) – is an infection in the synovial fluid and tissues of a joint. It is usually caused by bacteria, but could also be caused by fungi or viruses.
Symptoms of infectious arthritis include fever, joint inflammation and swelling. Tenderness with joint pain is always noticeable. Usually symptoms are linked to injuries or other illnesses.

JUVENILE RHEUMATOID ARTHRTIS (JRA) – means arthritis that affects a person aged 16 or under.

JRA can manifest in any of three ways:

1. Pauciarticular JRA, the most common and mildest. The child experiences pain in up to four joints.
2. Polyarticular JRA affects more joints and is more severe. As time goes by, it tends to get worse.
3. Systemic JRA is the least common. Pain is experienced in many joints. It can spread to organs. This can be the most serious JRA.
Sufferers of Juvenile Rheumatoid Arthritis are often children with poor appetite, weight loss, anemia, and intermittent fever.

TREATMENTS

As one of the most popular holistic systems of medicine, homeopathy is a safe and permanent way of eliminating arthritis. A remedy is chosen based on the theory of individualization and symptom similarity. In this way, a state of complete health can be regained, removing all the signs and symptoms from which a patient is suffering.

Below is a list of acute arthritis remedies, along with a description of the disease they treat. Keep in mind that these remedies may only act as immediate palliatives and will not permanently cure arthritis unless they are a constitutional match for the patient.

  • Bryonia alba – Excellent arthritis remedy for pain with inflammation that is aggravated by movement and relieved by moderate pressure and rest.

  • Ledum – Remarkable arthritis remedy for gout and ascending rheumatism. Works best by cold application.

  • Rhus Tox – For pain aggravated by first movement and damp weather and made better by continuous motion.

  • Colchicum – For pain made worse by motion, touch or mental effort, better by warmth and rest. Mostly for gouty pain.

  • Kalmia – Well known arthritis remedy for descending pain, or pain with heart palpitation and slow pulse.

  • Guaiacum – For gouty abscesses of joints, and pain relieved by cold bath and cold application.

  • Calcarea Carb – For arthritic swelling and knee pain made worse by cold, especially in fleshy people.

  • Benzoic acid – For gouty concretions of joints, and knee pain caused by abnormal deposition of uric acid.

  • Hypericum – Remarkable arthritis remedy for rheumatoid arthritis; has outstanding action over nerve pain.

Neuroendocrine Tumor - All You Need To Know About Its Treatment!

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
Neuroendocrine Tumor - All You Need To Know About Its Treatment!

There are several hormones that are secreted by our bodies and they can be defined as chemicals that control the different bodily functions. At times, the cells that secrete the hormones develop tumors. Some areas where these tumors are known to arise include lungs, stomach, pancreas, glands, or intestines.

If you are diagnosed with a neuroendocrine tumor, it is important to learn whether they are benign or cancerous. Neuroendocrine tumors (NETs) are neoplasms that may result from the cells of the nervous and the endocrine system. If the cells are cancerous, they can spread throughout the body. Also, they release their own hormones and you may experience the associated symptoms. On the other hand, the benign tumors do not shift from their place of origin.

However, you should note that the growth of a neuroendocrine tumor takes place at a sluggish rate; sometimes, they could take years to grow. Normally, the medical experts will advise their removal or administer varied treatments for their shrinkage. Also, some therapies to alleviate the symptoms can be practiced.

NETs are categorized into varied groups depending on their area of growth or the hormones they secrete. The different types of NETs include Carcinoid (intestinal), Pancreatic, Insulinomas, Glucagonomas, Somatostatinomas, VIPomas, Medullary, and Pheochromocytoma. The medical professionals have not been able to ascertain the exact cause for NETs as yet. However, they opine that certain illnesses that run in a family are responsible for these growths. For ascertaining whether a person has developed NETs, a medical diagnosis is required. Mostly, the patients do not display symptoms and the disorder is detected fortuitously.

There are various treatments available for NETs, including drugs, chemotherapy, radiation therapy, and surgery. The patients are treated depending on the type of NETs they are affected by. Also, the doctors will try to establish whether the growths are cancerous, and have spread to other parts of the body prior to treating the patients.

Treatment Methods:

The following are some of the treatment options available for NETs:

  1. Surgery: Surgical methods are employed by the doctors for removing the tumors; predominantly, if the tumors are not cancerous or have not spread to the different parts of the body. Some surgeries that are performed by the doctors as a part of the treatment of NETs include cryosurgery and radiofrequency ablation.
  2. Hormonal therapy: If the doctors find it suitable, they will treat you with hormone therapy when NETs are detected in your body. In this case, they will inject hormonal drugs for preventing the cells from producing hormones or to shrink the tumor.
  3. Radiation: As a part of radiation therapy, the doctors will subject the tumor site to high radiation X-rays for eliminating the cancerous cells. If cancer has spread or the specialists are not able to reach the tumors, then this treatment method is known to be effective.
  4. Chemotherapy: You may be prescribed chemotherapy drugs for killing the cancerous cells, at times, after being diagnosed with NETs. However, they give birth to certain ill-effects and it is always better to adhere to your doctor’s suggestions to be on the safer side.
  5. Embolization Procedures: In specific cases where the NETs have spread to the liver, the doctors will aim to obstruct the blood flow that provides nourishment to the cells. Embolization therapy is performed in such cases.

When recovering from NETs, you must make sure to consume a balanced diet to keep the body nourished and heightening the body’s ability to counter the illnesses. Eating protein-rich foods such as beans, eggs, cheese, and fish are recommended. Also, avoid the intake of fatty foods, sugar-filled beverages, and sweets.

Broken Nose - Signs And Symptoms You Must Know!

MS - ENT, DNB (ENT), DORL
ENT Specialist, Mumbai
Broken Nose - Signs And Symptoms You Must Know!

A broken nose is any crack or fracture in the bony portion of the nose. This is usually a result of external trauma.

Nasal fractures are often cited as the most common type of facial fracture, accounting for approximately half of all facial fractures in several studies.

Broken Nose Causes:

Common sources of trauma include the following:

  1. Sports injuries

  2. Personal fights

  3. Motor vehicle accidents

  4. Falls

  5. In children, nasal fractures are most commonly due to falls.

Broken Nose Symptoms:

  1. Tenderness when touching the nose

  2. Swelling of the nose or face

  3. Bruised nose

  4. Bruising under the eyes (black eye)

  5. cb62a0a737ca99848352aeea091353aaDeformity of the nose (crooked nose)

  6. Nosebleed

  7. Pain and difficulty breathing out of the nostrils

 

Limb Length Discrepancy - Making Uneven Legs Even!

MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
Limb Length Discrepancy - Making Uneven Legs Even!

With the advancement in the medical field, we are blessed to have doctors who specialize in various fields. We have cardiologists who specialize in the treatment of the heart, orthopedics who specialize in treating disorders that are related to the development and growth of muscles, skeleton, and joints in children and neurologists that determine treatment for the brain. Spine and limb deformities mainly occur in children as their bodies are still growing and they react differently to disorders, infections and injuries. Some of the deformities of the limb and spine that are treated by orthopedics include clubfoot, scoliosis, and limb length discrepancy.

Limb Length Discrepancy
Limb length discrepancy is referred to as a deformity when the legs and arms differ in their length. The difference in the length of legs and arms in several cases does not cause any change in the quality of life or in its functioning. However, in certain cases when there is an extreme difference in the length of the legs and the arms, the health of the patient is affected to a great extent. Limb length discrepancy is also caused due to injury to the leg, bone disease or due to bone infections that occur during growth. Depending on the severity of the injury or bone disease it becomes very difficult for the individual to even walk. In certain cases, when the condition is not very severe, then to help the patient to walk comfortably a shoe lift is suggested. It is only in extreme conditions that orthopedics suggest limb length surgery mainly to correct the discrepancy.

Limb Lengthening Surgery
Future proof and innovative solutions are provided these days to the patients for bone reconstruction. The surgery for limb lengthening is performed in many countries all over the world and by professional orthopedics. The patient is at first put under anesthesia after which a large slit is made in the legs, all the way through. The leg bone is sawed, after which a supporting bracket is placed which the patient needs to wear for nearly a year or till the completion of the procedure.

The area of the bone that is fractured is widened every week by the patient by inserting a key into the bracket and by turning it a little. Healing of the bone happens over time and two inches can be added to the height of the patient in six months. The bracket used during the surgery for the legs are very bulky and it is very important that the patient does not put more pressure on them. Immense pain is caused during this time as the limbs are bound to crutches. Hence, proper care should be taken to avoid more stress on the limbs.

5 Ways to Prevent Asthma Attacks!

MBBS Bachelor of Medicine and Bachelor of Surgery, MBA - Health Care Administration
General Physician, Delhi
5 Ways to Prevent Asthma Attacks!

Asthmatic patients often find that the frequency and intensity of asthma attacks increase with a change in weather, as the challenges two-fold for asthmatic patients. If they are indoors, they inhale triggers such as dust mites, mould etc. and if they step outdoors, the outside air acts as a trigger for an asthmatic attack. However, there are ways to make your life easier.

  1. Curb allergy triggers inside your house: While you can’t do much about the weather, you can control the environment inside your house. Limit your time around pets that could trigger an attack and try keeping them outside the bedroom. Use dust proof covers on mattresses and pillows and changes your bedding regularly. Though it may look cosier, avoid using a lot of pillows and throw cushions on your bed. Clean and replace the filters of your home’s heating or cooling system before you start it up for the first time. The filters should also be regularly checked and cleaned throughout the winter.
  2. Ventilate the house: Keep your house dry and cool at all times to prevent the growth of mould and dust mites. To do this, run an exhaust fan in the bathroom while having a shower and in the kitchen while cooking. As far as possible, do not dry clothes indoors.
  3. Avoid too cold or too hot air: As far as possible avoid going outdoors especially on windy days. Instead of going for a walk outdoors, exercise at home or in a gym. When you go outdoors, drape a scarf over the lower half of your face to cover your nose and mouth. This will ensure that you do not breathe in too cold air or too hot air.
  4. Breathe correctly: As children, we’re told to keep our mouths closed. Not only is this good social etiquette, but it also prevents you from breathing through your mouth. The nostrils have tiny hair inside them that act as filters and keep dust particles and pollen from being inhaled. This also warms up the air while being inhaled. Thus avoid breathing through your mouth and instead only breathe through your nose.
  5. Take your medications: Create an effective plan of action to be followed in case of an asthmatic attack and get regular check-ups throughout the season. If you notice your symptoms worsening as the weather gets colder, talk to your doctor about changing your medication and its dosage. Do not skip your medication or stop it unless your doctor tells you to.

Foot Problems Which Require Surgery!

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Bangalore
Foot Problems Which Require Surgery!

Following are the most common foot conditions which require surgery:

  1. Plantar fasciitis: It is one of the most common causes of heel pain which is aggravated in the morning with initial few steps. Too much pressure on feet can damage or tear the ligaments because of which the plantar fascia becomes inflamed, and the inflammation causes heel pain and stiffness.
  2. Rheumatoid arthritis: It is an autoimmune condition that affects the joints and causes swelling of the joint lining (synovium). It commonly affects the small joints of the hands and feet. Surgery is required when the condition leads to deformity or cartilage loss.
  3. Sesamoiditis: It is a condition where there is a pain on the bottom of the foot at the base of the great toe. Excision of the chronically inflamed sesamoid is required.Ankle arthritis: It is usually caused by osteoarthritis where the cartilage covering the ends of bones gradually roughens and becomes thin and the bone underneath thickens. This leads to pain, swelling, and occasional deformity of the joint. 
  4. Fracture: Healing fractures require immobilizing the foot with a boot and sometimes even surgery.
  5. Bone spurs: An excessive growth of bone is causing pain or limitation of movement. These spurs develop at the edge of the joint causing pain, tenderness, and difficulty in walking. Surgery is required to remove these excessive growths.
  6. Gangrene: It is one of the most common conditions requiring amputation where the death of the tissue occurs.
  7. Clubfoot/Talipes Equinovarus: It is a foot deformity in newborns where the foot is rotated inwards (varus) and downwards (equinus).
  8. Claw Toes/Hammer Toes: It is a condition affecting the toes in people as they age causing difficulty and pain while walking. The affected joints require replacement with artificial joint or fusion (surgical stiffening). 
  9. Morton's Neuroma: The patient presents with pain in the forefoot, in the “ball” of the foot causing irritation of one or more of the small nerves, just before they travel into the toes.
  10. Hallux Valgus/Bunion: It is one of the most common conditions, especially seen among women, where bony lumps develop on the side of the foot and at the base of the big toe causing malpositioning of the foot. For some people, it is only a cosmetic problem. Bunionectomy is a surgery performed to remove the bony prominence.
  11. Hallux Limitus/Rigidus: It is an arthritic condition of the big toe joint leading to pain and loss of motion.
  12. Diabetes mellitus: It affects circulation and blood supply causing delayed healing. Ulcerations, infections, and sometimes severe infections require amputations.
  13. Cysts and ganglions: These are painful lumps that cause pressure and rub on the shoe while walking. If a change in the footwear doesn’t solve the problem, surgical removal of the cyst or ganglion is done.

What Can be the Reasons Behind Dislocation?

MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
What Can be the Reasons Behind Dislocation?

Dislocation refers to an injury, which causes the bones to abnormally separate from each other in the joint, which is the meeting place of the bones. Dislocation causes intense pain and is most common in the fingers, shoulders and the elbows. Although a timely diagnosis can make your pain go away, any future injury in the tendons or the ligaments might bring back the injury. 

What can cause a dislocation?
The causes of dislocation are as follows:

  1. A body joint can get dislocated if you have suffered a fall.
  2. If you are into any form of sports that requires strenuous physical activity and intense exertion on certain body parts like gymnastics, football or volleyball you have a chance of suffering from dislocated body joints.
  3. Automobile accidents can also cause dislocation of joints.
  4. Some People who are with a loose ligament and are more likely to get a dislocated joint than other people. This may happen without the influence of a major physical trauma or stress.


Understanding the signs and symptoms
In the majority of the cases, a dislocation of the joint is easily detectable as it induces inflammation along with redness and deformation of the affected area. Some of the other symptoms that might occur as a result of the dislocation of the body joints could be: 

  1. You might experience severe pain while moving the dislocated joint.
  2. There will be a lack of sensation near the dislocated portion.
  3. There might be a stinging sensation in the dislocated area.
  4. In certain areas you may not be able to move the joint at all

If you have a dislocated joint, the doctors can easily relocate them. Depending on the amount of swelling and pain you are experiencing, the doctor might administer local anesthesia during the process. If the joint dislocation is too severe or has multiple instances of dislocation, then you may have to undergo surgery. Surgery may also be suggested if the adjoined ligaments or tendons are severely affected along with the joints.

Heart Attack Or Panic Attack - Know The Difference!

MBBS, MD - General Medicine, DNB Cardiology, DM - Cardiology
Cardiologist, Bangalore
Heart Attack Or Panic Attack - Know The Difference!

You feel your heart begin to beat wildly in your chest as you break into a cold sweat and have trouble catching your breath; is this a heart attack or panic attack? Your first thought is that it's a heart attack since you have an impending feeling of doom which you may even have felt before your attack began. This makes your heart beat even faster and you become so overwhelmed that the feeling gets even worse until you begin to feel light-headed or maybe even pass out. This is a panic attack.

When you suffer from anxiety, the slightest thing can trigger a panic attack and some can be so intense that you can't imagine it being anything other than looming death. It's very common for those having an anxiety attack to mistake it for a heart attack and this fear is enough to just take over and really wreak havoc on your heart rate, but no matter how fast your heart beats or how panicked you feel; you are not having a heart attack and this episode will not kill you.

One thing that will prove helpful in dealing with this is learning the differences between the two:

Signs of a Heart Attack:

  1. Pressure in the Chest (described as feeling like there is an elephant sitting on your chest).

  2. Chest pain - note that this is not always present.

  3. Sweating.

  4. Shortness of breath.

  5. Pain in the right arm.

  6. Pain in the back or shoulder blades for women.

  7. Nausea or vomiting.

Panic attack symptoms include:

  1. Increased heart rate.

  2. Sharp or stabbing chest pain that lasts only 5 to 10 seconds.

  3. Pain that is localized to one small area.

  4. Pain that usually occurs at rest.

  5. Pain that accompanies anxiety.

  6. Pain that is relieved or worsened when you change positions.

  7. Pain that can be reproduced or worsened by pressing over the area of pain.

The bottom line: Be vigilant and get checked out promptly.

4 people found this helpful

Fibroids - Surgical & Non-Surgical Ways Of Treating It!

MBBS, MS - Obs and Gynae, MRCOG(London), DNB, Fellowship In Uro Gynaecology
Gynaecologist, Mumbai
Fibroids -  Surgical & Non-Surgical Ways Of Treating It!

Fibroids are benign (non-cancerous) tumours of the womb (uterus). They are also known as myomas. They are growths of smooth muscle and fibrous tissue. The size of fibroids can vary from as small as a pea to that of a melon. At least one in five women develop a fibroid at some stage of their life, usually between the ages of 30-50 years old. 

Fibroids are named according to where they are found in the womb. There are three types: 

Intramural fibroids are found in the wall of the womb and are the most common type of fibroids found in women.

Subserosal fibroids are found growing outside the wall of the womb and can become very large. They can also grow on stalks (called pedunculated fibroids).

Submucosal fibroids are found in the muscle beneath the inner lining of the womb wall.

Symptoms

The majority of women with fibroids show no symptoms. However, if symptoms develop, they may experience one or more of the following:

  • Heavy or painful periods- in some cases this can lead to anaemia

  • Discomfort, or swelling, in the lower abdomen, particularly if the fibroids are large

  • Urinating frequently, usually if the fibroids are pressing on the bladder,

  • Constipation which can be caused by the fibroids pressing on the rectum (large intestine leading to your anus), and

  • infertility Very rarely, fibroids can cause problems during pregnancy and labour

Diagnosis

As fibroids rarely have symptoms, they are often found during a routine gynaecological (vaginal) examination. If fibroids are suspected, an ultrasound scan can be used to confirm a diagnosis. A trans-vaginal scan is sometimes used to diagnose fibroids. It involves a small scanner being inserted into the vagina to take a close-up image of the womb.

Fibroids near your inner lining, and those within the cavity of your womb, can be seen directly using a hysteroscope (small telescope used to examine the inside of your womb). To look at the size and shape of the outside of your womb a laparoscope (small flexible tubing used to look inside the abdomen) is used. 

If you do not have any symptoms from your fibroids, treatment may not be necessary. Some women with minor symptoms, such as heavy periods, choose not to have treatment as their day-to-day life is not affected. After the menopause, fibroids often shrink, and your symptoms will either disappear or ease slightly.

Treatment

To treat fibroids, your GP may recommend medication. However, in more severe cases, surgery can be considered.

  1. Treatment with medication
    • Tranexamic acid these tablets are taken from the start of your period for up to four days. The tablets work by helping the blood in your womb to clot, which reduces the amount of bleeding.
    • Anti-inflammatory medicines such as ibuprofen and mefanamic acid help to ease your periods and are taken for a few days during your period. They work by reducing your body’s production of a hormone-like substance, called prostaglandin, which is linked to heavy periods. They are also painkillers but are not a form of contraceptive. Common side effects include indigestion and diarrhoea.
    • The contraceptive pill is often taken, during your period, to prevent your menstrual cycle (period) from occurring. Some contraceptive pills also help to reduce any period pain you may experience.
    • Levonorgestrel intrauterine system (LNG-IUS) is a small plastic device that is placed in your womb and slowly releases the progestogen hormone called levonorgestrel. It prevents the lining of your womb from  growing quickly so your bleeding becomes lighter. Possible side effects of LNG-IUS include; having irregular bleeding that may last for more than six months, acne (inflamed skin on the face), headaches, and breast tenderness. The most effective medication to treat fibroids is an injected hormone medicine called
    • Gonadotropin releasing hormone agonist (GnRHa). GnRHa works by preventing your menstrual cycle (period), but it is not a form of contraceptive. However, it does not affect your chances of becoming pregnant after you stop using it. Common side effects include menopause-like symptoms, such as hot flushes, increased sweating, and vaginal dryness. Osteoporosis (thinning of the bones) is a less common side effect.
  2. Surgical procedures Surgical procedures, for treating fibroids, are usually considered for large fibroids (>5cm) or if medications are ineffective in relieving symptoms. Common surgical procedures that are used to treat fibroids include:
    • Myomectomy involves surgery to remove the fibroids from the wall of your womb. A myomectomy is an alternative to having a hysterectomy, particularly for women still wishing to have children. However, the procedure may not always be possible as it depends on your individual circumstances, such as the size, number and position of your fibroids. 
    • Hysterectomy involves surgery to remove the womb. A hysterectomy is not usually necessary unless the fibroids are very large or you have severe bleeding. A hysterectomy may be advised in order to prevent fibroids recurring.
    • Endometrial ablation is removal of the womb lining. It is usually only carried out if your fibroids are near the inner surface of your womb. The affected womb lining is removed, which may be done in a number of ways, including using laser energy, a heated wire loop, microwave heating, or hot fluid in a balloon.
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