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Overview

Uterine Fibroids: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Uterine fibroids are firm, compact benign tumors which are made of smooth muscle cells and fibrous connective tissue that originate in the uterus (womb). Sometimes, these tumors become quite large and cause severe abdominal pain and heavy periods. Although it is not clearly known what causes fibroids, it is believed that each tumor develops from an aberrant muscle cell in the uterus, which multiplies rapidly because of the influence of the hormone estrogen.

Most women with uterine fibroids have no symptoms. But these fibroids can also cause a number of symptoms depending on their size, location within the uterus, and how close they are to adjacent pelvic organs. Symptoms of uterine fibroids may include heavy or prolonged menstrual periods, abnormal bleeding between menstrual periods, pelvic pain due to the pressure caused as the tumor presses on pelvic organs, frequent urination, low back pain, pain during intercourse etc. In most cases, these heavy or prolonged menstrual periods, or the abnormal bleeding between periods, can lead to iron-deficiency or anaemia in women.

After uterine fibroids has been diagnosed properly relating its size, location etc. the patient may receive a combination of treatments. The doctor may prescribe medicines to destroy the fibroids. In case the fibroids are large and multiple, surgeries (myomectomy) may be performed. The doctor may also perform a hysterectomy (removal of the uterus) if the condition worsens, or if no other treatments work. Also, a new and completely non-invasive surgical procedure can be performed. This is called forced ultrasound surgery (FUS) where high-energy, high-frequency sound waves are directed at the fibroids to destroy (ablate) them.

How is the treatment done?

Fibroids are not cancerous nor do they interfere with pregnancy. In such instances, women can get along with it without any treatment. They tend to shrink after menopause, when levels of reproductive hormones drop. But, otherwise, in order to treat uterine fibroids, medications are prescribed to regulate the menstrual cycle, treating symptoms such as heavy menstrual bleeding and pelvic pressure. These medicines like Gonadotropin-releasing hormone (Gn-RH) agonists, Progestin-releasing intrauterine device (IUD) target the hormones and thus help to shrink the fibroids. Non -steroidal anti-inflammatory drugs (NSAIDs), which may be taken side by along with the other medicines, may be effective in relieving pain related to fibroids.

MRI-guided focused ultrasound surgery (FUS) is a noninvasive treatment option for uterine fibroids that preserves the uterus. A high-energy ultrasound transducer detects the precise location of the uterine fibroids and sound waves (sonications) are used to heat and destroy small areas of fibroid tissue. Also, small particles (embolic agents) can be injected into the arteries supplying the uterus. This helps to cut off blood flow to fibroids, causing them to shrink and die. Laparoscopic procedures like myolysis and robotic myomectomy can also be used.

In case of multiple fibroids, very large fibroids or very deep fibroids, the doctor decides to perform surgical operations to remove the uterine fibroids. An open abdominal surgical procedure can help relieve the pain but affect future fertility. Also, hysterectomy can be performed as a permanent procedure. This involves removal of the uterus and ends one’s ability to bear children.

Who is eligible for the treatment? (When is the treatment done?)

Usually, uterine fibroids do not cause much trouble unless large. A patient should, nonetheless, consult a doctor if she has symptoms of fibroids which include irregular and heavy menstrual bleeding, bleeding between periods, pelvic or abdominal pain, frequent painful urination, or an inability to control the flow of urine, increasing abdominal girth etc. These symptoms of vaginal bleeding is also associated with dizziness, lightheadedness, shortness of breath, or chest pain

Who is not eligible for the treatment?

Unless women have bothersome or severe symptoms, they do not need to treat uterine fibroids. Doctors examine the changes and size of fibroids when one is pregnant to avoid any complication.

Are there any side effects?

Myomectomy poses a unique set of side effects. Risks may include infection of the pelvic region including uterus, fallopian tubes, or ovaries, scar tissue, injuries to the bladder or bowel. As a result of fibroids, the person might already have lost blood. Surgical operations may cause further complications like blood loss, infertility etc. Also, such operations if carried out callously, can increase the risk factors of having cancer.

What are the post-treatment guidelines?

After treatment, all patients should follow their health care practitioner's instructions. A health care practitioner or doctor may choose to perform more frequent pelvic exams, such as every six months, to determine whether there has been additional growth of fibroid tissues or other complications.

How long does it take to recover?

Time to recover depends on the size of the fibroids and the procedure of treatment. Medications may take a longer time to gradually cut down on the tissues and fiber growths. Surgical operations also provide variable recovery time. Hysteroscopy is an outpatient procedure and requires from a few days to 2 weeks to recover. Laparoscopy requires 1 to 2 weeks. Laparotomy is a longer procedure and may require 4 to 6 weeks to recover.

What is the price of the treatment in India?

Operations for removing uterine fibroids requires a huge amount. On an average, surgical operations cost Rs. 70,000- Rs. 90,000/-.

Are the results of the treatment permanent?

Use of medications like Gonadotropin releasing hormone agonists (GnRHa) and others do not guarantee a permanent cure. There may arise issues relating pregnancy or recurrent pregnancy loss related to submucosal fibroids. The only permanent solution for uterine fibroids is undergoing surgical operations. Complete removal of uterus provides permanent relief from extreme symptoms of fibroids but also take away the ability to become pregnant.

What are the alternatives to the treatment?

Homeopathy is a lot more effective treatment of uterine fibroids. Though slowly, but homeopathy provides the best non surgical treatment for fibroids. The medicines surely retard the growth of fibroids and over a period of time, the fibroids disappear completely. This is a far more effective and the most convenient treatment of fibroids.

There is no specific self-care is available for uterine fibroids. In case of immense pain, women may apply heat to the lower abdomen by using a heating pad or hot water bottle. Doing exercise, which improves blood flow, may also reduce pain. Anemia can be prevented by Increasing the amount of iron in the diet.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Medium Time For Recovery: Low Price Range:

Rs 2000- Rs 90,000

Popular Health Tips

Uterine Fibroid - How Removing Them Will Help You?

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Uterine Fibroid - How Removing Them Will Help You?

It is very common for women to have heavy and painful periods or have a feeling of fullness in the lower abdomen. Although, it may not sound very alarming these could be the symptoms of uterine fibroids. These are the most common types of benign tumours found in women. The fibroids are basically some tissues and muscle cells that grow within the uterus, outside the uterus, or along the wall of the uterus. The fibroids are usually benign and asymptomatic and do not require any treatment unless they cause problems. 

Know the causes 

Though the exact cause of fibroid formation is not known, it is believed that the female hormones estrogen and progesterone have a role to play in their formation. Fibroids are formed only when a woman is producing these hormones and they are not seen in women in non-reproductive age i.e. before starting of menses or after stoppage of menses (menopause). If fibroids are persisting even after menopause or especially if increasing in size then it is an alarming sign. Such a fibroid needs to be taken care of immediately. 

What are the symptoms? 

Fibroids often remain quiet for long periods of time. They cause nonspecific symptoms in the pelvis and abdomen including: 

  1. Fullness in the abdomen 
  2. Low back pain 
  3. Irregular menstruation 
  4. Cramping with menstruation 
  5. Painful sex 
  6. Increased urgency to urinate 
  7. Anemia, leading to tiredness and weakness 
  8. Infertility Diagnosing the fibroids 

When these symptoms are recurrent, it is good to confirm the diagnosis. This can happen with a pelvic exam followed by ultrasound scanning to confirm the size and location of the fibroids. A blood test also may be done to confirm anemia, which is common due to heavy periods.

Treatment Options 

Management of fibroids can range from doing nothing to periodic monitoring to surgical removal. 

  1. If pain and heavy bleeding are the only symptoms, then pain killers like ibuprofen should suffice for symptomatic relief. Anemia, if severe, may require iron supplementation. 
  2. Embolization is an option which shrinks the fibroid, at the same time preserving the uterus. The blood flow to the fibroid is cut off, thereby preventing its further growth. It takes about 1 to 3 hours and requires some bed rest after the procedure. There could be some pelvic pain and vaginal bleeding, which will gradually subside. The fibroids may grow back, but the benefits of keeping the uterus are definitely there. This is suitable in case of single fibroid with specific blood supply. 
  3. The next surgical option is myomectomy, where the portion of the uterus which contains the fibroid alone is removed. This is done in women who still wish to get pregnant and in women who would like to retain the uterus. This can also be achieved laparoscopically( key hole surgery). In such cases, fibroids are cut into small pieces and then removed from the body. This procedure should be done by a doctor specialised in advanced gynecological endoscopy as all this cutting should be done in a bag to avoid any spillage of cells inside the abdominal cavity. This procedure is known as Laparoscopic Myomectomy with In-bag Moecellation. 
  4. In women who have crossed their pregnancy phase, hysterectomy or complete removal of the uterus is advised. In these women, the bleeding and pain may not have subsided even after years of treatment with hormones. The growing fibroids could be pressing on the adjacent organs, causing pressure. This is the only definitive treatment and should be done in women have completed their family and don’t desire to be pregnant. 
  5. Myomectomy and hysterectomy may be done laparoscopically or with an open method depending on the overall health, the size and location of the fibroids in the uterus.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3960 people found this helpful

Uterine Fibroids - How They Can Be Managed?

Fellowship in Gynae Endoscopy, FMAS, DNB, DGO, MBBS
Gynaecologist, Delhi
Uterine Fibroids - How They Can Be Managed?

The uterine fibroids are one of the most common gynecologic problems, with over 40-50% of women having them at some point in their life. The number and size of the fibroids, the age of onset, associated symptoms like dysfunctional bleeding and pelvic pain will determine the management of fibroid. The following is a series of management measures, starting from the most conservative to the most invasive. 

1. Wait and watch: In women who are asymptomatic, it is best to watch them for the development of symptoms without any intervention. Also, in women nearing menopause, it is best to just watch the fibroids as they just shrink once menstruation ceases. 

2. Medical therapy: In some women, menstrual cycles could be heavy or irregular and require hormonal replacement. They could also have occasional pain, and so may require painkillers. 

  1. Tranexamic acid is a non-hormonal medication that can be used on heavy bleeding days only to ease the heavy menstrual flow. 
  2. Nonsteroidal anti-inflammatory drugs (NSAIDs) are useful in pain control. Iron and vitamin supplements are also useful in managing anemia and weakness associated with heavy bleeding. 
  3. Oral contraceptives and/or progestins are also used to control abnormal menstrual bleeding. They do not have any effect on fibroid size though. 
  4. Progestin could also be delivered through an intrauterine device (Mirena) to relieve heavy bleeding and prevent pregnancy
  5. Gonadotropin-releasing hormone (Gn-RH) agonists: They block the production of oestrogen and progesterone, and so induce a temporary postmenopausal state. This can also be used to shrink the fibroid so it is easier to remove it surgically. This is not used for more than 3 to 6 months as they can cause hot flashes and bone loss. 
  6. Newer drugs like Mifepristone and Ulipristal acetate are being used to shrink the size of fibroids. 

3. Noninvasive procedure: MRI-guided focused ultrasound surgery is when the women are inside the MRI scanner and an ultrasonic transducer is used for treatment. The exact location of the fibroids are identified and sound waves are used to destroy the fibroid. Done on an outpatient basis, it is safe and effective. 

4. Minimally invasive procedures: Uterine artery embolization is where the arterial supply is cut off to reduce fibroid growth. Myolysis is where laparoscopically heat or cold waves are used to lyse off the fibroids. Endometrial ablation is where the uterine lining is destroyed through high-intensity heat or cold waves. 

5. Invasive procedures: Abdominal or Laparoscopic myomectomy is where the fibroids are removed through an abdominal incision or keyhole surgery. If fibroids are extensive and completed family, hysterectomy is the choice of treatment. Given their high incidence, fibroids require management based on symptoms, age, and other considerations as discussed and decided between the patient and the doctor.

2639 people found this helpful

Vaginal Bleeding - 7 Not So Common Causes!

DGO , MBBS
Gynaecologist, Pune
Vaginal Bleeding - 7 Not So Common Causes!

It is likely for you to experience abnormal vaginal bleeding between your periods during one point in life. Vaginal bleeding is termed abnormal when you are not expecting your periods, when your menstrual flow is heavier or lighter than normal, and at times when it is not expected such as during pregnancy, or after menopause. Abnormal vaginal bleeding may result from a wide range of causes. It does not always indicate a serious or severe condition.

The different possible causes are discussed below:

  1. Bleeding during pregnancy is not very normal and it indicates some complications in pregnancy. Spotting or light bleeding is common, but it is important for you to evaluate any form of bleeding by a doctor. Heavy vaginal bleeding occurring before 12 weeks during pregnancy indicates severe problems. Heavy vaginal bleeding that occurs after 12 weeks also indicates a problem like placenta previa.
  2. Ovulation can result in mid-cycle bleeding.
  3. Polycystic ovary syndrome (PCOS) is a condition, which interferes with normal ovulation, and may result in abnormal bleeding.
  4. Certain medicines, including birth control pills may cause abnormal vaginal bleeding. Minor bleeding between your periods is likely during the first few months of using birth control pills. Bleeding may also occur, if you do not take the pills at a fixed time regularly.
  5. An intrauterine device (IUD) also increases the chances of heavy periods and spotting.
  6. Certain infections occurring in your pelvic organs such as the uterus, vagina, Fallopian tubes, cervix, and ovaries causes abnormal vaginal bleeding. The bleeding is more likely to occur after sexual intercourse and douching. These infections are commonly caused by sexually transmitted infections (STIs).
  7. Pelvic inflammatory disease (PTD) leads to infection and inflammation of your uterus, ovaries, or Fallopian tubes. This might be another cause of abnormal vaginal bleeding.

There are several other less common causes, which may result in abnormal vaginal bleeding. They include the following:

  1. An object present or inserted in the vagina
  2. Sexual abuse
  3. Uterine fibroids, which cause abnormally heavy periods
  4. Several structural problems like polyps and urethral prolapse
  5. Occurrence of cancer in your uterus, ovaries, vagina, or cervix
  6. Intense mental or emotional stress, and exercising in excess
  7. Several other health conditions and diseases such as diabetes or hyperthyroidism

It is important for you to consult a doctor on experiencing abnormal vaginal bleeding. It is very important to diagnose the condition properly and start with management measures at the earliest. In case you have a concern or query you can always consult an expert & get answers to your questions!

4971 people found this helpful

Uterine Cancer - Ways It Can Be Treated!

MBBS, MD - Oncology, DNB - Super Speciality, Immuno Oncology
Oncologist, Delhi
Uterine Cancer - Ways It Can Be Treated!

Uterine cancer is often treated with a combination of treatments. The recommendation of treatment option depends on the factors such as stage and type of cancer, age, the overall health of the patient, side effects, personal preference etc. Another important consideration that goes before taking a call on the treatment option includes the research on the patient’s ability to bear a child in future. But, overall, the treatment plan includes surgery, chemotherapy, radiotherapy, hormone therapy etc.

Surgery
Surgery is often the first step towards removing the tumor and a few healthy tissues around it. Some of the common surgical procedure include hysterectomy, lymph node dissection, and sentinel lymph node biopsy.

  1. Hysterectomy: The extent of the cancer spread decides the type of procedure a surgeon can perform. Hysterectomy is the removal of the cervix and the uterus. For patients whose cancer has spread significantly, a surgeon performs a radical hysterectomy- removal of the vagina, cervix, uterus and some healthy tissues from the nearby region. For patients who have had menopause in their health history, doctors choose to perform a procedure known as the salpingo-oophorectomy. This involves the removal of both the ovaries and the fallopian tube.
  2. Lymph node dissection: This is quite similar to hysterectomy. The surgeon might remove the lymph nodes to ensure that cancer doesn’t spread beyond the uterus.
  3. Sentinel lymph node biopsy: This is another process to determine whether cancer has spread to the lymph nodes and the surrounding areas. This procedure is effective in determining other cancers type as well such as cancer-related to the breasts.
  4. Radiation Therapy: This is a kind of therapy that involves the use of high-energy rays that could destroy cancer cells. Radiation is given at a fixed dosage over a limited number of days. This method of treatment is typically used in addition to a surgery. In most cases, a surgery followed by radiation therapy helps a patient to fight cancer more effectively. Many oncologists might also want a patient to take radiation therapy to shrink the size of a tumor before going for a surgery. The most common radiation therapy is external beam radiation therapy.
  5. Chemotherapy: This procedure involves the use of powerful drugs to destroy cancer cells. There are claims that it effectively reduces the ability of the cancer cells to grow and spread. Chemotherapy is usually suggested after a surgery or can be individually applied to a cancer patient. Chemotherapy can be applied in orally or in the form of IV. The period of chemotherapy like radiotherapy is applicable for a specified amount of cycle over a limited number of days. This form of treatment is most preferred when cancer recurs in a patient after a considerable amount of time. They are equally effective in uterine cancer as well. If you wish to discuss about any specific problem, you can consult an Oncologist.
3638 people found this helpful

Uterine Fibroids - Surgical & Non Surgical Treatment!

MBBS, DGO, DNB (Obstetrics and Gynecology), FMAS, FAM
Gynaecologist, Delhi
Uterine Fibroids - Surgical & Non Surgical Treatment!

Uterine fibroids, also known as leiomyomata, are non-cancerous growths which develop in and around the uterus or the womb and form benign tumors in course of time. Though there are several types of uterine fibroids, they are all consistently similar in their genetic makeup. They are generally classified depending on their specific locations:

  • Myometrial or intramural fibroids
  • Submucosal fibroids
  • Subserosal fibroids
  • Pedunculated fibroids

Signs and symptoms

In most cases, uterine fibroids display little or no symptoms at all. Therefore many women are caught unawares and do not realize whether they have leiomyomata or not. When symptoms do show, however, they may include any one of the following:

1. Prolonged menstrual periods, usually for seven days or even longer
2. Bloating belly or pelvis
3. Intensive bleeding during periods
4. Pain during sexual intercourse
5. Constipation

Treatment

Since uterine fibroids do not cause any significant complications, they normally do not require much treatment. The condition, however, can be treated through either one of the following approaches:

1. Non-surgical approach

(1) Alert and careful inspection as well as watchful anticipation of the growth and development of uterine fibroids
(2) Birth control pills or oral contraceptives which help reduce heavy periods caused by uterine fibroids
(3) Pain relievers to help numb the pain
(4) Intrauterine device along with levonorgestrel to help reduce heavy periods
(5) Iron tablets are helpful in substituting the blood loss caused by heavy menstruation

2.Surgical approach

i) Myomectomy

ii) Hysterectomy

These two procedures can be performed using several techniques like:

  • Laparoscopy
  • Open abdominal surgery
  • Robot-assisted laparoscopy
  • Vaginal approach
  • Hysteroscope approach

iii) Uterine artery embolization (UAE)

In case you have a concern or query you can always consult an expert & get answers to your questions!

3996 people found this helpful

Popular Questions & Answers

Mujhe fibroid ki problem hai last 1 year se ab mujhe period ke din jyada bleeding nahi hoti thi par ab is mahine me bahut jyada bleeding hui kya fibroid ki vajah se kuch problem ho sakta hai iske liye main konsi medicine lu.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Obstetrics and Gynaecology, Fellowship in Gynecological Oncology
Gynaecologist, Mumbai
Increased bleeding can be caused by fibroid uterus. But it can also be caused by thyroid abnormality. Get your thyroid functions done. For fibroid uterus you need to show your gynecologist. Depending on size and site of fibroids they will tell you if medical management will work or it will require surgical management.
1 person found this helpful

Done my sonography. Report is saying that there is single hypochoic submucous lesion with well defined margins situated along the anterior uterine wall. It measures 2.3 X 1.6 cm. This favours leiomyoma. Idont have any health problem. Is surgery necessary or I could avoid it.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. This require narration of symptoms what you have. If you do not have any of the symptoms, it is not mandatory or compulsory to get surgery but yes rather than avoiding it, just keep regular size evaluation with usg every 6 months, if size increases over period of time, surgery otherwise not. But yes in between if symptoms appear as menstrual heavy bleed, pain or others -- get surgery Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon
1 person found this helpful

Hi. I got uterine fibroid and regarding to the report, the biggest size is about 7×6 cm. Doctor advice me to do removal fibroid surgery next week on 25 april 2018. Is that ok? Is that the surgery can effect my uterus? What kind of medicine can reduce the size of fibroid? Tq.

MD, MBBS
Gynaecologist, Ahmedabad
It's important to know the symptoms of fibroid. If it's not causing any problem you may ignore. If it is causing excessive menstrual bleeding, infertility or pregnancy loss then fibroid needs to be removed Laparoscopically by expert Laparoscopic surgeon because after removing fibroid from uterus fibroid needs to see safely removed by morcellator and uterine defect after fibroid removed from the uterus needs to be repaired meticulously or else uterus may rupture during 9 months of pregnancy.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Fibroids: Non-Cancerous Tumors Of The Uterus
Fibroids actually refer to abnormal growth that develops in a woman's uterus. In majority cases , tumors are non-cancerous. Treatment may be necessary in women whose fibroids are large or are causing significant symptoms.
Play video
Know More About Uterus Removal
I am Dr. Malvika Sabharwal from jeevan mala hospital and apolo spectral hospital in Karol Bagh, New Delhi India.

I am gonna tell you about uterus removal. Uterus removal is a very common operation. Bht commonly isko kara jata hai k patient ata hai apko bolta hai k ji hamary ko flah flah flah problem hai or ap hamara uterus nikal dijiye. Sb sy phly to main apko btaungi kya indications hain. Chahye wo fibroid k hn, ya bleeding zyada ho rai ho. Koi fibroid nai hai per bleeding bht zyada ho rai hai ya koi changes a rhy hain. Jaisa k agr mouth of the uterus main agr koi peps pal krty hain routinely jo k karna chahye, her ek marez k liye. Ap regular apasnaol kar ry hain us main koi changes any lag jaty hain ya aisi koi bhi problem ho to patient ata hai or wo bara clear mind sy kehta hai k ji mje uterus remove krwana hai. Kbhi kbhi wo refered cases hoty hain. Ya marez ko kahein kaha jata hai or hamary pas aty hain. Q k hamary pas jo uterus removal ka tareka hai wo hai durbeen sy or ek pait khol k. pait khol kr jo karty hain, ek bara 8 centimeter, 8 inches k kareeb ek insection hota hai pait k upper or us k through hm uterus ko, us ko pakar k baher nikal k us ki puri surgery kr k as pas disconnect kr k us ko nikal dety hain. Or abdomen ko stitch kr dety hain. Laparoscopic surgery jb sy hm ny shuru kari hai. Year was 92. I think ye sb sy bara bone hai. Doctor k lye bhi, patient k lye bhi. Ek to patient friendly surgery hai. Or doctor k liye offcourse, doctor ko sekhny main thora samain zaror lgta hai,but once you have commanded the technique of Laparoscopic surgery, it is the best. It is the best for the patient and for you it s a very affective way of taking out the uterus without any problems. Ap us ko Laparoscopicly nikalty ho or Laparoscopicly jb nikalty ho 1 din ka stay rehta hai hospital main. 1 din main mareez back to normal work hota hai. Wo ghr ja kr k, serhioyon sy charhta hai. Serhiyon par jaye, upper rahy, ghar k khanay bnaye, baheer ghumny jaye, hr roz piture dekhy, us py koi issue nai hai. Bht minimal unko btaya jata hai do s and don t s. unka upper charhny main koi problem nai ati. Sirf halki phulki jo problem, sirf 2 chezain ki hm log btaty hain which Is hardly any issue. So patient is back to normal routine. Ap apny ffice dubara ja skty hain itni jaldi. Loss of working days is very less. To loss of working days jaisy e kam oty hain, aj kal apko pta hi hai, mostly ladies are working, most of the women are working today. Chahy wo ghr py, ghr ka bhi kam itna hota hai. Bachon k aj kal kitny kam hoty hain, us k ilawa office girls bht hoti hain. Jo k office ko bhi sambhalti hain or ghr ko bhi sambalti hain. Let me tell you hamary bht patients hain un ko kbhi ye problem nai I k hum uterus nikalny k bad hm ghr ka kam nai kar paye. Ya office ka kam nai kar paye. Hamary pas doctors aty hain. Dur dur sy aty hain, in fact patients are coming from dubai, London, America, Canada all over. Wo aty hain apna operation krwaty hain or 2 din k bad they are ready to go home. Because this surgery has really picked up so much k jb o dekhty hain k kitny aram sy ye kam ota hai to unko aisa koi hesitancy nai lagti. Un k roz mara ki zindagi main koi change nai ata. Unko minimalistic thory sy do s and don ts hoty hain which is hardly anything. And aam tor per jb hum uterus nikalty hain, jaisa k main apko dekhati hn. This is one uterus. Two tubes and two ovaries. Aj agr main uterus nikal rai hn, lady ka age hai 45, I will tell her definetly ovary tubes to ap nikal hi lijye. Ovaries jo hain, wo apko hormones deti hain. Hormones ek lady ko femerity bna k rakhti hai. Femariti sy ye bhi matlab hai, tubes ka koi aisa role nai hai per ovaries apko hormones dy k, hormones k karan apka skin, hair, heart, sb k upper us ka zor hai. So ovaries ko hum bina puchy bilkul nai nikalty. Us k lye permission lety hain tabhi nikali jati hai. Per agr uterus nikal ry hain to aam tor per hum tubes ko bhi nikal dety hain.

Thank you very much.
Play video
Know More About Uterine Fibroids
I m Dr. Malvika Sabharwal, from Jeewan mala hospital and Apollo Spectra hospital, New Rohtak Road in Karol Bagh. In fact I ve been a laparoscopic surgeon since the year 92, I introduced it in the North of india. 2000, we had got recognition at this hospital for managing most of the gyne problem laparoscopically.

Today I will tell you about fibroid uterus. It s a very very common problem, seen almost in 25% of cases and at all ages, at any age and It causes various problems. In case agar ye bleeding cause kar ra hai, to bleeding k sath to mareez fatafat aatay hain k han g hamay bleeding ho rai hai, un ka diagnosis b ho jata hai. Kabi kabi wo infertility cause karta hai, infertility ka matlab k pregnancy nai ho rai hai. In such cases, agar pregnancy nai ho rai hai to b mareez aa jaat hain sooner or later. Par kai fibroids aise hain jo k hotay hain even after having couple of children. 2, 3 bachay ho gae phr b wo fibroids hai.

Ab basically fibroids hotay ki hai, ye normal uterus hai, 2 tubes hain 2 ovaries hain, ye muscle wall jo hai agar is me se ek bhi fibre barh jata hai, ye fibroid cause karta hai aur fibroids jo hain wo is tarha k tumors hain uterus k andar. Agar ye uterus me fibroid andar ki taraf jhukav de ga, agar 2cm ka b hai, wo bleeding cause karay ga aur us k liye aap fatafat doctor k paas pohnchen gey aur us ka samadhan ho jae ga. Agar fibroid boht barha hai, wo upper ki taraf jae ga aur us ka pata b nai chalay ga aapko. Kabi kabi kuch pata b nai chalta, kabi kabi us se aata hai patient k g hamy urine nai ho paa ra, hum peshaab nai kar pa rae aur ye hamay boht tang kar ra hai, tou tab diagnose hota hai. Any which ways, hamaray paas 2 hi options hain, ya tou uterus ka nikaalna ya fibroid ka nikalna.

Agar hamay uterus ka kaam lena hai, patient young hai, aagay bachay paeda karne hain tou definiteky fibroid ko nikalna hi better hai par agar family complete hai, agar us ko bachay aur nahi chahye aur us ki umer b towards the maybe 40 years or above hai or even otherwise agar boht zaada takleef ho rai hai, many options are there par durbeen se hum fibroid b nikalte hain aur uterus b nikalte hain. Agar fibroid nikala jae tou sirf fibroid ko nikaal kar k hum bolte hain ab aap pregnancy shuru kar sakte hain. Once fibroids are removed laparoscopically ya ek aur tareeka hota hai hysteroscopically, uterus ko andar se ja kar k hum dekhte hain, muaaena karte hain aur jahan fibroid hota hai us ko nikaal letay hain. It s a non-touch technique hysteroscopy wala.

Laparoscopic jo karte hain, us me 2, 3 holes bante hain pait k andar aur us kop hr morselate kar k tareekay se nikaala jata hai. Ye morselation b boht zaada ajkal controversy me b aaya , is k baaray me tarah tarah k hare k forum me discussions hue k karna chahye ya nai karna chahye aur ye jo fibroid ko nikalne ka tareeka morselation ka hai, aaj kal in-bag b hai matlb aap bag k andar fibroid ko daalo aur us ko nikalo. Is se wo cheez jo hai wo phailti nai hai aur boht araam se wo aap k nikal aati hai. Ye ek din ka stay rehta hai hospital me fibroid nikalne k liye. Laparoscopic fibroid removal me patient is there in the hospital just for one day. Us k baad you re back to normal and aap ko koi rok thaam nai hai, serhiyon pe jaana utarna, aap ko koi jhukna, travel karna.

Log Hindustan k bahr se b aatay hain is ko remove karwanay k liye. So, this is one thing which is available in our hospital and we ve been doing it since 92. 2000, we have already got to recognized training center for fibroid removal. Now there are situations jahan pe fibroids nahi nikal paatay, tou us me b koi aisi baat nai hai, it s not k it s the end, like k agar tubes k boht paas ho, agar boht zaada paas hai tou kabi kabi situationally aap nai nikaal paatay but that is something jo k aap ko us k liye koi aisi wo baat nai hai as long as the tubes are patent, matlb aap tube ko test karte ho aur pregnancy amooman hojati hai. Fibroid removal k baad sab ka question hota hai hum kab shuru Karen pregnancy? 3 maheenay is the ultimate time jo l hum log detay hain k us k baad hum kehte hain aap zarur us ko shuru karlo and jo ye fibroid ki problems hain this is something which is so common. I feel that we should look into it, regular checkup is the only answer at every age. Har ek umer ki larki ko apna every year checkup kara lena boht zarurui hai.
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Fibroids
Hello everyone, I m Dr Meenakshi Banerjee. I m a consultant at Max hospital and we have our own clinic at Pelvinic. Today I would like to speak on the topic of fibroids.

Fibroids is one of the most common tumours we can see in the reproductive age group basically. So, people are very afraid of this problem. It is like a tumour, whether it will cause harm or what can it have a bad effect or pregnancy, fertility, a lot of questions which arise in our minds. But I feel it is a very underestimated and unknown fact. Most of the people are not aware of the fibroids. They are generally very insignificant tumors. almost ninety nine percent of the time, the fibroid may not cause any problem, may not have problem in causing cancers or anything like that. But I feel that fibroids have most of the, patients present with the symptoms like, heavy cycles, severe pain during the cycles. If the fibroids are very bog they can have pressure symptoms down there, the lower abdominal pain and sometimes when they grow out right the size they may cause severe pain and the patient can present an emergency.
So, most of the symptoms are easily treatable by the simple management of a pain relief or a treatment to control the bleeding. But yes, when the pressure symptoms or the symptoms because of it causing the infertility should be treated and you should visit the doctor. Most of the treatment of the fibroids if they are Asymptomatic they, they might not require any treatment, just a simple conservative treatment and if they are causing a problem then it might require a removal of the fibroid itself or depending on the condition, type of fibroid, multiple number of fibroids, they can sometimes require a removal of the uterus. So, knowing the exact fact of the fibroid is very important. They can be easily diagnosed by the simplest of measure like an Ultrasound and if they multiple in number then probably an MRI will be the best to diagnose it.
The fibroids are of different types, the most common being in the muscle of the uterus which is called as an intramural and they can grow enormously in size before they can even show the symptoms. Even the subserosal fibroid which is outside the muscle of the uterus, they may remain Asymptomatic for long. The most common fibroid which can cause the problems at the earliest, even the smallest of the fibroids, the fibroids which are indenting into the cavity of the uterus and the patient can have server amount of pain, too much of bleeding during the cycle and they need attention the earliest as compared to others. So, a fibroid may have different treatment probably depending on what type of fibroid is there, the number of fibroids, the symptoms, the origin of the fibroids and probably sometime when it is indented into the cavity we might require a hysteroscopy which is a small laparsocpe like instrument which we insert inside the uterus and see whole of the cavity and whether, what amount of fibroids is indented inside. Sometimes they may require removal by the hysteroscopy itself and if they are more towards the outside, probably a laparoscopy, which is a minimal invasive type of surgery, will be the best one to treat it.

For any consultation regarding fibroids and its management and feel the right treatment is required so you should meet with the right diagnosis.

Thank you.
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