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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

Top Facts About Uterine Fibroids!

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Top Facts About Uterine Fibroids!

Also referred to as myomas or leiomyomas, uterine fibroids are the most common form of uterine tumors. In a recent study, it was found that about 70 to 80 percent of women are likely to be affected by uterine fibroids by the age of 50. And the most vulnerable age of developing uterine fibroids is between the age of 40s and early 50s.

What are uterine fibroids?
Fibroids are harmless and noncancerous tumors even though sometimes, they can give way to a rare form of cancer known as uterine sarcoma. But there is no precise way of detecting sarcoma expect when surgery is performed for removing fibroids. If you have uterine fibroids, it is important to discuss your risks for having uterine sarcoma with your doctor. Women who hail from Africa and America are more likely to have uterine fibroids. These fibroids tend to grow at a very young age and lead to more severe symptoms. You may also have increased risk of uterine fibroids in case you have never been pregnant or are severely obese.

Some women have uterine fibroids, but they don’t have any symptom or discomfort, and the number of such women is usually high. It is generally perceived that a woman with uterine fibroids who don't have any symptoms would not require much treatment other than general observation.

What are the most common symptoms of uterine fibroids?
Even though numerous symptoms are associated with having uterine fibroids, the most common of them are having heavy menstrual flow with blood clots. It can also cause bleeding when you are not supposed to have menstruation, urge to pass urine frequently, abdominal bloating, pelvic cramping, and painful sex.

Even though you can still get pregnant while having uterine fibroids, you are likely to face various difficulties since these small lumps can alter the size as well as the shape of the uterus.

What is the most common treatment option for uterine fibroids?
Scores of hysterectomies, which is the medical term given to the surgical removal of the uterus, are performed each year for uterine fibroids. It not only snatches away the power to procreate but also carries its own risks and complications.Doctors suggest this option when uterine fibroids are very painful, or other treatment options have failed to eliminate the symptoms.

But the good news is that hysterectomy is not the only option for treating uterine fibroids. Other treatment options include myomectomy which is the surgical removal of the fibroid, hormone therapy to shrink the fibroid, Uterine Fibroid Embolization that stops the blood supply to the fibroid thus shrinking it, and Ultrasound to destroy the fibroids.

When you are nearing or in menopause, you can monitor the condition as the fibroids tend to shrink due to drop in the levels of estrogen and progesterone. In case you have a concern or query you can always consult an expert & get answers to your questions!

3045 people found this helpful

Uterine Fibroids - How They Affect Your Fertility?

MBBS, DNB - Obstetrics and Gynecology, Fellowship In Reproductive Medicine
Gynaecologist, Bangalore
Uterine Fibroids - How They Affect Your Fertility?

Uterine fibroids are benign, muscular growths in the uterine wall which may grow within the wall of the uterus or may get attached to the wall. Uterine fibroids can be of many types depending on their location in the uterus – Subserosal fibroids are found on the outer surface of the uterus, just beneath the serosa which is the outer membrane lining the uterus; submuscosal fibroids are located inside the uterine cavity, beneath the endometrium; intramural fibroids are located inside the muscular wall of the uterus; and pedunculated fibroids grow on small stalks either inside the uterine cavity or on its outer surface.

Many women who have uterine fibroids do not show any symptoms and are often unaware of their existence till they have an ultrasound or medical check-up. But depending on the location and size of the fibroids, they can cause certain symptoms such as:

  1. Heavy bleeding during periods and pain
  2. Bleeding in between periods
  3. Frequent urination due to increased pressure on the bladder
  4. Constipation caused by pressure on the rectum
  5. Infertility or pregnancy complications
  6. Uterine fibroids and infertility

Depending on the location of the fibroid in the uterus and its size, uterine fibroids can negatively affect a woman’s fertility or lead to problems during pregnancy. More often, submucosal uterine fibroids, those that grow inside the uterine cavity and fibroids which are quite large in size (more than 5cm in diameter) cause infertility in women. This is because:

  1. Fibroids which are close to the cervix can block the entrance of or reduce the number of sperm that are able to enter the uterus
  2. Large fibroids which form near the opening of the fallopian tube in the uterus can block the fertilised egg from entering the uterus thus preventing implantation
  3. Submucosal fibroids which grow on the endometrium can reduce the total area available for the zygote to implant or reduce the space inside the uterine cavity thus interfering with normal development of the embryo.
  4. Multiple fibroid growths can deprive the endometrium of regular blood flow thus reducing the amount of estrogen received; this can lead to miscarriages in pregnancy as it compromises the structural integrity of the endometrium and as a result it cannot maintain its thickened state required for sustaining a pregnancy.

Most women with uterine fibroids do not experience problems with conceiving, however if you are experiencing fertility issues it is best to consult a doctor to determine if fibroids are causing the problem and pursuing their suggested course of action. In case you have a concern or query you can always consult an expert & get answers to your questions!

3491 people found this helpful

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!

3961 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.

2642 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!

4974 people found this helpful

Popular Questions & Answers

My mom diagnosed with bulky uterus with inhomogeneous uterine echotexture and ill defined endo myo interface S/O adenomyosis changes. Ye kya problem hai please reply.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
In adenomyosis endometrial tissue grows in the myometrium ,patient has severe pain during menstruation and have heavy bleeding. Treatment for this is hysterectomy. If patient wants to conserve her uterus then she can go for mirena (hormone containing IUD) insertion. This is a benign condition.
1 person found this helpful

Mujhe fibroids tumer hai mujhe augst 11 ko pehla inj lga mujhe 3 lgne the akhiri 11 oct ko lga doc ne bola mujhe inj lene ke baad period miss honge bt 3 inj lgne ke baad mujhe clots ho rahe hai mai inj luprodex 3.75 mg injection le rahi hun or mera nov mai leproscopy honi hai please help me.

MBBS, DGO, DNB
Gynaecologist, Noida
Usually periods misses or decreases shike on lupride injection .But even if you are having milc bleeding there is not much problem. U can very well go for surgery.
1 person found this helpful

Can a virgin single female of 31 yrs, is possible to get fibroid or endometrial polyps? If so, kindly please tell what may be the cause and even how do their polyp is diagnosed as cancerous or benign one.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
Fibroid or polyp can develop in any uterus. There are some factors which augment the development of fibroids but it can be seen in a virgin uterus. The chance of it becoming cancerous is remote. Do not worry. Get a USG done and if there are some symptoms related to menstruation, you can take treatment. For more queries, you may contact me.
1 person found this helpful

Hi, I am 31 yrs. After ivf failure developed two small fibroid 12 mm ant & post wall of my uterus. Any homeopathic treatment. Please give me guideline.

MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Ivf is not related to development of fibroid and it could be a possibility that it was missed at that time. Although the size is very small but you need to get it evaluated for its location that might cause problem in conception or ivf .yes medical treatment is possible provided it is indicated.

Hi, I have fibroids, which is quite large as per the MRI Report. I wad advised to undergo surgery for removal of the fibroids, for which I am not yet ready. I want to know whether the fibroids can be cured with medicines or is there any other treatment other than undergoing surgery.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Solapur
Hello, Treatment depends on multiple factors like size of fibroids, menstrual cycle problem etc connect with me online for detailed consultation and treatment of fibroids.

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
Uterine Fibroids
Uterine fibroids, also known as uterine leiomyomas or fibroids, are benign smooth muscle tumors of the uterus. Fibroids run in families and appear to be partly determined by hormone levels.Risk factors include obesity and eating red meat.Diagnosis can be performed by pelvic examination or medical imaging.
Play video
Management Of Uterine Fibroids
Uterine fibroids are frequently found incidentally during a routine pelvic exam. 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.
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.
Play video
Know More About Fibroids
Are Uterine Fibroids Serious?
Play video
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.

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