Dr. Yamini Kale – Best Gynecologist In Nagpur, Infertility Specialist In Nagpur, Laparoscopic Surgeon & Hysteroscopy Surgeon In Nagpur

Uterine Fibroids In Nagpur

Uterine fibroids, also known as leiomyomas or myomas, are noncancerous growths of the uterus that often appear during childbearing years. These tumors are made up of muscle cells and other tissues and can vary in size, ranging from small, seed-like nodules to large masses that can distort the shape of the uterus.
The exact cause of uterine fibroids is unclear, but several factors may contribute, including hormonal changes, genetic predisposition, and growth factors.Fibroids can vary widely in size, ranging from tiny seedlings that are undetectable to the naked eye to large masses that can enlarge the uterus. Women may have a single fibroid or multiple ones.

Uterine Fibroids Symptoms

Menstrual Changes:

  • Heavy Menstrual Bleeding (Menorrhagia): Excessive menstrual bleeding that may lead to prolonged periods or the need to change tampons or pads frequently.
  • Menstrual Periods Lasting Longer than a Week: Extended duration of menstrual bleeding.

Pelvic Pain or Pressure:

  • Pelvic Pain: A dull or aching pain in the lower abdomen or pelvis.
  • Pelvic Pressure: A feeling of fullness or pressure in the lower abdomen.

Pelvic Discomfort or Backache: Discomfort or pain in the pelvis or lower back.

Frequent Urination or Difficulty Emptying the Bladder: Fibroids pressing on the bladder may lead to an increased frequency of urination or difficulty fully emptying the bladder.

Pain During Sexual Intercourse: Pain or discomfort during sexual intercourse, particularly if fibroids affect the uterine wall or cervix.

Enlarged Abdomen or Uterus: Large fibroids or a cluster of fibroids can cause the uterus to enlarge, leading to an enlarged abdomen.

Constipation or Bloating: Fibroids pressing on the rectum may cause constipation or a feeling of bloating.

Complications During Pregnancy and Labor: Fibroids can sometimes lead to complications during pregnancy, such as a higher risk of cesarean section (C-section) or breech birth.

Treatment of Uterine Fibroids

1. Medications:
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs):
    • Over-the-counter pain relievers, such as ibuprofen, can help manage pain and reduce menstrual cramps.
  • Hormonal Medications:
    • Birth control pills, hormonal patches, or hormonal intrauterine devices (IUDs) can help regulate the menstrual cycle and reduce heavy menstrual bleeding.
    • Gonadotropin-releasing hormone (GnRH) agonists may be used to induce a temporary menopausal state, shrinking fibroids and reducing symptoms.
2. Uterine Fibroid Embolization (UFE):
  • A minimally invasive procedure in which the blood supply to the fibroids is blocked, leading to their shrinkage.
  • UFE is an alternative to surgical options for women who want to preserve their uterus.
3. Myomectomy:
  • Surgical removal of fibroids while preserving the uterus.
  • Myomectomy may be considered for women who wish to retain fertility or avoid a hysterectomy.
4. Hysterectomy:
  • Surgical removal of the uterus.
  • Hysterectomy is a definitive treatment for fibroids and is considered when other treatments are not effective or when fertility preservation is not a concern.
5. Endometrial Ablation:
  • A procedure that removes or destroys the lining of the uterus, often used to treat heavy menstrual bleeding associated with fibroids.
6. Focused Ultrasound Surgery (FUS):
  • A noninvasive procedure that uses focused ultrasound waves to heat and destroy fibroid tissue.
7. Laparoscopic or Robotic Surgery:
  • Minimally invasive surgical approaches to remove or treat fibroids.
  • These procedures may be considered for specific cases, such as subserosal fibroids or those causing significant symptoms.
8. Complementary Therapies:
  • Acupuncture or Yoga:
    • Some women find relief from symptoms through complementary therapies, although research on their effectiveness is limited.
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