Fibroids (Uterine Leiomyomas)

What is Fibroids (Uterine Leiomyomas):

Fibroids, also known as uterine leiomyomas, are noncancerous growths that develop in the uterus. These growths are made up of muscle and connective tissue and can vary in size, ranging from as small as a pea to as large as a grapefruit.

They can occur individually or in clusters and may develop within the uterine wall, protrude into the uterine cavity, or attach to the outer surface of the uterus.

Side effects of Fibroids (Uterine Leiomyomas):

Fibroids can cause a range of symptoms, including heavy menstrual bleeding, prolonged periods, pelvic pain or pressure, frequent urination, constipation, backache, and discomfort during sexual intercourse.

In some cases, fibroids can lead to complications such as anemia due to excessive blood loss during menstruation, infertility, or complications during pregnancy and childbirth.

How is Fibroids (Uterine Leiomyomas) diagnosed?:

Diagnosing Fibroids typically involves a combination of medical history review, physical examination, and diagnostic tests. Your healthcare provider may perform pelvic exams to feel for any abnormalities in the uterus.

Imaging tests such as ultrasound, MRI (magnetic resonance imaging), or CT (computed tomography) scans may be ordered to visualize the size, number, and location of fibroids. In some cases, a hysteroscopy or laparoscopy may be recommended for a more detailed examination of the uterus.

Potential treatments of Fibroids (Uterine Leiomyomas):

Treatment options for fibroids depend on various factors including the size and location of the fibroids, severity of symptoms, and your overall health and preferences. 

• Watchful Waiting: In cases where fibroids are small and not causing significant symptoms, a "watchful waiting" approach may be recommended. Regular monitoring of symptoms and periodic check-ups with your healthcare provider may be advised to ensure no progression or worsening of symptoms.

• Medications: Medications such as hormonal contraceptives, gonadotropin-releasing hormone agonists (GnRH agonists), or nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to help manage symptoms such as heavy bleeding and pelvic pain. These medications may help shrink fibroids or alleviate symptoms but do not eliminate the fibroids themselves.

• Minimally Invasive Procedures: Minimally invasive procedures such as uterine artery embolization (UAE), myomectomy, or endometrial ablation may be considered for women who wish to preserve their fertility or avoid a hysterectomy. These procedures aim to remove or shrink fibroids while preserving the uterus.

• Surgical Options: In cases where fibroids are large, causing severe symptoms, or if fertility is not a concern, a hysterectomy may be recommended. A hysterectomy involves surgical removal of the uterus and is considered a definitive treatment for fibroids. Depending on the individual case, a hysterectomy may be performed via traditional open surgery, laparoscopic surgery, or Robotic-Assisted Surgery.

👉 Contact us for further information and receive acomplimentary consultation.