Fibroids are the most frequently seen tumors of the female reproductive system. Fibroids, also known as uterine myomas, leiomyomas, or fibromas, are firm, compact tumors that are made of smooth muscle cells and fibrous connective tissue that develop in the uterus and commonly appears in child bearing years of women.They are estrogen dependent. It is estimated that between 20 to 50 percent of women of reproductive age have fibroids, although not all are diagnosed. In more than 99 percent of fibroid cases, the tumors are benign (non-cancerous). They may range in size, from the size of a pea to the size of a softball or small grapefruit. Women who are approaching menopause are at the greatest risk for fibroids because of their long exposure to high levels of estrogen.
It is estimated that around 60% of the women develop fibroids in their lifetime and yet most of them do not show signs, symptoms or problems while other women have more severe, disruptive symptoms. The symptoms depend on the size, age, number and location of the fibroid in the uterus.
The following are the most common symptoms for uterine fibroids, however, each individual may experience symptoms differently. Symptoms of uterine fibroids may include:
In some cases, the heavy or prolonged menstrual periods, or the abnormal bleeding between periods, can lead to iron-deficiency anemia, which also requires treatment.
Fibroids are most often found during a routine pelvic examination. In addition to a complete medical history and physical and pelvic and/or abdominal examination doctor may advice certain diagnostic procedures for uterine fibroids such as the ultrasound and other imaging tests to diagnose the condition.
Since most fibroids stop growing or may even shrink as a woman approaches menopause, doctor may simply suggest "watchful waiting" and monitors the woman's symptoms carefully to ensure that there are no significant changes or developments and that the fibroids are not growing. In women whose fibroids are large or are causing significant symptoms, treatment may be necessary.
The treatment of uterine fibroids depends on the signs, symptoms, location and the impact of uterine fibroids on the quality of life of the patient, on overall health and medical history ,extent of the disease, patient’s tolerance for specific medications, procedures or therapies and patient’s desire for pregnancy. Observation with medication, non-invasive surgical options, minimally invasive surgery or traditional surgery procedures are common treatment options of uterine fibroids employed by the gynaecologists depending upon the condition of the patient.
In general, treatment for fibroids may include:
Anti-hormonal agents: Certain drugs oppose estrogen (such as progestin and Danazol), and appear effective in treating fibroids. Anti-progestins, which block the action of progesterone, are also sometimes used.
Gonadotropin-releasing hormone agonists (GnRH agonists): This approach lowers levels of estrogen and triggers a "medical menopause." Sometimes GnRH agonists are used to shrink the fibroid, making surgical treatment easier.
Uterine artery embolization: Also called uterine fibroid embolization, uterine artery embolization (UAE) is a newer minimally-invasive (without a large abdominal incision) technique. The arteries supplying blood to the fibroids are identified, then embolized (blocked off). The embolization cuts off the blood supply to the fibroids, thus shrinking them. Health care providers continue to evaluate the long-term implications of this procedure on fertility and regrowth of the fibroid tissue.
Anti-inflammatory painkillers: This type of drug is often effective for women who experience occasional pelvic pain or discomfort.
Myomectomy :Conservative surgical therapy uses a procedure called a myomectomy. With this approach, physicians will remove the fibroids, but leave the uterus intact to enable a future pregnancy.
Hysterectomy: Hysterectomies involve the surgical removal of the entire uterus. Fibroids remain the number one reason for hysterectomies in the INDIA.
The case of uterine fibroids is also investigated for infertility since the fibroids can make it difficult to pregnant. Though these fibroids do not interfere with the ovulation process, the fibroids can impair the uterine cavity making it difficult for conception, sometimes even causing miscarriages. NCR’s Leading gynaecologist Dr. Shweta Mishra is a specialist in the treatment of uterine fibroids that cause infertility problems among women.
Dr. Shweta Mishra is the best gynaecologist for Uterine Fibroid Treatment in Ghaziabad. Get in touch with Dr. Shweta Mishra at her Crossings Republik, Ghaziabad (Crossings Republik Clinic Location & Direction) clinic for Uterine Fibroid Treatment in Ghaziabad, or either at Amrapali Icon Leisure Valley, Greater Noida West (Noida Extension Clinic Location & Direction) clinic for Uterine Fibroid Treatment in Noida Extension. Also, you could make a wellness appointment at any clinic location convenient to you.
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