Uterine Fibroids

Uterine fibroids are non-cancerous growths that develop within the muscular wall of the uterus. While some women experience no symptoms, approximately 20-30% find their daily lives impacted by the effects of these growths. We understand that dealing with heavy bleeding, pelvic pressure, or other related discomforts can be challenging. We want to assure you that you’re not alone, and effective management strategies are available.

Dr. Ajita Basu is dedicated to providing compassionate care, helping you understand your individual situation and explore the best path towards relief and improved quality of life.

Symptoms of Uterine Fibroids

While many women with intramural fibroids experience no symptoms, some may experience:

• Heavy menstrual bleeding: This is a usually one of the most common symptoms.
• Prolonged menstrual bleeding: Periods that last longer than 7 days.
• Pelvic pain: The pressure from a large fibroid can cause discomfort in the lower abdomen or pelvis.
• Frequent urination or difficulty urinating: If the fibroid presses on the bladder.
• Constipation: If the fibroid presses on the rectum.
• Back pain
• Pain during intercourse
• Infertility or miscarriage: In some cases, intramural or submucosal fibroids can interfere with pregnancy.
• Sudden, sharp pains

Causes of Uterine Fibroids

The exact cause is not fully understood, but several factors may play a role, including:

• Hormones: Oestrogen and progesterone can stimulate the growth of fibroids.
• Genetics: A family history of fibroids may increase the risk.
• Race: Black people are more likely to develop fibroids and experience more severe symptoms.

Treatment of Uterine Fibroids

Treatment depends on the size, location, and severity of symptoms. Some common treatment options include:

• Observation: If the fibroids are small and not causing any symptoms, they may simply be monitored and managed clinically.
• Medications:
  
  • Pain relief: Over the counter pain killers can help manage pain symptoms.
  • Hormonal therapies: These medications can help reduce heavy bleeding.
  • Gonadotropin-releasing hormone (GnRH) agonists: These medications temporarily suppress estrogen production, causing fibroids to shrink. However, they can cause menopausal side effects.
• Minimally invasive procedures:
  
  • Uterine artery embolisation (UAE): This procedure blocks blood flow to the fibroids, causing them to shrink.
• Surgery:
  
  • Myomectomy: Surgical removal of fibroids while preserving the uterus.
  • Hysterectomy: Surgical removal of the uterus. This is typically considered when other treatment options have failed or if the person is finished having children.

Fibroids and Fertility/ Pregnancy

Most women with fibroids will conceive without difficulty, however, fibroids can be associated with infertility depending on the location and type of fibroids. There is an Increased risk in those with submucosal and intramural fibroids.

Some women may face complications in pregnancy including:

• Miscarriage
• Pre term birth
• Increased risk of Caesarean section
• Fibroids may also grow in pregnancy and may cause pain

About Dr. Basu’s Approach

Dr. Basu offers comprehensive evaluations and personalised treatment plans to address your unique needs and improve your quality of life.

If you have concerns about fibroids, a gynaecologist can provide you with expert guidance.

Schedule a consultation to safely discuss your concerns with Dr. Basu now.