Uterine Fibroid Treatment: Achieve Smoother Recovery And Healing​

There are 5 types:

i. Intramural Fibroid:

Most common fibroid. These fibroids develop in the muscular wall of the uterus. This may grow larger and can stretch your womb.

ii. Subserosal Fibroid:

Also called Serosa, forms outside of your uterus. This fibroid may grow large enough to make your womb appear bigger on one side.

iii. Submucosal Fibroid:

Submucosal fibroids grow and extend toward your uterine cavity. In some cases, submucosal or subserosal fibroids can develop on a stalk, and make them pedunculated.

iv. Cervical Fibroid:

Grows in the cervix, the bottom layer of your uterus.

v. Pedunculated Fibroid:

Subserosal fibroids can develop a stem, a slender base that supports the tumor.
When they do, they’re known as pedunculated fibroids.

Fibroid causes include:

1. Hormonal Factors:

Too high estrogen levels, and insufficient progesterone levels are responsible for fibroids. Estrogen and progesterone produced by your ovary stimulate the expression levels of various growth factors in the myometrium. These factors are the main effectors of the steroid hormone actions because they have stimulatory effects on cell proliferation and leiomyoma or fibroid formation.

2. Genetic Factors:

Close relatives, especially mother or sister having a history of experiencing fibroids can increase your risk of developing fibroids.

Mutation in certain genes in uterine muscles can cause fibroids.

3. Nutritional Factors:

– Red meat
– Diet low in green vegetables
– Alcohol
– High sugar/high salt/high fat diets can also cause fibroids.

4. Other Factors:

– Vitamin D deficiency
– Obesity
– High blood-pressure
– Having periods before the age of 10, stressful life etc.

Symptomatic fibroids Include:

• Heavy Menstrual Bleeding
• Pelvic Pain
• Miscarriage 
• Infertility
• Fullness of Stomach
• Frequent Urination
• Difficulty emptying the Bladder
• Constipation
• Pain in Sex
• Back Pain
• Fatigue, tiredness, and weakness
• Heavy bleeding with or without clots

• Anemia
• Infertility, Miscarriage
• Complication during pregnancy
• Rarely twisted fibroid and cancer risk

Diagnosing fibroids include:

1. Medical History

2. Pelvic Examination

3. Imaging Tests

• Ultrasound: This is a non-invasive method and uses sound waves to create images of the uterus and spot fibroids.
• Transvaginal Ultrasound: This test inserts a probe into the vaginal canal to get a detailed view of the uterus.
• MRI (Magnetic Resonance Imaging): This test helps differentiate between fibroids and other conditions.
• CT Scan (Computed Tomography): Used to get detailed images if required.

4. Hysterosalpingography (HSG)

This is an X-ray procedure, performed by injecting dye into the uterus to closely examine the uterine cavity and fallopian tubes

5. Hysteroscopy

A thin, lighted tube is inserted into the uterus through the cervix for a direct view of the fibroids.

Involves taking a small sample of the uterine lining to minimize growth of other conditions.

6. Laparoscopy

Provides a detailed visualization that allows the gynecologist to view the outside of the uterus and other pelvic organs.

i. Conservative Treatment:

• Small, asymptomatic fibroids may not require any medicines or surgical treatment; but you are required to observe closely the size of fibroids by doing sonography regularly.
• Medications like leuprolide, ulipristal, and misoprostol are used to shrink the fibroids. Your gynecologist will inform which medication suits you best and how they benefit your condition.
• Medications like tranexamic acid are also used to control the symptoms like heavy bleeding and pain
• HIFU: High intensity focused ultrasound is the new method to shrink the uterine fibroid by ultrasound waves.

ii. Surgery Indications:

• In case of heavy bleeding or too much pain
• Uterine fibroids increase in size
• Fibroids causing infertility
• Fibroids causing repeated pregnancy loss

iii. Surgery Options:

a. Myomectomy – Uterus sparing surgery

Myomectomy is indicated for the women who want to preserve their uterus either because she wants to give birth in future or because she does not want to remove the uterus

Myomectomy Types:

• Abdominal Myomectomy or Open Myomectomy
• Laparoscopic Myomectomy
• Hysteroscopic Myomectomy
• Robotic Myomectomy

b. Hysterectomy – Uterus removal surgery

Hysterectomy is indicated for the women who have completed their family and the uterine fibroid(s) are causing severe symptoms.

Hysterectomy Types

• Total Hysterectomy
• Subtotal (Partial or Supracervical) Hysterectomy
• Radical Hysterectomy
• Hysterectomy with Bilateral Salpingo-Oophorectomy
• Laparoscopic Hysterectomy
• Vaginal Hysterectomy

• Take a balanced diet rich in vegetables, fruits, and whole grains.
• Avoid red meat and processed foods.
• Exercise regularly and maintain a healthy weight.
• Obesity increases fibroid risk.
• Manage stress and avoid environmental toxins.
• Regular gynecological check-ups aid in early detection and management.

Uterine Fibroid treatment can cost between Rs. 50,000 to 2,00,000.

Dr. Dimple Doshi is the best gynecologist in Mumbai, India for Uterine Fibroid treatment. Dr. Dimple has an extensive experience in performing uterine fibroid treatment and provided great relief to women from all walks of life.

Vardaan Hospital is the best Gynecology Center in Mumbai, India. The center offers top-class equipment aided by patient-friendly staff led by Dr. Dimple.

Q1. What Should I Do If I Have Fibroids?
Ans. Get consultation with Dr. Dimple Doshi for best evaluation and management options. 

Q2. What Are The Main Causes Of Uterine Fibroids?
Ans. Fibroids in family members, Vitamin D deficiency, Obesity, Hormonal Imbalance, and Lifestyle Factors.

Q3. Can Fibroids Affect Pregnancy In Future?
Ans. Yes, depending upon their size and location.

Q4. Can Fibroids Affect Your Daily Life?
Ans. Yes, they can cause bleeding and discomfort in daily activities.

Q5. What Size Of Fibroids Need Surgery?
Ans. Larger than 5 cm size fibroid may require surgery. 

Q6. How Is The Surgery Of Uterine Fibroid Performed?
Ans. Surgery can be performed through:

• Myomectomy
• Hysterectomy
• Uterine Artery Embolization (UAE)
• HIFU

Q7. What Is The Recovery Of Uterine Fibroid Surgery?
Ans.

• Myomectomy: 2-6 weeks.
• Hysterectomy: 6-8 weeks.
• UAE: 1-2 weeks.

Q8. How Can Myoma Treatment During Pregnancy Be Done?
Ans. Myoma can be treated with:

• Enough rest
• Staying hydrated
• Using pain relievers

Q9. What Are Reasons For Fibroid In Uterus?
Ans. Common Reasons include:

• Estrogen and progesterone influences
• Genetic factors
• Diet and obesity