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Diagnosis and treatment of fibroids

Diagnosis and treatment of fibroids

What are fibroids?

Fibroids are abnormal growths that form in or on the uterus of a woman. These tumours can grow to be quite large, causing severe stomach pain and heavy periods. Call and book your appointment with Dr. Amita, the best gynae for women-uterine fibroids. In some circumstances, fibroids produce no visible indications or symptoms at all. Typically, the growths are benign, or noncancerous. Fibroids have an unknown cause.

treatment of fibroids

What are the many forms of fibroids?

The type of fibroid that a woman develops is determined by its location within or on the uterus.

Fibroids in the intramural spaceThe most prevalent type of fibroid is intramural fibroids. These appear within the uterine muscle wall. Intramural fibroids can grow in size and strain your womb.

Fibroids in the subserosaSubserosal fibroids develop on the outside of your uterus, known as the serosa. They may grow large enough to make one side of your womb appear larger than the other.

Pedunculated fibroidsSubserosal tumours can form a stem, which is a thin basis that supports the tumour. When this happens, they are referred to as pedunculated fibroids.

Fibroids in the submucosaThese tumours form in the uterus’s middle muscular layer, known as the myometrium. Submucosal tumours are less prevalent than the others.

Diagnosis of Fibroids

If your doctor feels your uterus during a regular pelvic exam, he or she may point out the possibility of you having uterine fibroids. If your uterus appears to be irregular or particularly huge, they may schedule more tests, such as an ultrasound. In an ultrasound pictures of your uterus are taken by using sound waves. To obtain the photos, a technician will insert a device into your vagina or onto your abdomen. Then your doctor can determine whether or not you have fibroids as well as where and how large they are.

Your doctor may order blood tests to determine the cause of your fibroids. Your complete blood count (CBC) can assist them in determining whether you have anaemia (low red blood cell counts) or other bleeding diseases.

Magnetic resonance imaging (MRI)– If your doctor needs additional information following an ultrasound, you may be subjected to an MRI. MRIs provide more comprehensive images of fibroids and can assist doctors in determining the best treatment. If you have a big uterus or are nearing menopause, your doctor may also recommend an MRI.

Hysterosonography – In this examination, a specialist injects saline into your uterine cavity to dilate it. This allows them to see fibroids that are growing into your uterus (submucosal fibroids) as well as the uterine lining. This is beneficial if you are attempting to conceive or have heavy periods.

Hysterosalpingography – A hysterosalpingography may be performed if your doctor needs to determine whether your fallopian tubes are blocked. To help see your uterus and fallopian tubes better on an X-ray, your doctor will apply dye to highlight these areas.

Hysteroscopy – Your doctor puts a small telescope equipped with a light into your cervix. They can next examine the walls of your uterus and the fallopian tube opening after injecting saline and widening your uterine chamber.

Treatment for Uterine Fibroids

Fibroids can be treated in a variety of methods. The treatment that is best for you will be determined by whether you are experiencing symptoms, whether you wish to become pregnant, your age, and the location of your fibroids.

Treatment for Uterine Fibroids

Waiting with caution: If you just experience minor symptoms – or none at all – your doctor may advise you to simply wait and see. Fibroids do not always cause cancer, and grow slowly or not at all. They may also shrink or disappear after menopause.

Medications: Fibroid medications alleviate your problems. Fibroids will not disappear; however, they may diminish with some treatments. Medication can also assist with symptoms such as discomfort and bleeding.

Oral contraception can help to minimise bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help relieve discomfort. If you have anaemia as a result of heavy bleeding, vitamins and iron supplements can aid with energy.

Oriahnn is the first FDA-approved non-surgical, oral drug alternative for the control of severe menstrual bleeding. It is a combination of elagolix (a GnRH antagonist), oestrogen, and progestin. Taking the medicine can lower the bleeding by 50% on average.

Gonadotropin-releasing hormone (GnRH) agonists that cause menopause by inhibiting oestrogen and progesterone. This may cause your fibroids to shrink. This option may be selected by your doctor before surgery.

Heavy bleeding can be controlled using a progestin-releasing intrauterine device (IUD) which is put into your uterus. It also helps to avoid pregnancy.

Tranexamic acid (Cyklokapron, Lysteda) is a drug that does not contain hormones. You take it on days when you’re bleeding a lot to slow down the flow.

Surgery. If your symptoms are moderate or severe, surgery may be required to alleviate them. Among the options are:

Myomectomy: This procedure removes fibroids while attempting to leave healthy tissue alone. If you want to become pregnant in the future, this may be your best option. A myomectomy can be performed in a variety of techniques, ranging from major abdominal surgery to laparoscopy.

Ablation of the endometrium: To remove or destroy the lining of your uterus, a surgeon may use a laser, wire loops, hot water, electric current, microwaves, or freezing. This small surgery may be performed as an outpatient procedure. Typically, you will no longer be able to get pregnant after it, and you will no longer be able to have periods.

Uterine fibroid embolization (UFE): Also known as uterine artery embolization (UAE), is a type of embolization that occurs in the uterus (UAE). A doctor uses this treatment to stop the flow of blood to your fibroids by putting gel or plastic particles into adjacent blood vessels. This causes the fibroids to contract.

Hysterectomy: This operation fully eliminates your uterus. This is the only approach to eliminate fibroids. It’s a significant surgery but your doctor has choices, such as cutting through the abdomen or performing a laparoscopy. Book your appointment for fibroid treatment at Dr Amita Shah’s Global Women’s Clinic.

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Ankush Gaur
Ankush Gaur
2024-01-08
Excellent
Geeta Upadhyay
Geeta Upadhyay
2024-01-04
I would highly recommend Dr Amita Shah to anyone in need of a gynaecologist. She is incredibly professional and always takes care of her patients. I have never had an issue with her and she has always been very responsive to my needs. I would definitely recommend her to anyone in need of a gynaecologist!
Sandeep Ranga
Sandeep Ranga
2024-01-04
I had been suffering from severe pain and heavy bleeding for so many years.My ultrasound showed a large cyst in the uterus .All doctors had advised open surgery but Dr Amita Shah advised Laparoscopic surgery.Surgery was very smooth,I had no pain and my recovery was very fast.I am very thankful to Dr Amita Shah.She is a very skilled surgeon and very polite and gentle with her patients.Highly recommended for Laparoscopic surgery.
Parul
Parul
2023-12-28
I have made all the pregnancy visits to Dr. Amita Shah, and my end-to-end experience with her has been wonderful. I was someone who was absolutely terrified of needles, but with Dr. Amita Shah's constant guidance and good consultation, I could overcome a lot of my stress and worries related to delivery as well as during the pregnancy phase. Both the doctor and her clinic staff are helpful and amiable. She was all ears when it came to even the tiniest of details and issues, listened calmly and resolved all my issues. She was also constantly available via phone and WhatsApp to clear any doubts that popped up in my head in addition to the in-clinic visits where she eased my mind and resolved plenty of my concerns. At the time of my delivery, she offered complete mental support and her presence itself offered calmness to me. I highly recommend Dr. Amita Shah for her professionalism, empathy and supportive attitude. By God's grace, we are blessed with a baby girl in December, and I have been on the path to a smooth and fast recovery since then.
monika agarwal
monika agarwal
2023-12-13
My end to end experience with Dr. Amita Shah has been very amazing. I found her trustworthy in the very first visit. The medications very limited and She handled the emergency of water break very diligently and ensured safe delivery of my baby. She is calm, positive and considerate and will make your pregnancy journey beautifuI with no stress. I highly recommend Dr Amita Shah.
M Grewal
M Grewal
2023-12-11
I have been visiting Dr Amita for 11 years now. She has helped deliver my kids and then for few other concerns. She is very kind, empathetic, and very gentle. She understands and a great listener. Trust her completely.
Zoya Khan
Zoya Khan
2023-12-10
I consulted Dr Amita for my Scar Endometriosis, she not only understood my problem but at the same time explained the entire ailment in detail. She assisted me at every step, her calm demeanour and patience made it very comfortable for me. The best part was she was so approachable although the process. I became a fan of her the way she did my dressings, removed my drain pipe with no pain extremely softly, she has magic in her hands .The best gynaecologist I have ever met. God Bless her always. Thank you so much.
Suchismita Adhikari
Suchismita Adhikari
2023-12-05
Our experience with Dr Amita mam and her clinical expertise has been fabulous. Her staff, Ms Komal and Ms. Ashu are very kind and cooperative. Dr. Amita operated on my mother with such finnese. Explained each and every step in detail. She is a very good gynaecologist. Happy we found her to treat my mom.