Fibroids, also known as uterine myomas or leiomyomas, are non-cancerous cells that developaround the womb. Women with fibroids can experience heavy periods, abdominal pain, lower back pain, constipation, and frequent urination, while some women do not show any symptoms. In some cases, fibroids can affect pregnancy or lead to infertility.
The exact cause of fibroids is unknown. Fibroids will develop when oestrogen levels are highest and they reduce in size when oestrogen levels are low, which happens after menopause.
Fibroids can grow anywhere in the womb and differ in size. The following are a few different types of fibroids:
These are the most common type of fibroids that develop in the muscles of the uterus. Intramural Fibroids will grow larger and stretch your womb.
These develop outside the uterus i.e. serosa. The fibroids makes womb grow in size.
Whensubserosal tumors grow in size, they develop into pedunculated fibroids.
These fibroids develop in the inner lining of uterus. Unlike other fibroids, these may cause heavy menstrual bleeding and results in infertility. In few cases, subserosal or submucosal fibroids are linked to the womb with a narrow stalk of tissue. In this case, these fibroids are known as pedunculated fibroids.
Based on your medical history, age, size of fibroids, the treatments may vary.
Some medications may be prescribed by your infertility specialist to regulate the hormone levels and shrink fibroids. Gonadotropin-releasing hormone (GnRH) agonists, such as leuprolide, will reduce the production of estrogen and progesterone. This will stop menstruation and shrink fibroids.
Surgery- by Infertility Specialist
If you have large or multiple fibroids, then myomectomy can be performed. The procedure involves making a large incision in the abdomen to see the uterus and remove fibroids. The surgery can also be performed through laparoscopically in Hegde Fertility, which involves making small incisions, followed by inserting a camera into the abdomen. In the case if the condition worsens, then uterus will be removed.
Minimally Invasive Procedure
Forced ultrasound surgery (FUS) is a non-invasive surgical procedure, in which you will lie down in MRI machine that allows doctors to visualize your uterus. In this procedure, high-energy & frequency sound waves will be directed at the fibroids to completely destroy them.
Myolysis shrinks fibroids using laser and cryomyolysis freezes the fibroids. Endometrial ablation inserts a special instrument into uterus and destroys the uterine lining with the help of current and microwaves.