Fibroids, also known as uterine myomas or leiomyomas, are non-cancerous cells that develop around 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.
What causes Fibroids?
The exact cause of fibroids is unknown. Fibroids will develop when estrogen levels are highest and they reduce in size when estrogen 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:
1. Intramural 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.
2. Subserosal Fibroids
These develop outside the uterus i.e. serosa. The fibroids make the womb grow in size.
3. Pedunculated Fibroids
When subserosal tumors grow in size, they develop into pedunculated fibroids.
4. Submucosal Fibroids
These fibroids develop in the inner lining of the 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 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.
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, which involves making small incisions, followed by inserting a camera into the abdomen. In the case, if the condition worsens, then the uterus will be removed.
Minimally Invasive Procedures
Forced ultrasound surgery (FUS) is a non-invasive surgical procedure, in which you will lie down in the 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 the uterus and destroys the uterine lining with the help of current and microwaves.If you have fibroids and wish to become pregnant, consult our specialists to find out the best infertility treatment.