What Are The Treatments for Fibroids?

Fibroids are non-cancerous growths that develop in or around the womb (uterus). These growths are made up of muscle and fibrous tissue and vary in size.

Treatment may not be necessary if you have fibroids but do not have any symptoms or if you only have minor symptoms that are not significantly affecting your everyday activities.

Medicines are available that can be used to reduce heavy periods. MRI-guided focused ultrasound Surgery (FUS) may be done. It is a non-invasive treatment that preserves your uterus.

Only in cases where medication and non-invasive treatments do not work, are surgeries done.

Surgical Treatment of Fibroids:

Surgery is needed for fibroids if your fibroids cause the following issues:

–        Heavy menstrual bleeding

–        Bleeding between periods

–        Pain or pressure in your lower belly

–        Frequent urination

–        Trouble emptying your bladder

There are two types of fibroid surgery:

(i)  Myomectomy

(ii) Hysterectomy

(i) Myomectomy:

It removes your fibroids and can relieve bleeding and other symptoms. This surgery is an option if you want to have children, or if you want to keep your uterus for another reason.

Myomectomy can be done in different ways, depending on the number, size, and location of your fibroids. You’ll be under general anesthesia for all of these procedures. The different types of myomectomies are:

–        Hysteroscopy

During the procedure, the doctor inserts a long, thin, lighted telescope through your vagina and cervix into your uterus. Fluid is injected into your uterus to expand it and help your doctor see your fibroids.

–        Abdominal myomectomy

This procedure, also known as a laparotomy, is better for large fibroids, but it leaves a big scar. For this procedure, your surgeon makes a cut in your lower belly and removes your fibroids.

–        Laparoscopy:

It is used for women who have smaller and fewer fibroids. During laparoscopy, your surgeon makes two small cuts in your belly. A telescope is inserted into one of the openings to help your doctor see inside your pelvis and around your uterus. A tool is inserted into the other opening to remove your fibroids.

(ii) Hysterectomy

Hysterectomy removes part or all of your uterus. This procedure may be an option if you have a lot of fibroids, they’re large, and you’re not planning to have children.

The surgeon can remove your uterus in a few different ways:

–        Laparotomy or abdominal hysterectomy:

Your surgeon makes a cut in the lower abdomen and removes your uterus.

–        Vaginal hysterectomy:

The surgeon removes your uterus through your vagina. This approach may not work for very large fibroids.

–        Laparoscopic hysterectomy:

The surgeon inserts the instruments and removes the uterus through small incisions. This procedure can be done robotically. The surgeon may leave your ovaries and cervix in place. Then you will continue to produce female hormones.

Should You Get A Surgery For Fibroids?

Fibroids are non-cancerous growths. Therefore, they are not fatal and so women who have them do not immediately need to take treatment. In fact, many women with fibroids do not have any symptoms. Most of them who do have symptoms have only mild ones.

Only if you suffer from heavy bleeding, pain and discomfort should you seek professional treatment. In these cases, you will first be given medical and non-surgical treatments. Only if these treatments fail will surgery be performed on you. Please speak with your doctor, your physician and any other trusted healthcare professional before deciding to have a surgery.

We, at our hospital have the best gynaecologist in Chennai. They have experience in performing different kinds of myomectomies and hysterectomies. You can be assured of a safe, effective and painless surgery from us.

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