Fibroids are common, and rarely an emergency — but heavy bleeding, pressure, and fertility worries deserve a clear diagnosis and a plan built around your body and your goals. Dr. Lida offers a full range of options, from watchful monitoring to fertility-preserving surgery.
Uterine fibroids (also termed leiomyomas) are noncancerous growths of muscle and fibrous tissue that develop in the uterus, typically during a woman's childbearing years. Some women have a single fibroid, while others have several, and many women with fibroids have no symptoms at all.
Fibroids vary enormously in size, from a seed too small to feel to a mass that can distort the shape of the uterus. Their impact depends far less on how many you have than on where they sit within the uterine wall — which is why an accurate map of your fibroids is the starting point for every conversation about treatment.
Dr. Lida's approach begins with listening: how are your symptoms affecting your daily life, your periods, and your family-building plans? From there, imaging and a tailored plan follow — never a one-size-fits-all recommendation.
Treatment varies based on the size, number, and location of your fibroids, and the symptoms they cause. If fibroids are asymptomatic, monitoring through regular pelvic exams or ultrasounds may be sufficient. If you experience heavy bleeding, pain or urinary issues, here are the primary treatment options:
Over-the-counter pain relievers, iron supplements for anaemia caused by heavy bleeding, and hormonal birth control (pills, patches, rings or IUDs) to ease bleeding and cramps. GnRH agonists shrink fibroids before surgery, while oral therapies such as Elagolix and Tranexamic Acid control excessive menstrual bleeding.
Myomectomy removes fibroids while preserving the uterus for future pregnancies — via hysteroscopy, laparoscopy or laparotomy depending on the fibroids' characteristics. Hysterectomy, removing the uterus entirely, is a final treatment considered when you have decided never to conceive again, and can be performed vaginally, laparoscopically or robotically.
Uterine Fibroid Embolization (UFE) — performed with an interventional radiologist, a catheter injects small particles into the uterine artery to block blood flow to the fibroids, shrinking them. Radiofrequency Ablation (RFA) uses microwave energy to shrink smaller fibroids, typically in premenopausal women.
An accurate diagnosis is more than confirming fibroids exist — it's understanding exactly where they sit, how large they are, and how they relate to your uterine cavity, bladder, and bowel. That detail is what allows Dr. Lida to recommend the least invasive option that will genuinely solve your symptoms.
Not every fibroid needs treatment, and not every treatment needs surgery. Dr. Lida discusses the full spectrum of options with you, weighing symptom severity, fibroid location, your age, and — critically — whether you hope to conceive.
Dr. Lida Anwari combines advanced expertise in fibroid treatment and maternal care with years of experience in the UK's NHS. She specialises in managing routine and high-risk pregnancies and treating uterine fibroids with personalised, state-of-the-art approaches.
From non-invasive treatments to complex surgeries, Dr. Lida Anwari ensures optimal outcomes in a supportive environment. Her holistic care also includes aesthetic gynaecology, prioritising both health and wellbeing.
Trust Dr. Lida Anwari to guide you through every step of your journey. Schedule your consultation today for expert-led, compassionate care tailored to your needs.
No. Many fibroids cause no symptoms and are found incidentally during a routine scan. If a fibroid is small, stable in size, and not affecting your bleeding, fertility, or quality of life, Dr. Lida typically recommends watchful monitoring with periodic ultrasound review rather than immediate intervention.
They can, though the effect depends heavily on location. Submucosal fibroids that distort the uterine cavity are the most likely to interfere with implantation and are often recommended for removal before fertility treatment. Intramural and subserosal fibroids affect fertility less predictably and are evaluated case by case.
A myomectomy removes fibroids while leaving the uterus intact, which preserves your ability to carry a future pregnancy. A hysterectomy removes the uterus entirely and is reserved for cases where fertility is no longer a priority and other treatments haven't controlled symptoms. Dr. Lida will always discuss whether a uterus-preserving option is appropriate for you.
Fibroids are hormonally sensitive, so they tend to grow slowly during the reproductive years and often shrink naturally after menopause, when estrogen levels fall. Growth rates vary widely between individuals, which is why periodic imaging is used to track any meaningful change rather than relying on assumptions.
New fibroids can develop after a myomectomy or other fibroid-directed treatment, particularly if you have several years of reproductive life ahead of you. This is normal and expected in some cases, and Dr. Lida will outline a sensible follow-up schedule so any recurrence is caught early and managed calmly.