Uterine Fibroids
What Are Uterine Fibroids?
Uterine fibroids, also termed leiomyomas, are noncancerous growths of the uterus that can develop during a woman’s childbearing years. These fibroids comprise muscle and fibrous tissue, varying from small to large masses. Some women may have a single fibroid, while others may have multiple uterine fibroids.
Uterine Fibroids Symptoms
Many women with uterine fibroids may be asymptomatic. However, when symptoms do arise, they can include:
- Heavy menstrual bleeding or prolonged periods
- Pelvic pain or pressure
- Frequent urination
- Inability to flush the bladder
- Pain during intercourse
- Lower back pain
If you are experiencing any of these symptoms, it is crucial to get a proper diagnosis from a healthcare provider.
How are uterine fibroids Diagnosed?
Several tests can be done to confirm fibroids and determine their size and location. These tests can include:
- Ultrasonography
- Magnetic Resonance Imaging (MRI)
- Computed Tomography (CT) scan
- Hysteroscopy
- Hysterosalpingography (HSG)
- Sonohysterography
- Laparoscopy
Fibroids treatment in Dubai
Treatment for uterine fibroids varies based on their size, number, location, and the symptoms they cause. If fibroids are asymptomatic, monitoring through regular pelvic exams or ultrasounds may be sufficient.
However, if you experience symptoms such as heavy bleeding, pain, or urinary issues, a treatment plan will be necessary. Here are the primary treatment options:
1- Medication
Over-the-Counter Pain Relievers: Drugs with acetaminophen and ibuprofen may help manage pain due to fibroids.
Iron Supplements: Iron supplements would be prescribed to patients with anaemia because of heavy bleeding.
Birth Control: Hormonal contraceptives can alleviate heavy bleeding and menstrual cramps. Options include:
- Oral contraceptive pills
- Patches and rings
- Intrauterine devices (IUDs)
(Gonadotropin-releasing hormone) GnRH Agonists: These medications shrink fibroids and are often used before surgery. They are temporary solutions, as fibroids may regrow once treatment stops.
Oral Therapies:
- Elagolix: Controls excessive menstrual bleeding for up to two years.
- Tranexamic Acid: Relieves heavy menstrual bleeding.
2- Surgical Options
A number of criteria must be considered when it is determined that surgery for removal of the fibroids should occur, these include size, location, and quantity of the fibroids as well as future pregnancy desires.
Myomectomy
Myomectomy is a procedure focused on removing fibroids while preserving the uterus, allowing for future pregnancies. The kind of myomectomy will depend on the characteristics of the fibroids:
Hysteroscopy
A thin and flexible scope is inserted into the uterus through the vagina and cervix.
The provider uses the scope to cut away and remove the fibroids.
Laparoscopy
This minimally invasive procedure involves small abdominal incisions.
A scope is used to access and remove the fibroids through these incisions.
Laparotomy
In this procedure, a larger incision is made in the abdomen to remove the fibroids.
Hysterectomy
This procedure may be recommended if you have decided never to conceive again, as a total removal means that no part of the uterus will remain. It is considered a final treatment for fibroids. Key considerations include the following:
- Once the uterus is removed, fibroids cannot return, and symptoms should resolve.
- If the ovaries are preserved, you will not enter menopause immediately after the surgery.
Minimally invasive options include:
- Vaginal hysterectomy
- Laparoscopic hysterectomy
- Robotic-assisted hysterectomy
3- Uterine Fibroid Embolization (UFE):
An interventional radiologist, in collaboration with your gynaecologist, performs this procedure.
A catheter is introduced into the uterine artery, allowing for the injection of small particles that obstruct blood flow to the fibroids. This reduces their size and relieves symptoms.
4- Radiofrequency Ablation (RFA):
This technique uses microwave energy to access and shrink the smaller fibroids.
RFA is typically used in premenopausal women.
Why Choose a Fetal Medicine Specialist Like Dr Lida Anwari for fibroid treatment in Dubai and Your Pregnancy Journey?
Dr Lida Anwari combines advanced expertise in fibroid treatment and maternal care with years of experience in the UK’s NHS. She specializes in managing routine and high-risk pregnancies and treating uterine fibroids with personalized, 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 gynecology, prioritizing both health and well-being.
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.