Uterine fibroids:
Types of Fibroids:
- Intramural Fibroids: Located within the muscular wall of the uterus.
- Submucosal Fibroids: Project into the uterine cavity.
- Subserosal Fibroids: Extend to the outside of the uterus.
- Pedunculated Fibroids: Attached to the uterus by a thin stalk.
Symptoms:
- Heavy menstrual bleeding
- Prolonged menstrual periods
- Pelvic pain or pressure
- Frequent urination
- Difficulty emptying the bladder
- Constipation
- Backache or leg pains
Diagnosis at New World Fertility Centre:
1. Clinical Examination:
A thorough pelvic examination to detect any abnormalities in the shape and size of the uterus.
2. Imaging Tests:
Ultrasound: Transvaginal or pelvic ultrasound to visualize the fibroids.
MRI: Magnetic resonance imaging provides detailed images of fibroids and their location.
Hysterosonography: Uses saline infusion to enhance ultrasound imaging for better visualization of submucosal fibroids.
Hysterosalpingography: An X-ray procedure using a dye to highlight the uterine cavity and fallopian tubes, useful for detecting abnormalities.
Treatment Options at New World Fertility Centre:
1. Medications:
Hormonal Treatments: Birth control pills or other hormonal therapies to regulate menstrual cycles and reduce bleeding.
Gonadotropin-Releasing Hormone (GnRH) Agonists: Reduce estrogen and progesterone levels to shrink fibroids temporarily.
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): To relieve pain and reduce inflammation.
2. Minimally Invasive Procedures:
Uterine Artery Embolization (UAE): Blocks blood flow to fibroids, causing them to shrink.
MRI-Guided Focused Ultrasound Surgery (FUS): Uses high-intensity ultrasound waves to destroy fibroid tissue.
3. Surgical Treatments:
Myomectomy: Surgical removal of fibroids while preserving the uterus, recommended for women who wish to maintain fertility.
Hysteroscopic Myomectomy: Removal of submucosal fibroids using a hysteroscope inserted through the vagina and cervix.
Laparoscopic Myomectomy: Minimally invasive surgery using small incisions and a laparoscope.
Abdominal Myomectomy: Traditional surgery with a larger incision, used for larger or numerous fibroids.
Hysterectomy: Complete removal of the uterus, considered for severe cases or when other treatments have failed. This is a definitive treatment for fibroids but ends the ability to bear children.
Fertility and Uterine Fibroids:
Impact on Fertility:
Fibroids can impact fertility by altering the shape of the uterus, blocking the fallopian tubes, or affecting blood flow to the uterine lining.
Management for Fertility Preservation:
Preconception Counseling: Assessing the impact of fibroids on fertility and discussing treatment options to optimize chances of conception.
Myomectomy: Preferred surgical option for women who wish to preserve fertility.
Expertise at New World Fertility Centre:
Experienced Specialists: The team includes gynecologists and reproductive endocrinologists with expertise in managing uterine fibroids.
