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Fibroids

What are fibroids?

Uterine fibroids are the non-cancerous tumors that are made up of the uterine muscle and connective tissue from the wall of the uterus. Fibroids may grow as a single nodule or in clusters and can range in size from few mm to very large sizes. They may grow within the wall of the uterus or they may project into the endometrial cavity of the uterus or toward the outer surface of the uterus. Each patient with fibroids may have varying symptoms. Each fibroid is unique and one of a kind, which requires individualization of treatment options.

What are the symptoms?

  • Excessive and prolonged bleeding during menstruation
  • Severe pain before, during and after periods
  • Bleeding between periods.
  • A feeling of fullness in the lower abdomen
  • Frequent urination resulting from a fibroid that compresses the bladder
  • Pain during sexual intercourse
  • Low back pain
  • Constipation
  • Severe menstrual cramps
  • Infertility

When to visit a gynecologist?

Please see your doctor if you are bothered with excessive bleeding, pain during periods, frequent urination, pain during sexual intercourse, lower back pain or pelvic pain, or infertility. Queens Gynecology has some of the best options for fibroid treatment in Delhi.

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Why do we have all these symptoms in fibroids?

It remains unclear exactly what causes fibroids. They may be related to estrogen levels.

During the reproductive years, estrogen and progesterone levels are higher.

When estrogen levels are high, especially during pregnancy, fibroids tend to increase in size. They are also more likely to develop when a woman is exposed to estrogen for long time.

Low estrogen levels can cause fibroids to shrink, such as during and after menopause.

Genetic factors are thought to impact the development of fibroids. Having a close relative with fibroids increases the chance of developing them.

Being overweight or obese increases the risk of fibroids.

Childbearing lowers the risk of developing fibroids. The risk reduces each time a woman gives birth.

Most of the symptoms that are due to fibroids depend on the type and size of the fibroids.

Complication of fibroids:

  • Heavy, painful periods, also known as menorrhagia
  • Anemia from heavy periods
  • Lower backache
  • Constipation
  • Discomfort in the lower abdomen, especially in the case of large fibroids
  • Frequent urination

Other possible complications include:

  • Labor problems
  • Pregnancy problems
  • Fertility problems
  • Repeated miscarriages
  • Deep Vein Thrombosis
  • Leiomyosarcoma which is rare
Management

Diagnosis & Treatment

We at Queen’s Gynecology believe in attending our patients in detail. We provide bot surgical and non-surgical fibroid treatment in Delhi as per the intensity of symptoms, patient preferences and their overall safety. We prefer minimally invasive approach to improve the overall quality of our patient lives.

Diagnosis is often accidental, during routine pelvic examination or while having an ultrasound. Transvaginal ultrasound, MRI are some of the preferred diagnostic modalities.

The Treatment includes:

  • Conservative approach in case of asymptomatic fibroids.
  • Medications if patient does not prefer surgery, or if surgery is contraindicated.
  • Intrauterine device like Mirena
  • Fibroid Surgery – laparoscopic and hysteroscopic approach is preferred both for myomectomy ( removal of fibroid) or hysterectomy( removal of uterus)

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