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Uterine Fibroid

Fibroids are abnormal growths that develop in or on a woman’s uterus. Sometimes these tumours become quite large and cause severe abdominal pain and heavy periods. In other cases, they cause no signs or symptoms at all.
The growths are typically benign, or noncancerous. The cause of fibroids is unknown. Fibroids are also known by the following names:


• Leiomyomas
• Myomas
• Uterine Myomas
• Fibromas

The size, shape and location of the fibroids can vary from one woman to another. They can be found in the outer wall of the uterus, inside the uterus or attached to it like a stem. A woman can have just one fibroid or many of various sizes. It can remain small and suddenly grow rapidly over the years.

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Causes

It’s unclear why fibroids develop, but several factors may influence their formation. Hormones- Estrogen and progesterone are the hormones produced by the ovaries. They cause the uterine lining to regenerate during each menstrual cycle and may stimulate the growth of fibroids.
Family history
Pregnancy
Consumption of alcohol
Uterine infections
High blood pressure
Symptoms
Heavy bleeding between or during your periods
that includes blood clots
Increased menstrual cramping
Increased urination
Pain during intercourse
Menstruation that lasts longer than usual
Pressure or fullness in your lower abdomen
Swelling or enlargement of the abdomen
Difficulty getting pregnant

Risks If Condition Persists

Severe pain
Severe pain or very heavy bleeding that needs emergency surgery.
Twisting of the fibroid
This can cause blocked blood vessels that feed the tumour. You may need surgery if this happens.
Anemia
Anemia (not having enough red blood cells) from heavy bleeding.
Urinary tract infections
If the fibroid presses on the bladder, it can be hard to empty your bladder completely.
Infertility
in rare cases

About Treatment at Pelvinic

At Pelvinic, we perform a specialised Hysteroscopy Treatment for treating Uterine Fibroid. Here are some advantages of our Hysteroscopy Treatment over the Traditional Surgical Procedure.
logo Less Pain
Our Hysteroscopy Treatment is Painless, compared to Open surgery procedure which is painful.
logo No tissue damage
Our Hysteroscopy Treatment cause minimal cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo No Diet Restrictions
Our Hysteroscopy Treatment doesn't cause cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo Fast Recovery
Can resume work immediatly
logo Minimally Invasive
Our Hysteroscopy Treatment is minimally invasive compared to open surgery for which its large
logo No Rest Required
Go back to a normal routine within 2 to 4 days.

Patient Testimonials

avatar
Dr Renuka, a Dentist by profession was having problems in having baby owing to large uterine fibroid. She consulted Dr Meenakshi and taking her treatment helped her become a proud mother of a sweet little kid. She not only got the benefits of normal delivery but also chose to become a member of proud Pelvinic family.
Dr Renuka
New Delhi

Treatment Procedure for Uterine Fibroid

For a proper diagnosis, you’ll need to see a experienced gynaecologist to get a pelvic exam. Dr. Meenakshi Banerjee, is one of the best gynaecologist in Delhi/Ncr. This pelvic exam is used to check the condition, size, and shape of your uterus. You may also need other tests, which include:

Ultrasound-An ultrasound uses high-frequency sound waves to produce images of your uterus on a screen. This will allow your doctor to see its internal structures and any fibroids in uterus. A transvaginal ultrasound, in which the ultrasound wand is inserted into the vagina, may provide clearer pictures since its closer to the uterus during this procedure.

Pelvic MRI- This in-depth imaging test produces pictures of your uterus, ovaries, and other pelvic organs.

Hysterosalpingography-Hysterosalpingography (HSG) uses a dye to highlight the uterine cavity and fallopian tubes on X-ray images. Your doctor may recommend it if infertility is a concern. This test can help your doctor determine if your fallopian tubes are open or are blocked and can show some submucosal fibroids.

Hysteroscopy-This is a surgical procedure performed to gain direct visualization of the uterine cavity. It does not visualize or treat fibroids outside the cavity.
Medications for Uterine Fibroids target hormones that regulate your menstrual cycle, treating symptoms such as heavy menstrual bleeding and pelvic pressure. They don't eliminate fibroids, but may shrink them like

• Oral contraceptives, can help control menstrual bleeding, but they don't reduce fibroid size.
• Intrauterine devices (IUDs) that release hormones to help reduce heavy bleeding and pain.
• Non hormonal and antispasmodic medication is used to reduce the amount of blood flow.
• Hormone shots to help shrink fibroids by stopping ovulation. Most often, this therapy is used only for a short time to shrink fibroids before surgery.
• Iron supplements to prevent or treat anemia due to heavy periods.
• Pain relievers such as ibuprofen or naproxen for cramps or pain
Since most fibroids stop growing or may even shrink as you approach menopause. "Watchful waiting." in this condition monitors your symptoms carefully to be sure that there are no significant changes. If your fibroids are large or cause significant symptoms, treatment may be an option. Treatment will be based on your age, fertility goals, the number and size of your fibroids, any previous fibroids treatments, and other health conditions. PELVINIC offers to their patient’s complete evaluation with discussion of different treatment modalities individualised as per need instead of limiting their option. We have a well equipped gynecology and laparscopic gynecology department to aid the detection and the treatment of the Uterine Fibroids. Over the years the centres have been instrumental in performing various surgeries for infertility management and pain management caused due to Uterine Fibroids. Numerous women have been treated medically also.

Surgery and procedures used to treat fibroids include:
• Hysteroscopy -- This procedure can remove fibroids growing inside the uterus.
• Endometrial Ablation - This procedure is sometimes used to treat heavy bleeding associated with fibroids. It works best when the fibroids are small in size. It often stops menstruation completely.
• Uterine Embolization -- This procedure stops the blood supply to the fibroid, causing it to shrink and die. This may be a good option if you wish to avoid surgery and are not planning to become pregnant.
• Myomectomy -- This surgery removes the fibroids from the uterus. This also may be a good choice if you want to have children. It will not prevent new fibroids from growing. If your condition worsens, or if no other treatments work, you may suggest for a hysterectomy.
• Hysterectomy -- This surgery removes the uterus completely. It may be an option if you do not want children, medicines do not work, and you cannot have any other procedures
• Try to rest as much as possible for two weeks.
• Avoid standing for more than a few minutes at a time.
• Continue to take your medications, and follow strictly the instructions on taking your antibiotics.
• After two weeks, aim to walk for about 10 minutes every day, unless advised otherwise by your doctor.
• Depending on the type of surgery, you can return to work within two to six weeks (abdominal myomectomy takes the longest recovery time).
• If you have any excessive vaginal bleeding, or signs of infection at your wound site (such as redness, increasing pain, swelling, or an increased or offensive discharge from your wound), see your doctor immediately.

Why Pelvinic

Pelvinic - The Pelvic Floor Clinic, is a proctology specialty center. We offer treatment and cure for diseases in the pelvic area under one roof. Treatment is done by our experienced doctors using latest technologies at a very affordable cost.
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Frequently Asked Questions

Uterine fibroids are growths that form inside the lining of the uterus, on its outer surface, within its wall, or attached by a stem-like structure. They are typically benign.

Out of the entire population of women, approximately 60-80% of women will have fibroids by the time menopause is reached.

The cause of fibroids is not well understood but the hormone estrogen seems to make them grow. Because the highest levels of estrogen are produced during a women’s childbearing years, many women are affected in their 30’s and 40’s.  Fibroids are rare in women under 20, and they typically stabilize in size or shrink after menopause.
A family history of fibroids, obesity, or early onset of puberty can increase the risk of a women developing uterine fibroids.

Most fibroids do not cause any symptoms and you may choose to do nothing. Surgical intervention is required in ~20% of women with fibroids. Treatment of fibroids might be necessary when they cause:

* Long, gushing periods and cramping

* Spotting or bleeding between periods 

* Painful periods 

* An urge to urinate often

* Pain during sex

* Lower back pain 

* Pelvic pain

* Difficulty getting pregnant 

* Problems during pregnancy, such as miscarriage or preterm labor

* Constipation and backache

* Fullness or pressure in your belly

The diagnosis of uterine fibroids can often be done through a pelvic exam. Your doctor may send you to have an ultrasound or another type of test that shows pictures of your uterus. These help your doctor see how large your fibroids are and where they are growing.

Not all fibroids require intervention. In some cases, such as large fibroids, or when a woman is experiencing infertility, it may be necessary to surgically remove the uterine fibroid(s). Your doctor will discuss all options with you.