Doctors for Uterine Fibroids in Hyderabad

Uterine fibroids refer to non-cancerous growths that develop in the uterus. These growths are composed of smooth muscle cells and fibrous connective tissue. They can vary in size, location, and number, and may cause symptoms such as heavy menstrual bleeding, pelvic pain, frequent urination, and infertility. Fibroids are common in women of reproductive age and may be diagnosed through imaging tests such as ultrasound or MRI.

The available treatment options for uterine fibroids can differ based on factors such as the size and position of the fibroids, the intensity of symptoms experienced, and the patient's age and overall health. These are the different types of uterine fibroids treatments available:

• Medications: The symptoms of uterine fibroids may be managed with a variety of prescription medications. Hormonal medications, such as birth control pills, can be beneficial in regulating the menstrual cycle, minimizing heavy bleeding, and alleviating pain associated with uterine fibroids. GnRH agonists work by temporarily inducing a menopause-like state, leading to shrinkage of the fibroids and relief from symptoms. Progestin-releasing intrauterine devices (IUDs) can also contribute to the reduction of heavy bleeding and pain experienced with uterine fibroids.
• Myomectomy: During a myomectomy, the uterus is preserved while fibroids are surgically removed. Myomectomy is a viable choice for women who desire to maintain their fertility and are experiencing substantial symptoms caused by fibroids.
• Hysterectomy: A hysterectomy is a surgical procedure in which the uterus is removed in its whole. It is a permanent solution for uterine fibroids and is typically considered when other treatments have failed or for women who no longer desire fertility.
• Endometrial ablation: The objective of this procedure is to eliminate or destroy the uterine lining in order to minimize excessive menstrual bleeding. It is generally not recommended for treating fibroids directly but can be an option for women who have fibroids primarily causing heavy bleeding.
• Uterine artery embolization (UAE): Uterine artery embolization is a minimally invasive procedure that aims to induce shrinkage of fibroids and alleviate symptoms by obstructing their blood supply. Uterine artery embolization (UAE) is often suggested for women who desire to retain their uterus and fertility.

These are potential causes for uterine fibroids surgery:

• Non-surgical treatments have not worked: In some cases, non-surgical treatments like medication or hormone therapy may be insufficient to alleviate the symptoms of uterine fibroids. Surgery may be considered the most appropriate course of action in such circumstances.
• Significant loss of function: If uterine fibroids are causing significant loss of function, such as difficulty with bladder or bowel movements, surgery may be required to restore normal function.
• Severe pain that affects daily life: Women with uterine fibroids may experience severe pain that affects their ability to carry out daily activities. In situations where non-surgical treatments fail to provide pain relief, surgery may be taken into consideration.
• Large or rapidly growing fibroids: If uterine fibroids are large or growing rapidly, surgery may be necessary to prevent complications such as obstruction of the uterus or other organs.
• Infertility issues: Uterine fibroids can cause fertility issues, and in some cases, surgery may be necessary to remove the fibroids and improve a woman's chances of getting pregnant.
• Bleeding issues: Women with heavy and prolonged menstrual bleeding caused by uterine fibroids may require surgery to remove the fibroids and prevent further blood loss.
• Concerns about cancer: In rare cases, uterine fibroids may be cancerous.If there is a suspicion of cancer, surgical intervention may be required to excise the fibroids and prevent the potential spread of cancerous cells.

Before undergoing surgery for uterine fibroids, several diagnostic tests and evaluations may be performed to gather information about the size, location, and number of fibroids, as well as to assess overall health. Here are some common diagnostic procedures and tests:

• Pelvic examination: A pelvic examination enables the physician to assess the size, shape, and position of the uterus, as well as examine for any unusual growths or alterations.
• Transvaginal ultrasound: This imaging technique utilizes high-frequency sound waves to generate precise and detailed images of the uterus and adjacent structures. It aids in assessing the dimensions, placement, and quantity of fibroids.
• Pelvic MRI (Magnetic Resonance Imaging): An MRI scan provides detailed images of the uterus, fibroids, and surrounding tissues. It is particularly useful in assessing the size and location of fibroids and identifying potential complications.
• Hysteroscopy: This procedure entails the insertion of a slender, illuminated tube called a hysteroscope through the vagina and cervix, allowing it to reach the uterus. It allows direct visualization of the uterine cavity and can help identify fibroids within the uterine lining (submucosal fibroids).
• Endometrial biopsy: In some cases, an endometrial biopsy may be performed to rule out other causes of abnormal uterine bleeding, such as endometrial cancer or hyperplasia. It involves obtaining a small sample of the uterine lining for microscopic analysis.
• Complete Blood Count (CBC): A complete blood count (CBC) offers insights into the status of your red blood cells, white blood cells, and platelets. A complete blood count (CBC) aids in assessing your overall blood health and can indicate the presence of conditions such as anemia (low red blood cell count) or infection.
• Coagulation Studies: These tests assess your blood's ability to clot properly. Tests such as Prothrombin Time (PT) and Activated Partial Thromboplastin Time (aPTT) may be included in the diagnostic evaluations. These tests help ensure that your blood can clot appropriately during and after surgery to prevent excessive bleeding.
• Blood Typing and Crossmatching: Blood typing determines your blood group (A, B, AB, or O) and Rh factor (positive or negative). Crossmatching is conducted when there is a possibility of needing a blood transfusion during or after a surgical procedure. It ensures compatibility between your blood and potential donor blood.
• Basic Metabolic Panel (BMP): This panel measures various electrolytes (such as sodium, potassium, and calcium), kidney function markers (such as blood urea nitrogen and creatinine), and blood glucose levels. It helps assess your overall metabolic health and kidney function.

The usual procedure for uterine fibroids surgery is as follows:

• Anesthesia Administration: To ensure the patient does not experience any pain during the process, anesthesia is administered.
• Incision: To reach the uterus, the surgeon creates a small incision in the abdominal area.
• Uterus Exposure: The surgeon pulls the uterus out of the abdominal cavity to expose the fibroids.
• Fibroid Removal or Repair: The surgeon then removes or repairs the fibroids depending on their size, location, and number.
• Uterus Suturing: After removing or repairing the fibroids, the surgeon closes the uterus with sutures or staples.
• Incision Closure: Finally, the surgeon closes the incision with stitches or staples.
• Post-Operative Care: The patient is then taken to the recovery room where she is monitored for any signs of complications.
• Discharge: Once the patient has recovered from the operation, she is discharged from the hospital with instructions for post-operative care.

The following are some of the advantages of having surgery to treat uterine fibroids:

• Reduced pain and discomfort: Surgery for uterine fibroids can help alleviate the pain and discomfort that women experience due to the presence of these benign tumors. This can contribute to enhancing their overall quality of life.
• Improved mobility and function: Women with uterine fibroids may experience difficulty in performing daily activities due to the pain and discomfort associated with the condition. Surgery can aid in enhancing mobility and functionality, enabling individuals to resume their regular activities.
• Improved quality of life: Surgery for uterine fibroids can help improve the overall quality of life of women by reducing symptoms such as heavy bleeding, pelvic pain, and discomfort during sexual intercourse.
• Reduced risk of complications: In certain situations, uterine fibroids can result in complications such as anemia or fertility issues. Surgery can reduce the likelihood of these complications and enhance the health of women.
• Faster recovery: With advances in surgical techniques and technology, uterine fibroids surgery can now be performed using minimally invasive procedures, which can help reduce recovery time and improve outcomes.
• Increased fertility: Women who wish to conceive may benefit from surgery for uterine fibroids, as it can help improve their chances of getting pregnant by reducing the size and number of fibroids in the uterus.

The following are some of the potential risks associated with uterine fibroids surgery:

• Pain and Discomfort: Patients may encounter pain and discomfort in the pelvic region, lower abdomen, or back. Pain may be managed with pain medication prescribed by the doctor.
• Swelling and Bruising: Patients may observe swelling and bruising near the location of the incision. Swelling and bruising may be managed with ice packs and rest.
• Infection: Infections at the location of the incision or inside the uterus may occur in patients. Signs of infection may encompass symptoms such as fever, redness, swelling, and discharge. To address the infection, healthcare providers may recommend the use of antibiotics.
• Bleeding: Patients may encounter postoperative bleeding following the surgery. Excessive bleeding may require additional medical treatment or surgery to stop the bleeding.
• Scarring: Patients may develop scars at the incision site. Scarring may fade over time, but some patients may require additional treatment to reduce the appearance of scars.

The duration of recovery following treatment for uterine fibroids can differ based on individual factors and the specific type of treatment administered. Following surgical interventions like myomectomy or hysterectomy, the recovery period can span from several weeks to several months. After non-surgical treatments (such as medications, endometrial ablation, UAE), recovery time is generally shorter compared to surgical procedures. Depending on the exact treatment received, recovery time might range from a few days to a few weeks.

Here are some ways to recover after Uterine Fibroids treatment:

• Rest and Avoid Physical Activity: Following any surgical procedure, the body requires adequate rest to facilitate the healing process. Therefore, recommended rest periods may vary depending on the procedure performed. Patients should avoid lifting heavy objects, bending, and other strenuous activities that could prolong healing.
• Use Ice or Heat to Reduce Pain and Swelling: Applying ice or heat can help to soothe muscle pain and swelling after Uterine Fibroids treatment. During the initial 24-48 hours after surgery, it is recommended to apply ice packs to minimize inflammation. Once the initial period has passed, individuals may apply heat to the affected area to enhance blood circulation and alleviate discomfort.
• Follow a Rehabilitation Plan Prescribed by a Healthcare Provider: Patients are usually provided with a rehabilitation plan recommended by their healthcare provider. The plan may include mild exercises to restore range of motion, pelvic floor exercises to strengthen the muscles, and/or techniques to promote overall healing.
• Wound Care: If you have an incision, keep it clean and dry as per your doctor's instructions. Adhere to dressing changes as instructed and remain vigilant for signs of infection, such as heightened redness, swelling, or drainage.
• Supportive Undergarments: Consider using supportive undergarments, such as abdominal binders or postoperative compression garments, as recommended by your healthcare provider. These can provide comfort and support during the healing process.
• Diet and Hydration: Follow a healthy and balanced diet to support healing. Maintain proper hydration by consuming an appropriate quantity of water. Avoid constipation by including fiber-rich foods and possibly taking stool softeners if prescribed.