Doctors for Uterine Fibroids in Kolkata

Uterine fibroids, commonly known as leiomyomas, are non-cancerous growths that develop in the uterine walls. They vary in size and number and can cause symptoms such as heavy menstrual bleeding, pelvic pain, and abdominal swelling. Fibroids are common in women of reproductive age, and while they usually aren't harmful, they may require treatment in some cases.

Here are the types of uterine fibroids treatments available:

• Medications: Medications can help reduce the size of fibroids and relieve symptoms. Hormonal medications such as birth control pills, GnRH agonists, and progestin-releasing intrauterine devices are commonly prescribed for this purpose.
• Myomectomy: Myomectomy is a surgical treatment that removes fibroids while leaving the uterus undisturbed. It is usually recommended for women who want to keep their fertility or who have symptomatic fibroids.
• Hysterectomy: This results in the complete removal of the uterus and is considered a permanent treatment for uterine fibroids.
• Endometrial ablation: Endometrial ablation is a minor surgical treatment that removes the uterine lining to lessen or eliminate heavy menstrual bleeding. It is typically prescribed to women who experience heavy periods due to small or medium-sized fibroids.

There are many reasons for uterine fibroids surgery, including:

• Non-surgical treatments have not worked: In some cases, non-surgical treatments like medication or hormone therapy may be insufficient to mitigate the symptoms of uterine fibroids. In such circumstances, surgery may be the best choice.
• 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. Surgery may be considered if non-surgical methods of pain alleviation are unsuccessful.
• 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. In the case that malignancy is detected, surgical removal of the fibroids may be required.

Before undergoing uterine fibroids surgery, various diagnostic tests and evaluations are typically performed to assess the condition and ensure the most appropriate surgical approach. These may include:

• Medical history and physical examination: Your healthcare provider will review your medical history and conduct a thorough physical examination, including a pelvic examination, to assess the size, location, and number of fibroids.
• Ultrasound: This non-invasive test creates images of the uterus and fibroids using sound waves. It helps in figuring out how many, where, and how big the fibroids are.
• Magnetic Resonance Imaging (MRI): MRI provides detailed images of the uterus and fibroids, allowing better visualization and assessment of their characteristics, such as size, location, and blood supply. MRI may be particularly useful for surgical planning.
• Hysteroscopy: In certain circumstances, a hysteroscopy to inspect the interior of the uterus may be required. This procedure involves inserting a thin, lighted tube with a camera (hysteroscope) through the vagina and cervix to visualize the uterine cavity and detect any abnormalities, such as fibroids.
• Complete Blood Count (CBC): This test computes the concentrations of red blood cells, white blood cells, and platelets. It helps evaluate your overall blood health and detect any signs of infection or anaemia.
• Coagulation Profile: Coagulation tests, such as Prothrombin Time (PT) and Activated Partial Thromboplastin Time (aPTT), assess your blood's ability to clot properly. These tests help identify any bleeding disorders or abnormalities in clotting factors.
• Blood Typing and Crossmatching: Blood typing determines your blood group (A, B, AB, or O) and Rh factor (positive or negative). If a blood transfusion is required before or following surgery, crossmatching is performed. It ensures compatibility between your blood and potential donor blood.
• Liver Function Tests: These tests measure liver enzymes and other markers to assess the health and function of your liver.
• Renal Function Tests: These tests evaluate kidney function and include measurements of blood urea nitrogen (BUN) and creatinine levels. They help determine your kidneys' capacity to filter waste from your blood.
• Electrolyte Levels: Blood tests may be performed to determine electrolyte levels such as sodium, potassium, and calcium. Imbalances in electrolyte levels can affect various bodily functions and may need to be corrected before surgery.

The steps involved in the uterine fibroids operation are as follows:

• Anesthesia Administration: Before the procedure, the patient is given an anaesthetic to ensure that she stays asleep and does not experience any discomfort. The specific type of anaesthesia used may vary, but it is typically general anaesthesia.
• Incision: A small incision in the abdomen is made by the surgeon. The location and size of the incision can vary depending on the surgical approach chosen (such as abdominal surgery, laparoscopy, or hysteroscopy).
• Uterus Exposure: To expose the fibroids, the surgeon carefully pulls the uterus out of the abdominal cavity. This refines visibility and access to 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 carefully closes the uterus with sutures or staples.
• Incision Closure: Once the uterus is closed, the surgeon then closes the initial incision in the abdomen using stitches or staples. This procedure is carried out carefully in order to prevent scarring and promote good wound healing.
• Post-Operative Care: The patient is taken to the rehabilitation room following surgery, where she is closely monitored for any signs of complications.
• Discharge: Once the patient has recovered from the operation and is stable, she is discharged from the hospital with specific instructions for post-operative care. Guidelines for pain management, wound care, activity restrictions, and follow-up appointments may be included in these instructions.

The following are a few advantages of uterine fibroids surgery:

• Reduced pain and discomfort: Uterine fibroids can cause severe pain and discomfort, especially during menstruation. The fibroids can be removed surgically, as well as the pain and discomfort they cause.
• Improved mobility and function: Large uterine fibroids may make regular activities difficult. The fibroids can be removed surgically, improving mobility and function.
• Improved quality of life: Living with uterine fibroids can be challenging and impact a woman's quality of life. By eliminating fibroids and lowering symptoms, surgery may enhance the quality of life.
• Reduced risk of complications: Uterine fibroids can sometimes lead to complications such as anaemia, urinary problems, or infertility. Surgery can reduce the risk of these complications by removing the fibroids.
• Faster recovery: With advances in surgical techniques, recovery times for uterine fibroid surgery have significantly improved. Women can return to their normal activities sooner and with less discomfort.
• Improved fertility: Uterine fibroids might interfere with fertility in certain situations. The fibroids may be surgically removed, improving the likelihood of conceiving and carrying a pregnancy to term.
• Peace of mind: Knowing that the fibroids have been removed can provide women with peace of mind and reduce anxiety about their health.

Possible negative consequences of uterine fibroids surgery include the following:

• Pain and Discomfort: Pain and discomfort in the pelvic area, lower abdomen, or back may be experienced by patients. Pain may be managed with pain medication prescribed by the doctor.
• Swelling and Bruising: The area of the incision may have some swelling and bruising. Rest and ice packs may help reduce swelling and bruising.
• Infection: Both the incision site and the uterus are vulnerable to infection. Infection symptoms may include fever, redness, swelling, and discharge. Antibiotics may be prescribed to treat the infection.
• Bleeding: Following surgery, patients may experience bleeding. Excessive bleeding may require additional medical treatment or surgery to stop the bleeding.
• Scarring: Scarring at the incision site is a possibility. Scarring may fade over time, but some patients may require additional treatment to reduce the appearance of scars.

The time it takes to rehabilitate from uterine fibroids treatment varies, but it can range from a few days to several weeks, depending on the specific treatment method used and individual factors. Here are some ways to rehabilitate after Uterine Fibroids treatment:

• Rest and Avoid Physical Activity: The body requires rest after any surgery in order to heal. 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. To reduce inflammation, ice packs should be used for the first 24-48 hours after surgery. Following that time, patients may apply heat to the affected area to promote circulation and relieve pain.
• 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.
• Manage pain and discomfort: After treatment, you may experience pain or discomfort. Applying a heating pad or taking over-the-counter pain relievers, as recommended by your doctor, can help ease these symptoms.
• Monitor for complications: Be aware of any signs of complications, such as excessive bleeding, severe pain, fever, or signs of infection. Get in touch with your doctor right away if you start experiencing any alarming symptoms.