Dr Usha M Kumar

Symptoms and Treatments of Fibroids.

Hello friends! I’m Dr. Usha. M. Kumar. I’m Senior Consultant and Gynae Endoscopic Surgeon at Max Super Speciality Hospital. I want to discuss one very common problem is fibroids. Because when I sit in OPD, I see many patients of fibroids every day and this is a problem which usually happen to 40+ of women but it can happen to the young girls as well and you will be very surprised to know sometimes the fibroids are there in your womb and you don’t even come to know and you are going to the doctor with some other problem and when we advise ultrasound and all of a sudden we see there are the fibroids. It can be totally asymptotic as well but sometimes, in the young girls, if they are having fibroids, they can have the problems.

First of all, I would like to tell you very important thing, if you have fibroids, there is nothing to be scared of. Because fibroids, these are non-fleshy and basically non-cancerous tumour. So, fibroids if you have, it can cause problems in the terms suppose if it is inner line of uterus, this can cause difficulty in conception and if it is in the outer wall and it is very big in size , it can cause some pressure symptoms like you may have only the back ache or might you have to go many times to pass urine so, frequency of urine is more because of pressure of that fibroid and sometimes, if it is in the inner lining of uterus or in the middle layer of uterus, it can cause heavy periods which is a very common problem I’m usually facing and most of the women are facing they come to my OPD so if, the young girls or married young girls say 22-30 , 22-40 if they are having fibroid and they are having problem in the conception, treatment is very simple.

Now, the medical technology has become so much advanced so with the very small equipment , we can take out the fibroids without making any cut in the body, so this we call endoscopic surgery and basically I’m expert of endoscopic surgeries and if this fibroid is big in size and it’s causing heavy periods and it’s more than 3cm, you have taken medicine, nothing is helping you then, the option is , if you want to save your uterus, we can only remove fibroid again with the help of key hole surgery which we also call minimally invasive or laparoscopic surgery. So, it hardly makes , 0.5cm or 1cm of cut, we can take out any size of fibroid.

Only thing we have to use morcellator which can cut down the big size of the fibroid in the small pieces and I mean it’s a very wonderful surgery and people are surprised to know up to 8cm or 10 cm of fibroid can be removed with laparoscopic surgery. I would like to give you very important tip, fibroids, most of the time, they are genetically inherited and if your sister has got fibroid, or your mother has got fibroid then, you have little higher possibilities to have fibroid but, of course, the most important thing for all girls, all women, is taking balanced diet, taking more and more antioxidants in your food and do lots of exercise. This can prevent many of the problems in women and if you really happen to have such problem, you can contact me in Max Smart Super Speciality Hospital.

I’m sitting here every day or you can come to my clinic that’s Progeny in Dayanand Colony Lajpat Nagar 4. You can call me, you can check me and you can send your problems through Lybrate and then, you can send your queries. I can answer your queries or, otherwise, you can fix up an appointment with me in these two places. Thank You!
 

Factors that are making you prone to pcod! + how you can manage it

A problem of the body's endocrine system (a system of hormone producing glands), polycystic ovarian disease (or pcod) affects about 18% of indian women. Women in the age group of 15-30 years make up the majority of the victims of this disease. Although the root cause of this problem is still unknown, it can be a result of:

1. Genes

A family history of pcod can increase your risk of developing the endocrine disorder. Even a family history of obesity or diabetes can increase your prospect of developing pcod.

2. Low-grade inflammation

Inflammation occurs when the body's white blood cells (wbcs) produce substances to fight harmful matter that attack the body. A disruption of this natural response of the body can cause low-grade inflammation (a mild but sustained inflammatory response brought on by microbial bacteria called endotoxin). As a consequence, it causes the stimulation of polycystic ovaries to create more androgens (male sex hormones) than female sex hormones. This brings about the appearance of pcod symptoms such as ovulation problem, growth of excessive body and facial hair.

3. Excessive insulin production

Excessive insulin (a hormone produced by the pancreas) production occurs when the cells of the body become resistant to insulin. It causes an increase in the production of androgens, in turn affecting the ovaries' ability to release eggs during ovulation.

4. Obesity

Although not a direct cause of the disorder, being obese can increase your chances of pcod significantly. The excess fat in the body can worsen your insulin resistance, and can consequently bring about an increase in the androgen levels, causing weight gain in the end.

5. Unhealthy eating habits

Irregular meal timings and poor eating habits (a diet rich in sugars and carbohydrates) can make you prone to obesity, a risk factor of pcod.

How to manage the problem of pcod?

Although the condition doesn't have a permanent cure, the symptoms can be easily managed by employing these ways:

- limit the intake of refined sugars and carbohydrates to counter the imbalance of insulin and glucose

- exercise for 30-60 minutes a day to boost metabolism for weight loss as well as control of insulin levels

- avoid coffee and other caffeine stimulants that may cause an increase in the production of insulin

- avoid dairy based products and red meat

- include lean meat in your diet

- avoid saturated fats (found in baked foods and lamb, cheese and other dairy products) to control your cholesterol levels

- consume foods that have a low glycaemic index (a scale for determining the effect of food on blood sugar level) such as brown rice, wheat pasta and wholegrain.

'consult'.