Doctors for Uterine Fibroids in Mumbai

Uterine fibroids, medically known as leiomyomas, are noncancerous growths that develop within the muscular tissue of the uterus. These benign tumors can range in size from a pea-sized growth to a melon-sized growth. Numerous symptoms, such as excessive menstrual flow, pelvic pain, and more frequent urination, might be present in women with uterine fibroids. The presence of uterine fibroids can lead to heavy and prolonged menstrual periods, causing women to experience excessive blood loss. This can lead to anemia and fatigue. Additionally, fibroids may result in pelvic pain or pressure, often accompanied by a feeling of fullness in the lower abdomen. The size and location of the fibroids can contribute to discomfort and may impact the bladder, leading to frequent urination or even urinary incontinence.

When it comes to treating uterine fibroids, there are various options available to address the symptoms and improve the quality of life for affected individuals. These treatments can range from hormonal therapies to surgical interventions, depending on the specific needs and preferences of the patient. Below are the different types of uterine fibroids treatments in detail;

• Hormonal Therapy: Progestin-releasing intrauterine devices (IUDs): These devices, inserted into the uterus, release progestin hormone to help regulate the menstrual cycle and reduce fibroid-related symptoms.
• GnRH agonists: These medications suppress the production of estrogen and progesterone, leading to a decrease in fibroid size and symptoms. Birth control tablets: Oral contraceptives can be prescribed to manage the symptoms associated with uterine fibroids.
• Uterine Artery Embolization (UAE): In this less invasive surgical approach, a radiologist blocks the blood supply to the fibroids by injecting tiny particles into the uterine arteries. This shrinks the fibroids and relieves the symptoms. UAE typically requires only a short recovery period.
• Hysterectomy: During this surgical procedure the surgeon removes the entire uterus and guarantees the complete elimination of fibroids. Women who are past childbearing or don't want to have kids frequently opt for this alternative.
• Myomectomy: A myomectomy is a surgical procedure aimed at removing fibroids while preserving the uterus. This option is suitable for women who desire to retain their fertility and reproductive capabilities.
• MRI-Guided Focused Ultrasound Surgery: This non-invasive procedure utilizes high-intensity ultrasound waves to heat and destroy the fibroids. It may be conducted without making any incision and is guided precisely by an MRI scanner while the patient is inside.
• Laparoscopic Radiofrequency Ablation: This minimally invasive surgery involves the use of heat energy delivered via radiofrequency waves to remove fibroids. Small abdominal incisions are made to perform the procedure.
• Endometrial Ablation: A surgical treatment called endometrial ablation seeks to lessen the excessive bleeding brought on by fibroids. It involves removing the uterine lining, often using a hysteroscope, a slender tube with a camera, inserted through the cervix.

Determining when surgery is necessary for uterine fibroids involves a careful assessment of symptoms, the impact on daily life, and the effectiveness of non-surgical treatments. Here are some common situations where surgery may be necessary for uterine fibroids;

• Inadequate Symptom Relief with Non-Surgical Treatments: When non-surgical approaches, such as hormonal therapy or medication, fail to provide adequate relief from symptoms like excessive bleeding, pelvic pressure, discomfort, or frequent urination, surgery may be considered.
• Significant Functional Impairment: If fibroids are causing significant functional impairment, such as difficulty with bowel movements or sexual intercourse, and impacting the patient's quality of life, surgery may be recommended to alleviate these symptoms.
• Severe Pain and Daily Life Disruption: When the pain associated with fibroids becomes severe and starts to significantly affect daily life, leading to missed work or social activities, surgery may be necessary to provide relief and improve overall well-being.
• Rapid Growth or Increased Size/Number of Fibroids: If fibroids are rapidly growing in size or number, indicating the potential for future problems and complications, surgery may be required to prevent further complications and address the underlying issue.
• Completed Childbearing and Desire for Definitive Treatment: For women who have completed their childbearing or do not wish to have children, surgery can offer a definitive treatment option by removing the fibroids or the uterus itself.
• Significant Side Effects of Non-Surgical Treatments: If non-surgical treatments for fibroids result in significant side effects that outweigh their benefits, surgical intervention may be considered as an alternative treatment approach.
• Fibroid Location Challenging for Non-Surgical Methods: In cases where fibroids are located in a way that makes them difficult or impossible to treat effectively with non-surgical methods, surgery may be necessary to address the fibroids directly.

Diagnostic tests help the surgeon or doctor gather essential information about the fibroids, their location, size, and overall impact. Here are the common diagnostic tests performed before uterine fibroids operation;

• Pelvic Examination: A pelvic examination is conducted to assess the size, shape, and position of the uterus. The doctor may be able to feel for fibroids during this examination and obtain some preliminary data.
• Ultrasound: Transabdominal or transvaginal ultrasound procedures may be utilized to visualize the uterus and fibroids. These ultrasound techniques provide details on the number, size, and location of the fibroids.
• Magnetic Resonance Imaging (MRI): MRI scans offer more detailed images of the uterus and fibroids, aiding in the identification of their exact location and characteristics. This imaging technique provides valuable information for surgical planning.
• Hysteroscopy: Hysteroscopy is a minimally invasive procedure that involves the insertion of a slender, illuminated instrument known as a hysteroscope through the cervix and vagina into the uterus. This technique enables direct visualization of the uterine cavity, aiding in the identification of uterine fibroids.
• Blood Tests: Follicle-stimulating hormone (FSH) and estradiol levels can be measured by blood testing. These tests provide insights into hormonal imbalances associated with fibroids.
• Complete Blood Count (CBC): A CBC is a thorough blood test that evaluates a person's general health. It helps determine if there is anemia resulting from excessive bleeding caused by fibroids.
• Endometrial Biopsy: In some cases, an endometrial biopsy may be recommended to rule out other conditions that may cause similar symptoms. This entails taking a little sample of the uterine lining for testing in the lab.

The method of surgery used to treat uterine fibroids is determined by a number of variables, including the type and location of the fibroids as well as the extent of their excision. The operation generally takes around two to three hours, but it's important to consult with your healthcare provider for specific details regarding your surgery. Here are the typical steps involved in a uterine fibroids operation;

• Pre-Surgical Evaluation: A thorough medical examination is performed prior to the surgery to evaluate the patient's overall health and spot any possible risks or side effects of the procedure.
• Anesthesia: To ensure the patient's comfort and pain-free experience during the surgery, anesthesia is administered. This keeps the patient asleep throughout the procedure.
• Incision: The surgeon creates a small abdominal incision to gain access to the uterus and fibroids. The surgical technique of choice may range from standard open surgery to minimally invasive laparoscopic surgery.
• Fibroid Removal: Depending on the size, location, and number of fibroids, the surgeon utilizes various techniques to remove them from the uterus. This may involve cutting, freezing (cryotherapy), or using high-frequency sound waves (ultrasound) to break up the fibroids for removal.
• Uterine Repair: If the fibroids have caused any damage to the uterus, the surgeon performs necessary repairs during the procedure. This may involve removing damaged tissue or using sutures to restore the integrity of the uterus.
• Closure: Following the surgical procedure, the incision is stitched or stapled by the surgeon. This guarantees that wounds heal properly. After the closure, the patient is typically monitored in the recovery room before being transferred to a regular hospital room.
• Post-Operative Care: Following the surgery, the patient receives post-operative care to monitor for any complications or side effects such as pain, bleeding, or infection. Pain medication may be prescribed to manage discomfort, and the patient is advised to follow a strict recovery plan that includes rest, limited activity, and scheduled follow-up appointments with their doctor.

The advantages of uterine fibroids surgery in Mumbai can dramatically raise the standard of living for a patient. By addressing the bothersome symptoms associated with fibroids, this surgery provides relief and offers a potential permanent solution. Following are the benefits of uterine fibroids operation;

• Symptom Relief: Uterine fibroids surgery effectively alleviates bothersome symptoms such as heavy menstrual bleeding and abdominal cramps. The fibroids can be removed or treated during this procedure to relieve pain and discomfort.
• Permanent Solution: For women who experience recurrent or persistent symptoms due to uterine fibroids, surgery can offer a permanent solution. By removing the fibroids, the surgery addresses the underlying cause, reducing the likelihood of symptom recurrence.
• Prevention of Fibroid Return: Uterine fibroids surgery aims to remove the existing fibroids and prevent their return. By eliminating the fibroids completely, the surgery reduces the chance of their regrowth, providing long-term relief from associated symptoms.
• Improved Quality of Life: By eliminating painful symptoms and discomfort, uterine fibroids surgery can significantly improve a patient's overall quality of life. It enables people to get back to their regular routines without being constrained by symptoms associated with fibroid.

While uterine fibroids surgery can provide relief from bothersome symptoms and improve quality of life, it is important to be aware of potential side effects. Here are some of the possible side effects associated with this surgery;

• Pain and Discomfort: Following uterine fibroids surgery, some patients may experience pain and discomfort at the incision site or in the pelvic area. This common side effect can be managed with pain medication.
• Excessive Bleeding: In some cases, uterine fibroids surgery may result in excessive bleeding. However, this is comparatively uncommon and is typically manageable by the surgical team while doing the operation. If excessive bleeding occurs, additional medical intervention may be required.
• Infection: Uterine fibroids surgery carries the same risk of infection as any other surgical technique. The surgical team takes safety measures to reduce this risk, including giving antibiotics both before and after the procedure. However, it is important to watch for signs of infection, such as fever, increased pain, or abnormal discharge, and seek medical attention if necessary.
• Need for Repeat Surgical Procedure: In some cases, fibroids may recur or new fibroids may develop after the initial surgery. This may require a repeat surgical procedure to address the new growths.
• Damage to Surrounding Organs: Although extremely unlikely, there is a slight possibility that uterine fibroids surgery could harm neighboring organs. Skilled surgeons take precautions to avoid such complications, but it is important to be aware of this potential risk.
• Urinary or Bowel Issues: In certain cases, uterine fibroids surgery may lead to temporary urinary or bowel issues, such as difficulty urinating or constipation. These issues are usually temporary and resolve with time and proper management.
• Infertility and Pregnancy Complications: Depending on the extent and location of the fibroids, surgery may affect fertility. Additionally, in rare cases, uterine fibroids surgery may pose a slight risk of pregnancy complications in future pregnancies, such as preterm labor or placental problems.
• Need for Hysterectomy (Rare): While most uterine fibroids surgeries aim to preserve the uterus, there may be instances where a hysterectomy (removal of the uterus) is necessary. This is typically a last resort option and is only considered in certain cases where other treatments are ineffective or when there are other medical concerns.

Recovery after uterine fibroids treatment is an important phase that allows the body to heal and regain strength. Here are some guidelines to help you recover after uterine fibroids treatment;

• Before the Procedure
1. The patient will be provided with a hospital gown to change into. This helps maintain a sterile environment during the surgery and allows for easy access to the surgical area.
2. The medical team will perform a pre-operative assessment, which may include checking the patient's medical history, allergies, and current medications.
3. They may also conduct additional tests or evaluations, such as blood tests, imaging scans, or an electrocardiogram (ECG), if required.
4. An intravenous (IV) line will be inserted to administer fluids and medications during the surgery. This ensures the patient remains hydrated and receives any necessary medications throughout the procedure.
5. The patient's vital signs, including blood pressure, heart rate, and oxygen saturation, will be checked to ensure they are stable and within a safe range.
6. The surgical team will clean and sterilize the surgical site to reduce the risk of infection.
7. They may also use drapes to cover the surrounding areas and maintain a sterile field during the procedure.
8. The patient will be positioned on the operating table as per the requirements of the surgery.
9. The surgical team will ensure the patient is comfortable and properly positioned, and they will place monitoring devices to continuously monitor vital signs.
10. The patient will be prepared for the surgery by administering anesthesia. The type of anesthesia used may vary based on the surgical procedure and the patient's health condition.
11. An anesthesiologist will monitor the patient's vital signs throughout the procedure to ensure their safety and comfort.
• During the Procedure
1. Uterine fibroid surgery is an invasive procedure aimed at removing abnormal growths (fibroids) from the uterus. The surgical team will make efforts to minimize excessive bleeding during the procedure.
2. It is normal to experience some bleeding during and after the surgery. However, this is typically not a cause for concern. Remain relaxed and maintain faith in the success of the surgery, as it is usually effective in treating uterine fibroids.
• After the Procedure
1. Following uterine fibroids treatment, each day brings improvements in your overall well-being and strength. It is typical to feel weak easily and need pain medication for a week or two after surgery.
2. It is important to note that complete recovery after uterine fibroid surgery may take four to six weeks. During this time, it is advisable to avoid lifting heavy objects and engage in activities that may strain the body.
3. Follow your doctor's instructions regarding medication, pain management, and post-operative care. Attend each of your scheduled follow-up appointments so you can track your progress and handle any issues.