Doctors for Uterine Fibroids

Uterine fibroids, commonly referred to as leiomyomas, are benign tumors that form in the uterus's muscular tissue. They can vary in size, ranging from as small as a pea to as large as a melon, and can cause symptoms such as heavy menstrual bleeding, pelvic pain, and frequent urination.

There are various types of Uterine Fibroids Treatments

• Hormonal therapy: This treatment involves using medications to regulate hormones and control fibroid growth. These drugs may consist of progestin-releasing intrauterine devices, GnRH agonists, and birth control tablets (IUDs).
• Uterine artery embolization: With this minimally invasive surgery, the fibroids are made smaller by cutting off their blood supply. It is carried out by a radiologist and normally only needs a little period of recuperation.
• Hysterectomy: Only via this surgical technique, which entails removing the whole uterus, are fibroids guaranteed to be cured. It is often only used by women who are finished having children or don't want to.
• Myomectomy: The uterus is not affected by this surgery, just the fibroids are removed. For women who want to maintain their fertility, it is an option.
• MRI-guided focused ultrasound surgery: High-intensity ultrasound pulses are used during this minimally invasive technique to remove fibroids. It doesn't need any incisions and is carried out while the patient is in an MRI scanner.
• Laparoscopic radiofrequency ablation: The fibroids are eliminated via this minimally invasive surgery using heat radiation. Little abdominal incisions are made to execute it.
• Endometrial ablation: By removing the uterine lining, this surgery helps lessen the excessive bleeding brought on by fibroids. A hysteroscopy, a small tube with a camera attached that is put into the uterus, is commonly used to perform this procedure.
• Acupuncture: In order to assist reduce pain and other symptoms associated with fibroids, this alternative treatment involves inserting tiny needles into the skin at particular locations.
• Herbal remedies: There are several herbal treatments that claim to aid with fibroids symptoms. These may include black cohosh, chaste berry, and ginger.

There are various reasons why Uterine Fibroids are needed, some of the reasons are listed below:

• Severe or persistent symptoms: Surgery may be recommended for uterine fibroids if the symptoms are severe and significantly affect the quality of life. This can include heavy or prolonged menstrual bleeding, pelvic pain or pressure, urinary or bowel problems, and anemia due to excessive blood loss.
• Large or rapidly growing fibroids: When fibroids are particularly large, causing enlargement of the uterus or distorting its shape, surgery may be necessary. Large fibroids can lead to increased discomfort, pressure on surrounding organs, and potential fertility issues.
• Fertility concerns: If a woman is experiencing infertility or recurrent miscarriages and fibroids are suspected as the cause, surgery may be considered. Depending on the location and size of the fibroids, surgical interventions such as myomectomy (removal of fibroids) can be performed to improve fertility outcomes.
• Failure of other treatments: If conservative approaches and non-surgical treatments have been unsuccessful in relieving symptoms or reducing the size of fibroids, surgery may be recommended. This is especially true if the fibroids continue to grow or cause significant complications.
• Postmenopausal women: In postmenopausal women, the presence of fibroids can sometimes indicate a higher risk of cancer or other abnormalities. In such cases, surgical removal of the fibroids may be advised to rule out any potential malignancy or to alleviate symptoms.
• Patient preference: Ultimately, the decision to undergo surgery for uterine fibroids is based on individual circumstances and patient preference. If a woman is experiencing significant discomfort or desires definitive treatment, surgery may be a suitable option.

Before undergoing surgery for uterine fibroids in India, several diagnostic tests may be performed to evaluate the condition and plan the appropriate surgical approach. Here are some common tests that may be conducted:

• Pelvic Ultrasound: The uterus and pelvic organs may be seen in pictures produced by this imaging examination using sound waves. It helps visualize the size, location, and number of fibroids and provides valuable information for surgical planning.
• Magnetic Resonance Imaging (MRI): The uterus and fibroids may be seen in great detail on an MRI scan. It can help determine the exact size, location, and characteristics of the fibroids, aiding in surgical decision-making and preoperative assessment.
• Pap Smear: To check for cervical cancer or other abnormal changes in the cervical cells, a Pap smear is carried out. It is typically done as a routine part of preoperative evaluations.
• Endometrial Biopsy: To investigate the tissue lining the uterus, an endometrial biopsy may be suggested in specific circumstances (endometrium). It helps rule out any other potential abnormalities, such as endometrial cancer or hyperplasia, which can coexist with fibroids.
• Transvaginal or Pelvic Sonohysterogram: These tests involve the use of ultrasound and saline infusion to evaluate the uterine cavity. They can help identify any abnormalities within the uterus, such as polyps or submucosal fibroids, which may require specific surgical approaches.
• Complete Blood Count (CBC): This test may assess your overall blood health and look for any possible problems by gathering data on your red blood cells, white blood cells, and platelets.
• Coagulation Profile: This test measures your blood's ability to clot properly. It helps assess the risk of excessive bleeding during or after surgery.
• Blood Type and Rh Factor: Determining your blood type and Rh factor is important for potential transfusion needs during surgery.
• Kidney and Liver Function Tests: These tests evaluate the functioning of your kidneys and liver, ensuring that they are healthy enough to metabolize medications and handle the stress of surgery.
• Electrolyte Levels: This test measures the levels of various electrolytes in your blood, such as sodium, potassium, and calcium, which are crucial for maintaining proper bodily functions.
• Pregnancy Test: If there is a possibility of pregnancy, a pregnancy test may be conducted to ensure the safety of the surgery.

The various steps involved in Uterine Fibroids operation are:

• Pre-surgical evaluation: A comprehensive medical examination is performed on the patient before surgery to see if they are healthy enough to have it and to detect any potential dangers or consequences.
• Anesthesia: To guarantee that the patient is asleep and pain-free throughout the surgery, anesthesia is administered.
• Incision: To reach the uterus and fibroids, the surgeon creates a little abdominal incision. Traditional open surgery or less invasive laparoscopic surgery may be used to accomplish this.
• Fibroid removal: Depending on the size, position, and quantity of the fibroids, the surgeon employs a variety of techniques to remove them from the uterus. To separate the fibroids, many techniques may be used, such as cutting, freezing, or high-frequency sound waves.
• Uterine repair: During the treatment, the surgeon will repair any uterine damage the fibroids may have caused. This could include cutting away damaged tissue or using sutures.
• Closure: The surgeon uses stitches or staples to seal the wound when the procedure is finished. After that, the patient is watched in the recovery room before being transferred to an ordinary hospital room.
• Post-operative care: After the surgery, the patient is monitored for any complications or side effects such as pain, bleeding, or infection. They may be prescribed pain medication and will need to follow a strict recovery plan including rest, limited activity, and follow-up appointments with their doctor.

There are many benefits of Uterine Fibroids Surgery, some of them include:

• Reduced pain and discomfort: Uterine Fibroids surgery in India can help reduce the pain and discomfort caused by fibroids. Surgery may relieve fibroid-related menstrual bleeding, pelvic discomfort, and pressure.
• Improved mobility and function: Fibroids may impair movement, making regular chores difficult. Surgery may restore women's mobility and function.
• Improved quality of life: India's uterine fibroids surgery may enhance a woman's life. Women may live better by lowering pain, enhancing mobility, and eliminating the need for medical care.
• Reduced risk of complications: Fibroids can lead to complications such as anemia, urinary tract infections, and other health issues. Surgery reduces these risks and improves health.
• Improved fertility: For women who are trying to conceive, fibroids can pose a significant challenge. Surgery can help improve fertility by removing fibroids and improving the chances of successful conception.
• Reduced need for medication: Surgery can eliminate the need for medication to manage fibroid symptoms, reducing the risk of side effects and improving overall health.
• Minimally invasive options: In India, there are several minimally invasive options available for uterine fibroid surgery, which can significantly reduce recovery time and improve overall outcomes.

The potential side effects of Uterine Fibroids Surgery are mentioned below:

• Pain and discomfort: After the surgery, patients may experience pain and discomfort in the abdominal area, which can last for several days or weeks.
• Swelling and bruising: Uterine fibroids surgery often causes incision site swelling and bruising. This can also cause some discomfort and may take a few weeks to heal.
• Infection: Surgery, particularly uterine fibroids surgery, may cause infection. Patients may experience fever, chills, and abdominal pain if this occurs.
• Bleeding: Some patients may experience heavy bleeding after the surgery, which can be a cause for concern. If bleeding persists, seek medical treatment.
• Adhesion formation: In rare cases, adhesions may form after uterine fibroids surgery. This might hurt and need care.
• Damage to nearby organs: A slight chance exists that the procedure may harm surrounding organs, which might result in issues like bleeding or infection.
• Anaesthesia complications: Patients may experience complications related to anaesthesia, such as nausea, vomiting, or allergic reactions.
• Blood clots: Each kind of surgery, including treatment for uterine fibroids, has the risk of blood clots developing afterward. This may be a dangerous issue that has to be treated right away by a doctor.

The recovery time after uterine fibroids treatment can vary depending on the specific treatment approach used. Minimally invasive procedures such as laparoscopic or robotic surgery typically require a shorter recovery time of about one to two weeks. However, more invasive procedures like traditional open surgery or hysterectomy may require a longer recovery period of about four to six weeks.

After undergoing treatment for uterine fibroids, it is crucial to take time to recover and allow your body to heal. Here are some essential steps to follow:

• Rest and Avoid Physical Activity: It is crucial to give your body enough time to recover and heal after undergoing uterine fibroids treatment. During the healing stage, refrain from physical activity like carrying heavy things and doing demanding workouts. To guarantee complete recovery, you may also need to take some time off work.
• Use Ice or Heat to Reduce Pain and Swelling: You can suffer some discomfort and edema in the treated region after receiving therapy. Using ice or a hot pack might help decrease swelling and alleviate discomfort. Ice, in particular, can help with any inflammation.
• Follow a Rehabilitation Plan Prescribed by a Healthcare Provider: Your healthcare provider may recommend specific exercises and activities to help speed up your recovery. To ensure a full recovery, it is crucial that they adhere to their rehabilitation schedule and show up for any required follow-up visits.
• Take Care of Your Mental Health: Going through treatment for uterine fibroids can be challenging both physically and emotionally. It's crucial to look after your mental health by doing things you like and getting support from a professional if necessary.