Fibroid
Fibroid
Uterine fibroids are non-cancerous growths of the uterus that commonly affect women of reproductive age. Treatment depends on fibroid size, number, location, symptoms, age, and future fertility plans.
Types of Fibroids
- Intramural fibroids
- Submucosal fibroids
- Subserosal fibroids
- Pedunculated fibroids
Symptoms
- Heavy or prolonged menstrual bleeding
- Pelvic pain or pressure
- Infertility or recurrent miscarriage
- Frequent urination or constipation
- Abdominal enlargement
Diagnosis
- Pelvic examination
- Transvaginal or abdominal ultrasound
- MRI (in selected cases)
- Hysteroscopy for submucosal fibroids
Treatment Options
Observation
Small, asymptomatic fibroids
Regular monitoring with ultrasound
Medical Management
Hormonal medications to control bleeding and pain
Gonadotropin-releasing hormone (GnRH) analogs in selected cases
Surgical Management
Hysteroscopic myomectomy for submucosal fibroids
Laparoscopic or open myomectomy to preserve fertility
Hysterectomy in severe cases when childbearing is complete
Fertility Considerations
- Fertility-preserving treatment whenever possible
- Improved IVF and pregnancy outcomes after fibroid removal
- Individualized pregnancy planning
Risks & Complications
- Anemia due to heavy bleeding
- Pregnancy complications if untreated
- Recurrence after treatment
Follow-Up Care
- Regular follow-up and imaging
- Symptom monitoring
- Counseling for long-term management
With expert evaluation and personalized care, fibroids can be effectively managed to relieve symptoms, protect fertility, and improve overall quality of life.
