Fibroids

Service Overview

What Are Uterine Fibroids?

Uterine fibroids are benign growths that develop from the muscle tissue of the uterus. Fibroids can vary considerably in:

• Size
• Number
• Location
• Growth pattern

Some remain small and cause no symptoms, while larger or strategically located fibroids may affect menstrual bleeding, pelvic organs, or the uterine cavity.

Having fibroids does not automatically mean that treatment is required.

What Causes Fibroids?

The exact cause of fibroids is not completely understood. Their development may be influenced by:

• Hormonal factors
• Genetic factors
• Family history
• Reproductive and hormonal factors
• Age

Fibroids are hormone-responsive and may change in size during different stages of a woman's reproductive life.

Types of Fibroids

Fibroids are commonly classified according to where they develop in relation to the uterus.

Submucosal Fibroids

Submucosal fibroids develop beneath the inner lining of the uterus and may project into the uterine cavity. They can be associated with:

• Heavy menstrual bleeding
• Prolonged periods
• Anaemia
• Fertility concerns in selected cases

Intramural Fibroids

Intramural fibroids develop within the muscular wall of the uterus. They are common and may cause symptoms depending on their size and location. Possible symptoms include:

• Heavy periods
• Pelvic discomfort
• Pressure
• Abdominal enlargement

Subserosal Fibroids

Subserosal fibroids develop on the outer surface of the uterus. They may cause pressure-related symptoms when they become large. Possible symptoms include:

• Pelvic pressure
• Back discomfort
• Frequent urination
• Constipation
• Abdominal fullness

Symptoms of Fibroids

Many women with fibroids have no symptoms. When symptoms occur, they may include:

• Heavy menstrual bleeding
• Longer-than-usual periods
• Painful periods
• Pelvic pressure
• Pelvic pain
• Abdominal fullness
• Lower-back discomfort
• Frequent urination
• Constipation
• Pain during intercourse
• Difficulty conceiving in some cases

The symptoms experienced depend partly on the size and location of the fibroids.

Heavy Periods and Fibroids

Heavy menstrual bleeding is one of the common symptoms associated with uterine fibroids. Heavy bleeding may lead to iron-deficiency anaemia, which can cause:

• Fatigue
• Weakness
• Dizziness
• Shortness of breath
• Reduced energy

If menstrual bleeding is unusually heavy or has changed significantly, a gynaecological assessment can help identify the cause.

Fibroids and Pelvic Pain

Fibroids can sometimes cause pelvic discomfort or pressure. Pain may occur because a fibroid:

• Becomes large
• Presses against nearby structures
• Undergoes certain degenerative changes
• Contributes to uterine enlargement

However, pelvic pain can have many possible causes, so persistent pain should be evaluated rather than automatically attributed to fibroids.

Fibroids and Fertility

Most women with fibroids can become pregnant, and not every fibroid affects fertility. Fertility may be more relevant when a fibroid:

• Distorts the uterine cavity
• Is located close to the uterine cavity
• Is associated with significant symptoms
• Occurs alongside other fertility factors

Submucosal fibroids are particularly important to evaluate when infertility is present.

A fertility assessment may consider the fibroid's location alongside ovulation, ovarian reserve, fallopian-tube health, and sperm factors.

Fibroids During Pregnancy

Many women with fibroids have healthy pregnancies. However, depending on their size and location, fibroids may sometimes be associated with pregnancy complications.

If you have known fibroids and are planning pregnancy, a preconception consultation can help review:

• Fibroid size
• Number
• Location
• Previous pregnancy history
• Symptoms
• Fertility plans

Management should be individualised.

How Are Fibroids Diagnosed?

Fibroids are commonly identified using imaging. Evaluation may include:

• Medical history
• Menstrual history
• Pelvic examination when appropriate
• Pelvic ultrasound
• Transvaginal ultrasound
• MRI in selected cases
• Blood tests when clinically indicated

Ultrasound is often sufficient to identify and characterise many fibroids. MRI may be useful when more detailed information is needed, particularly before certain procedures.

When Do Fibroids Need Treatment?

Not every fibroid needs treatment. Treatment may be considered when fibroids cause:

• Heavy or persistent bleeding
• Anaemia
• Significant pelvic pain
• Pressure symptoms
• Rapid or concerning changes
• Fertility-related concerns
• Problems affecting quality of life

The decision depends on symptoms, fibroid characteristics, age, reproductive plans, and overall health.

Fibroid Treatment Options

Treatment depends on the individual's symptoms and circumstances. Possible approaches include:

• Observation
• Medication
• Hormonal treatment
• Non-surgical procedures in selected patients
• Myomectomy
• Hysterectomy when appropriate

The goal is to select an approach that addresses the patient's symptoms and reproductive needs while avoiding unnecessary treatment.

Monitoring Fibroids

Observation may be appropriate when fibroids:

• Cause no significant symptoms
• Are small
• Are not affecting the uterine cavity
• Do not require immediate treatment

Monitoring may involve:

• Follow-up consultations
• Repeat ultrasound when indicated
• Tracking menstrual symptoms
• Monitoring for changes in size or symptoms

The recommended follow-up schedule depends on the individual situation.

Medication for Fibroid Symptoms

Medication may be used to manage symptoms, particularly heavy menstrual bleeding or pain. Depending on the clinical situation, treatment may include medications that:

• Reduce menstrual blood loss
• Relieve pain
• Modify hormonal activity
• Manage anaemia

Medication generally manages symptoms rather than permanently removing fibroids. Your doctor can explain which options may be suitable based on your medical history and reproductive plans.

Myomectomy for Fibroids

Myomectomy is a surgical procedure that removes fibroids while preserving the uterus. It may be considered when:

• Fibroids cause significant symptoms
• Fibroids affect the uterine cavity
• Fertility preservation is important
• Medical management is insufficient
• The size or location of the fibroids makes surgery appropriate

The surgical approach depends on the size, number, and location of the fibroids.

Types of Myomectomy

Hysteroscopic Myomectomy

Hysteroscopic myomectomy involves removing selected fibroids that project into the uterine cavity through the vagina and cervix. It may be suitable for certain submucosal fibroids.

Laparoscopic Myomectomy

Laparoscopic surgery uses small abdominal incisions and may be appropriate for selected fibroids depending on their size, number, and location.

Open Myomectomy

An abdominal or open approach may be considered when fibroids are very large, numerous, or otherwise unsuitable for minimally invasive surgery. The recommended surgical approach depends on individual anatomy and surgical considerations.

Fibroid Treatment and Fertility Preservation

For women who wish to become pregnant, treatment planning may prioritise preservation of the uterus and reproductive potential when medically appropriate.

Myomectomy can preserve the uterus, but it is not required for every woman with fibroids. The potential benefits and risks should be discussed based on:

• Age
• Fibroid location
• Fibroid size
• Number of fibroids
• Uterine cavity involvement
• Ovarian reserve
• Other fertility factors
• Previous pregnancy history

When Should You See a Fibroid Specialist?

Consider a gynaecological consultation if you have:

• Very heavy periods
• Persistent pelvic pain
• Increasing abdominal fullness
• Anaemia associated with menstruation
• Known fibroids
• Fibroids that are increasing in size
• Difficulty conceiving
• Fibroids discovered during pregnancy
• Concerns about future pregnancy

A specialist assessment can help determine whether observation, medication, or a procedure is appropriate.

Fibroid Consultation in Dwarka

A fibroid consultation generally begins with a review of your symptoms, menstrual history, previous scans, and reproductive plans.

Your doctor may discuss:

• Duration and severity of symptoms
• Menstrual bleeding pattern
• Previous pregnancies
• Fertility concerns
• Previous fibroid treatment
• Ultrasound findings
• Other medical conditions
• Current medications

Additional imaging or investigations may be recommended when needed.

Fibroid Specialist in Dwarka Delhi

If you are searching for a fibroid specialist in Dwarka Delhi, a specialist consultation can help evaluate the size, location, and clinical significance of your fibroids.

Patients from Dwarka Sector 6, Sector 7, Sector 10, Sector 11, Sector 12, Sector 13, Sector 14, Sector 17, Sector 19, Dwarka Mor, and surrounding Delhi NCR areas may seek consultation for:

• Newly diagnosed fibroids
• Heavy menstrual bleeding
• Fibroid-related pelvic pain
• Large fibroids
• Multiple fibroids
• Fibroids affecting fertility
• Recurrent fibroids
• Fertility-preserving fibroid treatment
• Myomectomy evaluation

CTA: Schedule Fibroid Consultation in Dwarka

Best Fibroid Treatment in Dwarka

There is no single treatment that is appropriate for every person with fibroids. Treatment selection depends on:

• Symptoms
• Fibroid size
• Number of fibroids
• Location
• Age
• Pregnancy plans
• Fertility concerns
• Previous treatment
• Overall health

A specialist can discuss the available options and their potential benefits and limitations.

Fibroid Treatment Cost in Dwarka

The cost of fibroid evaluation and treatment depends on the type of care required. Potential costs may include:

• Specialist consultation
• Pelvic ultrasound
• MRI when indicated
• Blood tests
• Medication
• Follow-up consultations
• Hysteroscopic procedures
• Laparoscopic surgery
• Open surgery
• Hospitalisation

Not every patient requires all of these investigations or treatments.

A personalised estimate can be provided after evaluation and confirmation of the recommended treatment.

CTA: Enquire About Fibroid Treatment Cost in Dwarka

Preparing for Your Fibroid Consultation

Bring previous medical records when available, including:

• Ultrasound reports
• MRI reports
• Blood-test results
• Previous operative notes
• Pregnancy records
• Fertility-treatment records
• Current medication list

It can also be helpful to track:

• Period dates
• Duration of bleeding
• Approximate bleeding severity
• Pain symptoms
• Changes in menstrual patterns