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Uterine Fibroids Treatment at Genesis Fertility, Jalandhar
Uterine Fibroids Treatment at Genesis Fertility, Jalandhar
Uterine fibroids are the most common noncancerous tumours of women’s uterus.
They are approached by the normal muscle of the uterus. They can develop within
the uterine wall or remain attached to them. They can be single, multiple or in
clusters. Uterine fibroids can cause excessive menstrual bleeding, pelvic pain, and
frequent urination.
Fibroids occur in almost 50% of women and are a leading cause of hysterectomy
and a significant cause of infertility.
By bright start growing in the muscle tissue of the uterus. They can grow into the
uterine cavity when they are called submucous, or into the thickness of the uterine
wall called intramuscular. Then they grow on the surface of the press they are called
subserosal and fibroids. Sometimes they grow as we don’t related or stalky fibroids.
The exact reason for fibroids is unknown. They have been seen to run in families.
Some particular races have more chances of developing fibroids than the normal
population. But the precise reason of having fibroids is grossly unknown.
The growth of fibroids is definitely influenced by the hormones especially estrogen
which is normally produced by the Roman body. The fibroids have been seen to
grow in young females as early as 20 years old. They tend to shrink after
menopause when the body stops producing hormones.
Fibroids can be as small as in head size to as large as technically involved in the
whole of the abdomen.
Yet there is something very important that if the patient is to go in for surgical
treatment of fibroids, they should not go in for medical treatment as the medical
treatments decrease the blood supply of fibroids which damages the capsule of the
fibroids making it difficult for the surgeon to remove them.
Myomectomy is the term used for the surgical removal of fibroids. This surgery can
be done through hysteroscopy, laparoscopy or by opening the abdomen. The
surgical approach depends on the size and location of fibroids. If the fibroids are
submucous then the best option remains hysteroscopic myomectomy. However, in
the case of large submucous fibroids, it is better to go in for laparoscopic or open
myomectomy. The cut-off limit is different for different studies and surgeons, but
usually, fibroids more than 3 cm in size or a surgery which is more than 25 minutes
of operating hysteroscopic time warrants an abdominal laparoscopic approach to the
fibroid. The laparoscopic approach is the best approach for small to medium fibroids
and in case the number of fibroids is not very large. Many surgeons go in for open
myomectomy for very large fibroids or if the number of fibroids is so huge that the
chances of missing out a fibroid are high. Still, laparoscopic myomectomy remains
the gold standard of treatment of for fibroids.
Hysterectomy is the surgical removal of the uterus. It has been the most commonly
performed surgical procedure for the treatment of fibroids for a long time. But with
the advent of laparoscopy, conservative approaches are becoming popular.
Hysterectomy is usually done to remove the fibroids in case the families were
completed the females are nearing menopause.
Uterine artery embolization is a procedure done to stop the arterial blood supply of
the fibroid. The procedure is done by inserting a catheter into an artery of the leg
under fluoroscopy. Once the catheter reaches the uterine artery, tiny plastic gelatin
sponge or coils are released which block the blood supply to the fibroid. This method
is a good option for women who do not want to undergo any operating procedure
and don’t need babies. This procedure is performed by an interventional radiologist.
However, if you look at all the treatment options available, I would like to summarize
that usually, fibroids don’t need any treatment. If at all treatment is required,
laparoscopic or hysteroscopic myomectomy remains the gold standard of treatment.
However, the surgeons trained to do these procedures are limited and homework
should be done before finding a good surgeon.
We at Genesis Fertility and Surgical Centre are regularly doing laparoscopic and
hysteroscopic myomectomies on a routine basis. We have scores of satisfied
patients. Since it a fertility-preserving center, our patients go in for assisted
reproductive techniques after these surgeries.