The uterus or the womb where the baby grows is lined with a tissue known as the endometrium. Endometriosis is a disease in which a lining similar to this tissue grows outside the uterus in other parts of the body such as on or under the ovaries, on the fallopian tubes which carry the egg cells, behind the uterus, bowels or bladder, and in some cases may grow on your lungs; is one of the leading causes of infertility.
HOW DO YOU DIAGNOSE FIBROIDS?
Fibroids are usually found during a pelvic exam by assessing its shape and size in the uterus. Since these are generally small and hard to distinguish from an ovarian mass, imaging studies are usually employed for a better understanding and detecting fibroids.
Ultrasound scans use echoes from high-frequency sound waves to create a picture of pelvic organs. Since fibroids vary in shape, size and location, an ultrasound across the abdominal wall and a probe is placed in the vagina to better inspect the fibroids.
MAGNETIC RESONANCE IMAGING (MRI)
MRI scans use magnetic fields to form images of the body which may be helpful to determine the location and size of the fibroids. Based on this, our doctors would determine the right course of treatment for you.
By creating a small incision and placing a laparoscope, the doctor will be able to examine outside the uterus and if required a sample is extracted for a biopsy for further examination.
If you experience abnormal menstrual bleeding, our doctors would recommend a series of tests which will a complete blood count and other blood tests to rule out other bleeding disorders.
WILL I BE INFERTILE IF I HAVE FIBROIDS?
WHAT ARE THE SYMPTOMS?
Fibroids can be associated with infertility and achieving pregnancy is a challenge for those with these fibroids than without especially patients who wish to undergo an IVF treatment.
- Signs of heavy menstrual bleeding
- Increased menstrual cramps
- Pelvic pressure
- The urge to frequently urinate
- Difficulty in emptying the bladder
- Backache or leg pains
- Pain during intercourse
- Pain or fullness in the abdomen
- Swelling of the abdomen
HOW IS THIS TREATED?
Medications are prescribed to target hormones that are responsible for your menstrual cycle, treating symptoms such as pelvic pain or pressure and heavy menstrual bleeding. These however do not remove fibroids but may shrink them in size.
If medical therapy does not work, our doctors may recommend one of the following procedures based on the symptoms and the condition of the fibroids
Embolic agents are injected into the arteries that supply to the uterus which would cut off blood flow to the fibroids causing them to shrink and die.
This procedure utilises radiofrequency energy that will destroy uterine fibroids and cut off the supply from the blood vessels that feed them. This is done laparoscopically.
If there are fewer fibroids present, our doctor would opt for this procedure by creating an incision and inserting a laparoscope to remove the fibroids leaving the uterus intact.
If the fibroids are present within the uterus, our doctors would opt for this method to access and remove the fibroids right using instruments that go through the vagina and cervix and into the uterus.