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What are fibroids ? Fibroids are the commonest ben...

What are fibroids ?

  • Fibroids are the commonest benign tumours of the uterus.
  • It is extremely prevalent & most common from ages of 20-45 yrs.
  • It may be present in as many as 25-50% of women population.
  • Fibroids essentially are non cancerous masses but may undergo changes & degenerations which make some more dangerous than others
  • Not all fibroids need removal. Only 40% of women with fibroids need treatment.
 
Warning Signs & Symptoms that you may have fibroids


  • Nearly 40-50% will have no symptoms to realise that they may be having fibroids & often detected on incidental Sonography
  • Heavy bleeding with passage of clots which may cause Anemia – drop in Haemoglobin.
  • Dysmenorrhoea – Painful Periods
  • Heaviness in abdomen & bloating
  • Pressure effect of fibroids – Urinary frequency & Constipation
  • Difficulty in conceiving – Sub- Fertility
  • Recurrent Miscarriages
  
How are fibroids detected & what investigations you may need ?

  • Sonography with Color Doppler – identifies nature & location of fibroids. Doppler assesses blood flow patterns giving clarity about the nature of fibroids.
  • MRI occasionally in cases of multiple fibroids for accurate mapping & in suspected dangerous fibroids
  • Blood tests depend on the treatment plan
  • Basic Haemogram CBC, Prolactin & Serum LDH isoenzyme 3 which gives a clue if the fibroids have degenerations or bad changes.
  
What are your treatment options ?


  • Medicines work on fibroids but the effect is temporary and only reserved usually to tide over crisis.
  • Tablets or injections reduce blood flow through fibroids, reduce symptoms like pain & bleeding and may cause slight reduction in size.
  • Essentially if symptoms are severe your fibroids will need Surgical Removal.
  • Removal of uterus unless age is above 45 years and child-bearing & family is completed is NOT the treatment of fibroids.
 2024-05-02T05:48:13

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