5 Most Common questions related to Fibroids

What are fibroids ?

Fibroids are Commonly known as “Rasauli” in Hindi, fibroids are the non-cancerous tumours in the uterus. When the normal tissue of uterus tends to overgrow at a given site then they are called as fibroids.

How many women are suffering from fibroids?

50 out of every 100 women are found to be diagnosed with fibroids. However, an incidental diagnosis of fibroids is not a very difficult condition because most of the time these fibroids do not cause any problem. However, if symptoms like excessive bleeding or painful periods, pain in lower abdomen or irregular bleeding etc, occurs then you should consult your gynaecologist as early as possible.

How serious is the condition with fibroids?

The fibroids that are small is the size of about 1-2cm and poses no symptom like, pain etc; then there is nothing to worry as such. In cases, where the couple is faces problem in conceiving the proximity of these small fibroids are observed to the uterine cavity or away from the uterine cavity( womb).

What measures do we need to take if we are diagnosed with fibroids?

If you have been diagnosed with fibroids, do not panic about. However, visiting a gynaecologist is recommended and an immediate intervention is needed in case it is severe. In certain cases, fibroids do not cause any problem such as bleeding, pain.in such cases only follow up and regular ultrasounds at an interval of 6-12 months are required. All fibroids normally shrink after menopause.
If the size of fibroids is approximately small, then surgery is not needed as such. However, In cases, where the fibroids are of a larger size then it is advised to consult a gynaec in order to find whether surgery is required or not.

Treatment options-

Not all fibroids need surgical intervention even when they are causing symptoms such as pain, bleeding etc; A woman who is in her 40s, when facing excessive bleeding, can easily manage it with medicines, injections etc.
Mirena ( copperT, or hormone-releasing kind of a thing) is an option that is put inside the uterus and helps in controlling pain, bleeding or problems associated with fibroids.

Surgery is needed in only a small set of patients who earlier had miscarriages, and are unable to conceive even after for 1-2 yrs. It is also needed where the size of the fibroids are growing in size continuously, and those who have fibroids inside the uterus in the form of polyps etc.

Open vs Laparoscopic surgery

With advancing medical interventions and technology, these days large size fibroids can be easily removed laparoscopically. The patient needs to be hospitalized only for 1 or 2 days. And around 3-4 sutures of very small size (0.5-1 cm ) are made.
The need for open surgery (that involves 8-10 sutures and a scar length of 8-10cm) is very rare these days. We normally perform the laparoscopic surgeries for all types of fibroids which are almost scarless and comes under the category of a minimally invasive surgery. There is a recent suggestion for using the bag for morcellation of fibroids.
This needs expertise recent advances in medical technologies This bag eludes spillage of cells in the abdominal cavity. Due to which our patients can go home conveniently, within 1 or 2 days after the surgery.

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