Clear diagnosis and targeted treatment, tailored to the individual needs of every woman.
What You Should Know About Uterine Fibroids
Symptoms
Types of Fibroids
Submucosal Fibroids
Located within the uterine cavity.
- Often cause abnormal bleeding
- May significantly affect fertility and implantation
Intramural Fibroids
Located within the muscular wall of the uterus.
- The most common type of fibroid
- Symptoms vary depending on size and location
- May affect fertility when:
- Larger than 4–5 cm
- Distorting the uterine cavity
- Located near the openings of the fallopian tubes
Subserosal Fibroids
Located on the outer surface of the uterus.
- May cause pressure on surrounding organs
- Associated with bloating and pelvic heaviness
Diagnosis
Treatment Options
Medical Management
Hormonal Regulation
- Combined oral contraceptives
- Progesterone-releasing intrauterine device (IUD)
Bleeding Control
- Tranexamic acid
GnRH Analogues
- Induce a temporary “medical menopause”
- Reduce fibroid size
- Primarily used:
- Before surgery
- In women approaching menopause
Minimally Invasive Treatments
Uterine Artery Embolization (UAE)
- Reduces blood supply to fibroids
- Leads to fibroid shrinkage
Radiofrequency Ablation (RFA)
- Destroys fibroid tissue using heat energy
Focused Ultrasound Surgery (FUS)
- Non-invasive treatment
- No surgical incisions required
Surgical Treatment
- Hysteroscopic fibroid removal
- Laparoscopic or robotic myomectomy
- Laparoscopic hysterectomy (in selected cases)
Fibroids and Fertility
Personalized Treatment Strategy
Treatment recommendations are tailored to each woman’s symptoms, reproductive goals, and overall clinical situation.
Factors considered include:
- Age
- Fibroid size and location
- Fertility history
- Desired timeframe for pregnancy
Is Surgery Always Necessary?
Not necessarily.
In many cases, particularly when age or reproductive history makes timely conception a priority, alternative approaches may be preferred, including:
- Immediate attempts at natural conception
- Ovulation induction therapy
- Assisted reproductive treatment (IVF)
When Treatment Is Required
The goal is to effectively manage fibroids while preserving the uterus and maintaining fertility whenever possible.
Frequently Asked Questions
Are fibroids dangerous?
No. Fibroids are benign tumors and are rarely associated with cancer.
Can fibroids affect fertility?
Yes. Depending on their size and location, fibroids may interfere with fertility and pregnancy outcomes.
Do fibroids always require surgery?
No. Surgery is only recommended when fibroids cause significant symptoms, fertility problems, or other complications.
Can fibroids disappear on their own?
Usually not. However, they often shrink naturally after menopause.
Can fibroids recur?
Yes. New fibroids may develop, particularly during the reproductive years.
Modern Solutions for the Management of Uterine Fibroids
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