Скачать или смотреть Fibroids & Heavy Periods | Can Fibroids Affect Pregnancy? - Dr. Siri V | Doctors' Circle

Registration No: 74391 Karnataka Medical Council, 2006
Dr Siri V | Phone📞 : 08029780087, 8197262919 (Online & in-person appointment can be booked online or by call) | Consultant Obstetrician, Infertility Consultant, Cosmetic Gynaecologist & Laparoscopic Surgeon|Sai karuna fertility and maternity center, Nagarbhavi Road Bengaluru India
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Fibroids are basically non-cancerous tumours which grow in the uterus, which is mostly seen in women of the reproductive age group. The fibroids’ prevalence is quite wide, like 25% to almost 50%. It varies from place to place and race. Different human races, the incidence is different, and it is also seen that in rural women, the fibroids are seen more frequently, and also with advanced age, the fibroids are seen to be more prevalent. The patients with fibroids may be absolutely asymptomatic. They may just come, and a routine ultrasound may detect a fibroid. So we generally don't do anything about such fibroids, which are not causing any sort of symptoms. But otherwise, they may present to us with pain during periods, or excessive bleeding, or irregular cycles, intermenstrual bleeding, or even they may come with infertility because of the fibroids. And sometimes they can cause pressure symptoms like an urgency to pass urine or pain while passing motion. They can present like that also, and sometimes the fibroids might come with pregnancy complications. Again, the fibroids may be located in different parts of the uterus. Depending on that, their effect on fertility will be assessed. So if the fibroids are more on the surface of the uterus, then they will in no way interfere with the fertility unless they're very huge. Otherwise, fibroids can mean the muscle layer of the uterus, which could be interfering with fertility. So if the size of that fibroid is more than 4 cm, then we will consider surgery because it could be distorting the anatomy or the structure of the uterus and hence affecting the pregnancy, and also the location where it is located. If it is located close to the fallopian tube openings, then it could distort the opening anatomy of the uterus. And all the fibroids which are growing or projecting into the uterine cavity are what we have to treat and remove surgically, because that will directly affect the implantation site of the embryo, which comes into the uterus. And also, because of these fibroids, there can be repeated abortions also. I've already explained about it. Not all fibroids don't need surgery. Only those which cause symptoms need surgery, or if they are very large in size. Up to 3 cm or 3 to 4 cm, if they are not causing anything, we don't do any surgeries or interventions. But if they are more than 5 cm, and depending upon the symptoms and location, we would suggest a treatment. But definitely the larger fibroids, which are more than 7 to 8 cm, need surgery because they are causing pressure symptoms or turning into cancerous changes. The chances of bringing about cancer changes are higher. So bigger fibroids definitely need surgery. The treatments are again dependent upon what complaints the patient has and the size of the fibroid. So if there are very small fibroids and if the lady is approaching her menopausal years, then we would prefer to give medicines or oral tablets to just reduce the size, to just push on for probably another 3–4 years, since it is not causing a huge problem to the lady. But if there is a huge fibroid which is causing a lot of pain during her period and a lot of bleeding during her period, then definitely it would need surgery. Again, there are minimally invasive surgeries, which are called laparoscopic surgeries, and there are robotic surgeries, which will help to do the surgery faster, and the recovery is much faster for the patient. And there are some non-surgical methods also, but they are to be used for a very limited population where fertility probably is not needed. In those cases, there are some non-surgical methods of treating the fibroids also.

Uterine fibroids | Uterine fibroids symptoms | Fibroids treatment | Fibroids surgery | Myomectomy | Hysterectomy | Fibroids and fertility | Fibroids causes | Fibroids diagnosis | Fibroids ultrasound | Fibroids MRI | Fibroids size for surgery | Uterine artery embolization | Fibroids heavy periods | Fibroids pelvic pain | Fibroids pressure symptoms | Fibroids infertility | Fibroids bleeding | Fibroids non surgical treatment | Fibroids laparoscopic surgery | Fibroids robotic surgery | Large fibroids treatment | Fibroids in pregnancy | Fibroids menopause

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