Do All Fibroids Need Surgery? Here’s What Gynaecologists Say

 

Many Women Have Fibroids—But Not All Need Surgery

Uterine fibroids are common, especially among Indian women aged 30 to 50. These non-cancerous growths in the uterus often don't cause symptoms. However, when they do, they can lead to heavy bleeding, pelvic pain, and fertility issues.

If you've been told you have fibroids, you might wonder: "Do I need surgery?" The answer isn't always straightforward. In many cases, surgery isn't necessary. This article will help you understand when surgery is needed and explore alternative treatments.



What Are Uterine Fibroids?

Uterine fibroids, or leiomyomas, are growths that develop in or on the uterus. They can vary in size and number. While many women have fibroids, most don't experience symptoms. When symptoms do occur, they can include:

  • Heavy menstrual bleeding

  • Pelvic pain or pressure

  • Frequent urination

  • Constipation

  • Backache or leg pains

The exact cause of fibroids is unknown, but factors like hormonal changes and genetics may play a role.

When Is Surgery Necessary for Fibroids?

Not all fibroids require surgical removal. Gynaecologists typically recommend surgery in the following situations:

1. Severe Symptoms

If fibroids cause significant discomfort or interfere with daily life, surgery might be considered. Symptoms prompting surgical intervention include:

  • Excessive menstrual bleeding leading to anemia

  • Persistent pelvic pain

  • Pressure on the bladder or bowel

2. Fertility Concerns

Fibroids can sometimes affect fertility or complicate pregnancy. Surgical removal may be advised if:

  • You're experiencing infertility with no other identifiable cause

  • Fibroids distort the uterine cavity

3. Rapid Growth or Suspicion of Cancer

Although rare, a rapidly growing fibroid or one that appears suspicious on imaging may necessitate surgical evaluation to rule out malignancy.

Non-Surgical Treatment Options

For many women, non-surgical treatments effectively manage fibroid symptoms. These options include:

1. Medications

Certain drugs can help control symptoms:

  • Hormonal therapies: Regulate menstrual cycles and reduce bleeding.

  • Nonsteroidal anti-inflammatory drugs (NSAIDs): Alleviate pain.

  • Iron supplements: Address anemia caused by heavy bleeding.

2. Uterine Fibroid Embolization (UFE)

UFE is a minimally invasive procedure that cuts off blood supply to fibroids, causing them to shrink. It's effective for symptom relief and has a shorter recovery time compared to surgery.

3. MRI-Guided Focused Ultrasound

This non-invasive technique uses high-intensity ultrasound waves to destroy fibroid tissue. It's suitable for certain types of fibroids and preserves the uterus.

Making the Right Choice

Deciding on fibroid treatment depends on various factors:

  • Symptom severity: Mild symptoms may not require intervention.

  • Age and reproductive plans: Desire for future pregnancies influences treatment choice.

  • Fibroid characteristics: Size, number, and location matter.

  • Overall health: Medical conditions may affect treatment suitability.

Consulting with a gynaecologist helps determine the best approach tailored to individual needs.

Essentia Medicals: Your Partner in Fibroid Care

At Essentia Medicals, we understand the impact fibroids can have on your life. Our team of experienced specialists offers comprehensive evaluations and personalized treatment plans. Whether you're considering non-surgical options or need surgical intervention, we're here to guide you every step of the way.

For more information or to schedule a consultation, visit our fibroid specialist in Delhi.

Conclusion

While uterine fibroids are common, surgery isn't always the answer. Many women manage symptoms effectively with non-surgical treatments. However, in cases of severe symptoms or fertility issues, surgical options may be necessary. Consulting with a knowledgeable gynaecologist ensures you receive the care best suited to your situation.

Location: New Delhi, Delhi, India

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