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Fibroid During Pregnancy? Here Are Treatments!

Also known as Uterine Leiomyoma, Myoma, Fibromyoma, Fibroleiomyoma, Uterine Fibroids are smooth, benign muscle tumors of uterus which display no symptoms in most women, while some may have painful or heavy periods. A frequent need to urinate may also occur if they push on the bladder. It may also cause lower back pain or pain during sex in some cases. Women may have a single uterine fibroid or many of them & which can occasionally make it difficult for them to get pregnant. Even though exact cause is unclear, it can run in families & appear partly determined by hormone levels. Uterine fibroids risk factors include obesity & consumption of plenty of red meat. Diagnosis is usually done by medical imaging or pelvic examination.

Fibroid During Pregnancy

What are Uterine Fibroids?

These are very common non-cancerous growths developing within the muscular wall of the uterus. Ranging in size from tiny, about a quarter of an inch, to larger than cantaloupe, these can occasionally cause uterus to grow to size of five-month pregnancy.

Uterine Fibroids Symptoms

While most uterine fibroids do not cause any symptoms, just about 10 – 20% women having fibroids require any kind of treatment. Signs & symptoms of uterine fibroids if any depend on the location, size & number of fibroids in women.

Uterine Fibroid Signs & Symptoms

Uterine Fibroid Signs & Symptoms

  • Pelvic pain & pressure.
  • Heavy & prolonged menstrual periods.
  • Unusual monthly bleeding with clots & leading to anemia.
  • Pain in back & legs.
  • Pain during sexual intercourse.
  • Pressure in bladder leading to frequent urge to urinate.
  • Pressure on bowel leading to bloating & constipation.
  • Abnormally enlarged abdomen.

Diagnosing Uterine Fibroids

Women typically undergo ultrasound as part of the evaluation process to determine presence of uterine fibroids. Since this rudimentary imaging tool does not show all underlying diseases of existing fibroids, MRI is the standard imaging tool used by interventional radiologists. MRI improves patient selection receiving nonsurgical Uterine Fibroid Embolization (UFE) so as to destroy tumors. Apart from being useful in determining if embolization can be useful, MRI additionally helps detect alternate causes for symptoms & to identify pathology which could prevent women from having UFE so as to avoid ineffective treatments. MRI in fact helps enhance level of patient care through better diagnosis, better treatment options & thereby better outcomes. Patients considering surgical treatment should however seek a second opinion from most qualified radiologist in order to interpret MRI & determine if interventional procedure is the best choice.

Types of Uterine Fibroids

There are three main types of uterine fibroids largely depending upon the location.

These are –

  • Subserosal FibroidsThose which develop under outside covering of uterus & expand outward through the wall are called subserosal fibroids. Giving a knobby appearance to uterus, they typically do not affect menstrual flow but may cause back pain, pelvic pain & general pressure. These can also develop stem-like or a stalk base & which is called pedunculated. Both ultrasound & MRI can make expert diagnosis of this condition.
  • Intramural FibroidsDeveloping within the lining of the uterus, these expand inwards & increase size of the uterus while making it feel larger than normal in an internal exam. Intramural fibroids are the most common type of uterine fibroids which result in heavier menstrual bleeding along with back pain, pelvic pain & general pressure women experience.
  • Submucosal FibroidsAppearing just under the lining of uterus, submucosal fibroids are the least common. They however tend to cause most problems. Even a small single fibroid of this type can cause gushing, heavy bleeding, prolonged & very heavy periods.

Uterine Fibroid Treatments

There is no single classic treatment for uterine fibroids. For women with mildly annoying or no signs & symptoms they can live with, watchful waiting is the best option. As these are noncancerous they rarely interfere with pregnancy & usually grow slowly, or not at all. Moreover, they tend to shrink when levels of reproductive hormones drop after menopause.

Medications for Uterine Fibroids

  • Gonadotropin-Releasing Hormone (Gn-RH) Agonists
  • Progestin-Releasing Intrauterine Device (IUD)
  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) for Pain Management

Advantages of Noninvasive MRI Guided Focused Ultrasound Surgery (FUS) for Uterine Fibroids

  • Noninvasive Treatment Option
  • Performed Inside MRI Scanner
  • New Advanced Technology

Minimally Invasive Procedures for Uterine Fibroids

Traditional Surgical Procedures for Uterine Fibroids

Affordable Uterine Fibroid Treatments in India

India is an excellent destination providing best & affordable treatment procedures for uterine fibroids. IndianMedTrip is associated with the best gynecology clinics & surgeons in the country so as to offer international standards of treatments for patients from all around the world. India is fast emerging as a global leader with access to low cost quality healthcare within the medical tourism industry.

 

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