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Fibroids are non-cancerous tumours of the uterus found in almost 25% of women in the reproductive age group (25-50 years of age).
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- Excessive bleeding during periods
- Feelings of heaviness in abdomen and lethargy
- Abdominal pain
- Lump in the abdomen in the cases of large fibroids
- Difficulty in passing urine
The reasons why women get fibroids aren't known. Although oestrogen seems to make fibroids grow, it's not thought to be responsible for their initial development. You're more likely to get fibroids if you:
- have a mother or sister who has fibroids
- have no children - pregnancy and childbirth seem to protect against developing fibroids
- experience early onset of periods
- are overweight - some studies have suggested a link between being overweight and developing fibroids
Watch the Symptoms- If the fibroids are small and not giving rise to any symptoms, no active treatment is required. The patient is advised for regular annual ultrasound check up to monitor the size of the fibroid(s).
Medications- These can be given to shrink the fibroids temporarily so as to control symptoms such as painful or heavy periods. But, this is not a permanent cure for fibroids.
Surgery- This option is offered when the symptoms are not being controlled with medications or in case the fibroids are too big/growing too rapidly.
- Laparoscopic Myomectomy- This is indicated when the female is young and wants to preserve her uterus. Through this keyhole surgery the myoma or the fibroid is removed. This procedure leaves no long scar, so better cosmetic results are obtained.
- Total Laparoscopic Hysterectomy- If the women has completed her family & is having multiple fibroids, then the uterus is removed along with the fibroids.
- Hysteroscopic Myomectomy- If the fibroid is encroaching the uterine cavity (i.e submucus in position), then this procedure is opted where a small telescope with instruments is introduced from below into uterus and the fibroid is shaved off , this can be done for small fibroids and there is no incision on the abdomen.
Post surgery patient should not lift heavy weights for 4-6 weeks. Preferably the person is advised to avoid cough and constipation. Patient is advised to delay pregnancy after myomectomy for 9-12 months.