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Hormonal imbalance in the body (excess estrogen over progesterone)
Genetic factor
Excess consumption of red meat
Vitamin D deficiency
Obesity
High blood pressure/hypertension
Heavy and painful bleeding during periods
Irregular periods
Frequent spotting between period cycle
Menstruation lasting for more than 5-6 days
Pain in the lower back and the abdomen
Painful sexual intercourse
Heaviness in the pelvic region
Discomfort in passing urine
Diagnosis
The doctor physically examines the patient to check for any irregularities or abnormal growths in the uterus. If the doctor feels some irregularities then further diagnostic tests for uterine fibroids are carried out.
- Ultrasound- It is the most common diagnosis to confirm the uterine fibroids. It makes the use of sound waves to clearly visualize the uterus and get the measurement of fibroids. The doctor either use the ultrasound device over the abdominal area or place it inside the vagina to attain the clear pictures of the uterus’ condition
- Blood test- If you face the issue of abnormal period blood flow, the doctor usually orders lab tests related to blood to check the blood count. In most cases of uterine fibroids, the female is anemic due to excess blood loss during periods.
- Magnetic Resonance Imaging (MRI)- This test gives a detailed view of the size and the exact location of the uterine fibroids. The procedure of MRI is carried out mostly for women with larger uterus and women who are nearing menopause.
- Hysteroscopy- It is the surgical procedure that is performed to look inside the uterus to diagnose or treat the uterine fibroids. Hysteroscopy is performed with the help of a thin tube called the hysteroscope that has a camera mounted on the top of it. During hysteroscopy, the doctor inserts the hysteroscope inside the vagina to properly examine the cervix and the uterus. Hysteroscopy is used as an operative procedure in the mild cases of uterine fibroids.
Treatment
The doctor may carry out hysteroscopy as an operative technique or prescribe you some medications if you have really small uterine fibroids. But in cases where a female has numerous big size fibroids in her uterus, medications do not prove to be effective. In such cases, only the surgical procedure of hysterectomy is the safest option.
Hysterectomy
Hysterectomy is the procedure of surgically removing the uterus of a female. It involves removing the cervix, ovaries, fallopian tubes, or any other fibroid affected part of the uterus. Thus, hysterectomy can be partial or complete, it depends on the severity of the condition of fibroids of the patient. Laparoscopic hysterectomy is an absolutely safe procedure that serves as the permanent solution to uterine fibroids. Also, laparoscopic hysterectomy offers fast recovery and the patient faces minimal pain and discomfort while recovering. The surgery is performed at Surgicare associated hospitals in India only.
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What are the different types of uterine fibroids?
Depending upon where they grow, uterine fibroids may be classified into four types:- Submucosal fibroids – They grow in the submucosa, the thin layer of tissue that is found in the uterus. Submucosal fibroids can protrude into the uterine cavity. They are the rarest form of uterine fibroids.
- Intramural fibroids – They are grown within the uterine wall and the most common type of uterine fibroid.
- Subserosal fibroid – They grow on the outside of the uterine wall.
- Pedunculated fibroids – They are connected to the uterus by a stem or stalk.
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Can uterine fibroids cause cancer?
Most of the times, uterine fibroids are harmless and poses no major life complications even if left untreated. In many cases, uterine fibroids do not even cause any symptoms that could warrant removal of the uterus or any immediate medical treatment. If you are diagnosed with uterine fibroids and notice that they are growing at a rapid pace, it could be a sign of leiomyosarcoma, a very rare cancerous form of the uterus. The difference in the pace of uterus growth, in this case, is very different from normal cases. But, leaving uterine fibroids unattended or untreated for too long can eventually cause severe complications that may finally require the removal of the uterus. If the uterine fibroids grow too big in size, removing them can be risky and difficult.How uterine fibroids can affect pregnancy?
Having uterine fibroids is common and is hardly a cause of concern. But depending on the location of the fibroids, how many fibroids you have and how big are they – the complications during pregnancy could vary. Uterine fibroids may cause the following risks for a pregnant woman:- Poor contractions – If the uterine tissue is disrupted by fibroids, it may cause poor or weak contraction during labour. In this case, cervical dilation becomes difficult and hence calls for C-section delivery.
- Postpartum haemorrhage – Poor contractions in the uterine muscles may cause bleeding after delivery. Postpartum haemorrhage is a bleeding disorder that is caused due to the loss of tone in the uterine muscle. Vaginal bleeding in his condition does not slow down or stop and calls for an emergency.
- Incomplete cervical dilation – If there are multiple uterine fibroids or if the size of the fibroids is too large, it can cause crowding in the lower uterine area which can block the normal opening of the birth canal. Obstruction in the birth canal may increase the need for cesarean delivery.
- Abnormal placenta
- Breech position of the baby due to limited space in the uterus
- Premature delivery
What happens in surgical removal of uterine fibroids?
The surgical procedure of removing uterine fibroids without taking out the healthy tissues is known as myomectomy. This procedure is considered to be the most effective treatment for the removal of uterine fibroids and preventing their recurrence. Conventionally, myomectomy is performed by making open incisions in the abdominal wall. But, with medical advances, minimally invasive techniques of removal of uterine fibroids have come into existence such as laparoscopic removal of the uterine fibroids or hysteroscopic removal of uterine fibroids. In hysteroscopic removal of the uterine fibroids, the surgeon inserts a thin scope into the uterus through the cervix and the vagina. No incision is made in the process. The surgeon removes the fibroids and polyps with the help of the scope. The procedure takes less than 30 minutes to complete and the patient is sent home after taking a rest for some time.All humans deserve equal treatment but everyone cannot afford costly treatments at multispeciality or super-specialty hospitals.
In India, many people don’t even have mediclaim to deal with medical emergencies. Also, there is a lack of experienced professionals to consult for a second opinion in case of surgery. Surgicare & ICU is built keeping in view the above points. It offers surgery and post-surgery critical care.
Surgicare & ICU Hospital is well equipped for all kinds of surgeries and offers one of the best ICU teams of Vadodara to take care of critical patients. It offers help to all those patients who do not have mediclaim but need treatments. Surgicare & ICU offers the opportunity for second opinions.