Most women develop uterine fibroids in their lifetime but often go undetected. Uterine fibroids are non-cancerous tissue masses that grow in the uterus. The size of these fibroids ranges from a peanut size to the size of a large watermelon. Fibroids can grow as a single growth or in multiples. The rate at which they grow varies individually.
Depending on the location they grow, fibroids can be classified into four major types namely;


Submucosal fibroids: Fibroids detected in the muscular layer (myometrium) of the uterus.
Intramural fibroids: Fibroids are found within the inner muscular wall of the uterus.
Subserosal fibroids: Fibroids detected outside the uterus or on the exterior uterine lining. Sometimes, these fibroids can grow extensively into the uterus and are called pedunculated fibroids.
Cervical fibroids: Fibroids present in the cervical region.

Uterine fibroids can abnormally thicken the uterine lining or cause structural changes of the uterus and cervix that can affect the movement of sperm, sperm count entering the uterus, obstruct the fallopian tubes, or even create problems with embryo implantation causing fertility issues. Generally, submucosal fibroids interfere with fertility.

Main symptoms of Uterine Fibroids

Symptoms of uterine fibroids are:

  • Heavy menstrual flow
  • Menstrual periods of more than a week
  • Severe pelvic pain
  • Recurrent urination
  • Trouble emptying the bladder
  • Constipation
  • Acidity
  • Back Pain and leg pain

What causes Uterine fibroids?

Some of the factors causing uterine fibroids can be:
Genetic causes: Changes in genes of uterine muscle cells can be one of the reasons for uterine fibroids.
Hormones: Estrogen and progesterone aiding the development of the uterine lining during each menstrual cycle can promote fibroid growth. Hence, most fibroids tend to shrink after menopause or after pregnancy as the estrogen and progesterone level decreases.
Growth factors: Essential growth factors like insulin-like growth factors may trigger fibroid growth.
Extracellular matrix (ECM): ECM is a substance present in between cells to glue them together. ECM can influence fibroid growth.
Stem cells: Researchers believe that stem cells that develop the muscular layer of the uterus may cause fibroids.

Diagnosis and treatment of Uterine Fibroids at OMYA

Diagnosis of uterine fibroids includes:

  • Initial pelvic examination
  • Ultrasound, where soundwaves help, detect the presence of fibroids
  • Magnetic Resonance Imaging (MRI) helps view the location, size of the fibroids
  • Hysterosalpingography gives specialized X-ray images
  • Hysteroscopy involving the insertion of a hysteroscope (alighted device with a camera) to view the status of the uterus

There is a range of fibroids treatments available for uterine fibroids.
• Medications include GnRH agonists to block the production of estrogen and progesterone, Progestin-releasing intrauterine device (IUD), and other anti-inflammatory drugs to relieve fibroid symptoms.
• Non-invasive surgical procedures like focussed ultrasound surgery (FUS)
• Minimally invasive surgical procedures such as embolization, laparoscopy, hysteroscopy, and ablation help remove fibroids.
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Consult a fertility specialist for trouble conceiving due to fibroids. OMYA Infertility Treatment Centre offers safe and advanced treatment solutions with specialized care for treating all female reproductive concerns.

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