What are Fibroids?
The uterus, also called the womb, is a female reproductive organ where a baby grows during pregnancy. Fibroids refer to noncancerous growths that can develop in the tissues of the uterus. This is a common health condition affecting women in the reproductive ages between 16 to 50 years.
Types of Fibroids
Fibroids are classified based on their location in the uterus. The different types of fibroids include:
- Intramural fibroids: These are embedded in the muscular wall of the uterus and are quite common.
- Subserosal fibroids: These extend into the outer uterine layer.
- Submucosal fibroids: These extend into the cavity of the uterus.
- Cervical fibroids: These develop at the entrance into the uterus called the cervix.
The exact cause of fibroid formation is not clear. However, it may be associated with:
- High estrogen levels in a woman’s body
- Consumption of estrogen-containing birth control pills
- Genetic factors, as you can develop fibroids if a close relative has it
Fibroid formation has also been linked with obesity and the consumption of red meat.
Fibroids may not cause any symptoms and are usually diagnosed during a routine pelvic examination.
Tests used to identify fibroids include:
- Abdominal ultrasound scan
- MRI scan
- Laparoscopy where a narrow tube with a camera is inserted through the abdomen to examine the outer surface of the uterus
- Hysteroscopy where a narrow tube with a camera is inserted through the vagina to examine the inside of the uterus
Treatment depends on the location of the fibroids, the intensity of the symptoms and whether you are planning on pregnancy. You may not require treatment if symptoms are absent or mild. When treatment is indicated the different approaches include:
- Medications including non-steroidal anti-inflammatory drugs and birth control pills to control pain and reduce menstrual flow
- Placement of an intrauterine device or IUD which releases the hormone levonorgestrel that controls the growth of the uterine lining
- Surgery may be recommended for extreme cases where conservative options fail to provide relief.
To treat fibroids your doctor can perform:
- Uterine fibroid embolization: The blood supply to the fibroid area is blocked by injecting tiny particles into the supplying arteries. This reduces the size of the fibroids to relieve symptoms.
- Percutaneous laser ablation: A needle is inserted through the skin and tissues to reach the fibroids which are then removed by laser
- Ultrasound Surgery: High-energy ultrasound waves are used to shrink the fibroids
I Found My True Calling; Dr Feraz Rahman
‘Over 50 per cent of women trying to conceive can get pregnant within two years’ said Dr Feraz Rahman, while explaining the procedure to the treatment of uterine fibroid embolization.
Published on Nov 03, 2020
Local health events: May 21 to May 28
Dr. Feraz Rahman and the Indus Hospital Interventional Radiology Team prepare to perform a uterine fibroid embolization procedure. They performed the procedure free of charge for 14 poor patients over one week. Join Rahman as he discusses the latest treatment options for treating uterine fibroids, and his recent experience in Pakistan, on May 21.
Published on May 2019