Uterine leiomyomas are benign lumps that grow on the uterus. They are non cancerous .They are usually asymptomatic, but can cause a number of clinical issues as
- Abnormal uterine bleeding especially heavy menstrual flow,
- Recurrent pregnancy loss,
- Pain during sexual intercourse
An urge to urinate and symptoms caused by compression of fibroid on other adjacent organs.
Uterine Fibroids Diagnosis
Diagnosis is usually done by an ultrasound, may further require an MRI or diagnostic hysteroscopy especially if surgery is considered.
Most of the asymptomatic fibroids don’t require any immediate treatment and the gynaecologist will opt for the process of ‘watchful waiting’. An exception to this maybe if fibroid is suspected as a cause of infertility or recurrent pregnancy loss. Once the fibroids start giving clinical problems then treatment is to be considered. The treatment may be medically through hormones or surgically mainly decided based on the symptoms.
For abnormal uterine bleeding, medical is the first line of management.With other symptoms, surgery might be considered the first option.
Surgical options include abdominal approach( laparascopy or open method)or embolization or hysteroscopic removal of fibroid depending on the size, numbers, location of the fibroids and the presence or absence of coexisting intra abdominal problems. The gynaecologist will guide and help you decide on the best management for you.