Fibroids, also known as uterine leiomyomas, are benign tumors that develop from the smooth muscle cells of the uterus. They can vary in size, ranging from small, pea-sized growths to large, grapefruit-sized masses. Fibroids can develop within the uterine wall (intramural), on the outer surface of the uterus (subserosal), or in the uterine cavity (submucosal). While the exact cause of fibroids is not fully understood, several factors may contribute to their development, including hormonal fluctuations, genetic predisposition, and estrogen and progesterone levels.
Diagnosis and Treatment
Diagnosing fibroids typically involves a combination of clinical evaluation, imaging studies, and sometimes, surgical intervention. While a pelvic exam may reveal an enlarged or irregularly shaped uterus, imaging tests such as ultrasound, MRI, or hysteroscopy may be used to visualize and assess the size and location of the fibroids.
Treatment for fibroids depends on several factors, including the severity of symptoms, the size and location of the fibroids, and the woman’s reproductive goals. Treatment options may include:
- Watchful waiting: In cases where fibroids are small and asymptomatic, a “wait and see” approach may be recommended, with regular monitoring to assess for changes in symptoms or fibroid size.
- Medications: Hormonal medications such as birth control pills, gonadotropin-releasing hormone (GnRH) agonists, or progestin-releasing intrauterine devices (IUDs) may help regulate menstrual cycles and reduce symptoms such as heavy bleeding and pelvic pain.
- Minimally invasive procedures: Procedures such as uterine artery embolization, myomectomy (surgical removal of fibroids), or endometrial ablation may be considered to alleviate symptoms and preserve fertility in women who wish to conceive in the future.
- Hysterectomy: In severe cases or for women who have completed their families, surgical removal of the uterus (hysterectomy) may be recommended to provide definitive relief from fibroid-related symptoms.
Complex Fibroid surgery in Delhi involve addressing fibroids that are large, numerous, or located in challenging positions within the uterus. These surgeries require a high level of expertise and precision to ensure optimal outcomes for patients. As a surgeon specializing in this field, I have undergone extensive training and have honed my skills to effectively tackle even the most challenging cases.
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