A uterine fibroid is the most common benign (not cancerous) tumour of a woman’s uterus (womb). Fibroids are tumours of the smooth muscle that is normally found in the wall of the uterus.They can develop within the uterine wall itself or attached to it. They may grow as a single tumour or in clusters. They can grow:-
The term FIBROIDS is misleading because they consist of muscle tissue, not fibrous tissue. The medical term for a fibroid is leiomyoma
The prevalence rate worldwide for fibroids among women is 10-20% (Natural women’s health info centre NICD.NIH). Fibroids are number one reason for hysterectomy in USA (CDC). They result in 150,000-175,000 hysterectomies in the US. The prevalence of fibroids identified by USG imaging ranges from:
Most fibroids even large ones produce no symptoms. These masses are often found during a regular pelvic examination. The most common symptoms that a woman with fibroids may experience:-
Often a Gynaecologist can feel an irregularly shaped uterus when fibroids are present. The doctor normally prescribes the following tests to help decide if the patient has fibroids and to exclude other and potentially more serious causes of ongoing symptoms.
Treatment for fibroids depends on the following symptoms:
In most cases, treatment is not necessary. This is true in the following scenarios:
These patients may require a check up maybe every 6 months to a year, to check on changes with the fibroid.
Patient may be given oral medications to control the pain and excessive bleeding.
The various types of procedure which are best suited as per individual case are:-