Uterine fibroids may develop in as many as eight out of every 10 women by age 50, but do not necessarily require treatment. The noncancerous growths develop in or on the uterus and may differ in size, occurrence, and location. Some women do not feel any symptoms, whereas others complain of heavy bleeding, pain and pressure in the pelvis.
The good news is that the minimally invasive fibroid treatment is effective and does not involve any extensive surgery. These methods enable women to treat the symptoms without compromising their fertility and recovery period.
Imaging Tests for Diagnosis
Where a routine ultrasound fails to give clear details, Dr. Gangwani’s Vascular Clinic may advise you to go for further imaging. MRI is useful in determining the size and type of fibroid. It is particularly applicable to a large uterus or women who are entering menopause. These tests are done to make a correct diagnosis and select the best uterine fibroids treatment.
- Hysterosonography involves the expansion of the uterus using saline and the visibility of the fibroids within the cavity.
- Hysterosalpingography with X-rays and contrast dye examines the fallopian tubes to see whether they are blocked and is frequently employed when infertility is an issue.
Are there any medication options?
Medications help to relieve the symptoms, but do not eradicate fibroids. Gonadotropin-releasing hormone (GnRH) agonists reduce the level of oestrogen and progesterone, causing fibroids to shrink and halting periods. Other hormonal therapies are contraceptives and intrauterine devices to minimise bleeding. These drugs can lessen the symptoms prior to surgery, even though they are temporary.
Different Minimally Invasive Fibroid Treatment Options
In cases where medications fail, women can choose to undergo procedures that are non-surgical and can treat their fibroids. They have their individual advantages:
Uterine Artery Embolization (UAE):
The treatment cuts off the blood supply to the fibroids, and they become smaller. The process is done by an interventional radiologist who inserts a small catheter in the groin or the wrist. UAE retains the uterus and works on multiple fibroids. It is among the most reliable minimally invasive treatments for fibroids.
MRI-Guided Focused Ultrasound (FUS):
FUS uses high-intensity ultrasound waves to destroy fibroid tissue. Performed while inside an MRI scanner, this procedure does not require incisions. It helps shrink fibroids and relieve symptoms with minimal recovery time.
Radiofrequency Ablation:
Heat energy is used to destroy fibroids and reduce their blood supply. This can be done through small abdominal incisions (laparoscopy) or via the cervix (transcervical). Patients usually resume activities within a few days.
Myomectomy (Laparoscopic or Robotic):
This procedure removes fibroids but keeps the uterus intact. It’s ideal for women planning to get pregnant. Depending on the fibroid’s size and number, it may require multiple small cuts or robotic tools.
Success Rates and Recovery
Leiomyoma (also known as uterine fibroids) is a benign tumour of the smooth muscle of the uterus. Treatment of uterine fibroids depends on the size, number of fibroids, the symptoms, and the fertility of the patient.
Research indicates that 85-90 percent of women report relief in symptoms within three months of using treatments such as UAE. The fibroids reduce by 40-60 percent after one year. A majority of patients get back to normal life within 7-10 days. These procedures have a high success rate, and their low rates of complications make them an effective substitute for conventional surgery.
Who Should Consider These Options?
Women with moderate to severe symptoms, those who wish to preserve fertility, and those who want to avoid hysterectomy are ideal candidates for minimally invasive fibroid treatment. However, treatment choice depends on individual goals, fibroid characteristics, and overall health.
Get Emotional and Psychological Support
Having fibroids may have a psychological impact on mental health, particularly when the symptoms impair daily life. Women can be frustrated, sad or anxious because of fertility issues or pain. Women can cope with uterine fibroids treatment by seeking emotional support through counselling, family members, or support groups.
Monitoring and Recurrence
The tumours may be small and symptom-free or may be big enough to deform the uterus and cause pain. Although not cancerous, fibroids may cause anaemia, constipation, back pain, or painful intercourse. New fibroids may still occur even following treatment. Frequent check-ups enable the doctor to check on the uterus and treat the condition in time.
The risk of recurrence is removed with hysterectomy, whereas some treatments will need follow-up. Still, the high success rate and uterus-preserving nature of minimally invasive fibroid treatment make it the preferred choice for many.
Conclusion
Are you experiencing fibroid conditions but need less invasive solutions? It is high time you took action. Take your health and comfort back through modern diagnostic measures and effective, safe methods.
Consult Dr. Gaurav Gangwani, the top Interventional Radiologist in Mumbai, to discuss the best minimally invasive fibroid treatment for your needs.
