Did you know that as high as 77 percent of women will develop fibroids during their childbearing years? Although they are benign, they may lead to severe discomfort. Pelvic pain, heavy menstrual bleeding, painful intercourse, and frequent urination are common symptoms of the disease.
Though not each uterine fibroid needs treatment, some do need medical treatment, especially when the fibroid makes regular life more difficult. Fortunately, Dr. Gangwani’s Vascular Clinic provides more options to women, such as minimally invasive fibroid treatment that does not require a major surgical procedure.
Understanding Fibroids
Uterine fibroids, or leiomyomas, are non-cancerous masses comprising connective tissues and muscles. They may multiply in the uterine cavity, inside the wall of the uterus, or on the surface of the uterus. Some fibroids are tiny and cannot be detected. The others may create massive agglutinations, which result in severe symptoms.
Fibroids may impair fertility, cause pain, or lead to other problems depending on their position and dimensions. Luckily, not every case needs a surgical intervention. The future direction is the minimally invasive treatment of fibroids.
What is Uterine Fibroid Embolization?
Uterine fibroid embolization (UFE) is a non-surgical approach to treating symptomatic fibroids. The procedure is done by an interventional radiologist, often on an outpatient basis. It entails the insertion of a thin catheter into the blood vessels that feed the fibroids. After inserting the catheter, the physician injects small particles that occlude the blood supply to the fibroids. The fibroids decrease in size, and the symptoms are alleviated in the absence of blood.
Unlike cutting and removing any part of the Uterus, UFE ensures that the Uterus is retained and fertility is not lost. This explains why it is a leading option among women seeking non-surgical relief. Most patients recover sufficiently to carry on with normal activity in a week or two.
Other Non-Surgical Fibroid Treatments
Besides uterine fibroid embolization, there are other non-surgical alternatives:
Radiofrequency Ablation
This is a method that kills fibroid tissue through the use of heat. The doctor inserts small tools through keyhole incisions in the abdomen. The fibroids are heated, causing them to shrink over time. The body absorbs the dead tissue naturally over the following months.
HIFU
High-Intensity Focused Ultrasound is a non-invasive treatment for fibroids, adenomyosis, and some cancers. It uses focused sound waves to destroy abnormal tissue while preserving the uterus. The procedure is done lying face down, involves no cuts, and usually allows same-day discharge. A follow-up MRI checks treatment results.
Hysteroscopic Myomectomy
This technique works well for fibroids growing inside the uterine cavity. A camera and tools are inserted through the vagina and cervix. The doctor cuts away the fibroid tissue without making any external cuts.
Advantages of Minimally Invasive Treatments
Minimally invasive methods come with significant benefits compared to surgery:
- Smaller incisions: Less trauma to the body and faster healing.
- Shorter recovery time: Most patients resume regular activity within days.
- Lower risk of complications: Fewer infections, less bleeding, and minimal scarring.
- Preserved fertility: Women can still try to conceive after treatment.
Impact on Fertility and Mental Wellbeing
A lot of women are concerned about the impact of fibroid treatment on fertility. A 2017 study revealed that women who underwent non-surgical fibroid operations had excellent pregnancies. Notably, the therapy did not affect ovarian functioning or circulation. Conversely, some surgeries, such as hysterectomy, are irreversible and result in a lack of fertility.
Moreover, the avoidance of surgery lessens the emotional burden many women undergo. A 2016 report states that almost 30 percent of women who underwent hysterectomies developed anxiety or depression. The non-surgical option can assist in alleviating these psychological pressures.
Who Should Consider UFE?
Not every fibroid requires treatment. UFE may not be ideal for women with very large fibroids or those with other complex conditions. It’s best to speak with a skilled interventional radiologist to understand eligibility. However, uterine fibroid embolization works well for women who experience:
- Heavy menstrual bleeding or pelvic pain
- Frequent urination or pressure on the bladder
- No immediate desire for pregnancy
- A preference to avoid surgical procedures
How UFE Compares to Traditional Surgery?
Let’s take a quick look at how UFE stacks up against surgeries like hysterectomy or myomectomy:
- Recovery: Surgery may need 4–6 weeks, while UFE usually requires less than two weeks.
- Pain management: UFE patients typically need less pain medication.
- Effectiveness: Studies show that both UFE and surgery improve symptoms significantly.
- Repeat procedures: A small percentage of women might need a second treatment with either option.
Post-Procedure Recovery
After UFE, women may feel mild to moderate pelvic cramping for a few days. Pain is manageable with medication. Most resume light activity within 1–2 days and can return to work in about a week. Follow-up visits help ensure that the fibroids continue to shrink and that symptoms improve steadily.
Final Thoughts
When it comes to treating uterine fibroids, many women are now choosing smarter and safer alternatives. Minimally invasive fibroid treatment methods are gaining popularity because they’re effective, safe, and fertility-friendly.
If you’re experiencing troubling symptoms and looking for a non-surgical solution, consult an expert who understands these advanced treatments.
Book your consultation today with Dr. Gaurav Gangwani, Interventional Radiologist in Mumbai. Let him help you find relief through safe, minimally invasive care.
