Uterine Fibroid

Nearly 1 in 4 women aged 30-50 have fibroids, with the majority being asymptomatic, yet about 20% experience symptoms such as heavy menstrual bleeding and pressure due to fibroid growth.

What is Uterine Fibroid?

Almost about 1 in 4 women between the ages of 30 – 50 years old have fibroids and the majority has no symptoms. However about 20% of women have heavy menstrual bleeding and pressure symptoms due to growing fibroids.

What You Should Know About Uterine Fibroid

Detection, Treatment & Surveillance Services:

  • History taking and full physical and gynaecological examination
  • Ultrasound Imaging of Pelvis
  • Conservative Treatment: Monitoring symptom and size of fibroid
  • Conservative Surgery: Myomectomy operation (for young women who desire to keep the uterus for childbearing)
  • Surgery: Total hysterectomy (for older women)
  • GnRH Analogue injection to reduce the size of a large uterine fibroid before surgery.

Fibroids are usually non-cancerous growths commonly found in women during their childbearing years. Common symptoms include heavy or prolonged menstrual bleeding, pelvic pressure or pain, frequent urination, or difficulty emptying your bladder.

Treatment of fibroids
Several options are available. Similar to ovarian cysts and endometriosis, the decision on which is the best treatment option depends on a variety of factors. These include:

  1. the nature of the symptoms e.g. severity of pain
  2. the desire for fertility
  3. the size of the lesion
  4. the risk for cancerous changes

1. Conservative Treatment: Monitoring Size and Symptom
An ultrasound scan is usually useful for the diagnosis and monitoring of fibroids.

2. Surgery

  • Myomectomy
    Surgery to remove the fibroids alone, leaving the uterus in place will allow you to bear children. With myomectomy, as opposed to a hysterectomy, there is a risk of fibroid recurrence. The surgical approach to a myomectomy depends on the size and location of the fibroids. Fibroids may be removed by laparotomy (open method), or laparoscopy (minimally- invasive or key-hole method)
  • Hysterectomy 
    Surgery to remove the uterus is the permanent solution for fibroids but ends your ability for childbearing. Hysterectomy may also be performed by laparotomy or laparoscopy.
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