FIBROIDS
INSIGHT ON FIBROIDS BY DR ATI: GYNAECOLOGIST IN DURBAN
What are fibroids?
Fibroids are non-cancerous growths that develop in the uterus. They are also known as uterine fibroids or leiomyomas. Fibroids can vary in size, ranging from as small as a pea to as large as a grapefruit. They can be found inside the uterus, on its outer surface, or within its wall.
What causes fibroids?
The exact cause of fibroids is not known, but several factors may contribute to their development:
1. Hormones : Estrogen and progesterone, two hormones that regulate the menstrual cycle, seem to promote the growth of fibroids. Fibroids tend to grow rapidly during pregnancy when hormone levels are high and often shrink after menopause when hormone levels decrease.
2. Genetics: If your mother, sister, or grandmother has had fibroids, you may be at risk of developing them.
3. Other factors: Factors such as obesity, a diet high in red meat and low in green vegetables, and alcohol consumption may also increase the risk of developing fibroids.
Symptoms of fibroids
Not all women with fibroids experience symptoms, but when symptoms do occur, they may include:
- Heavy menstrual bleeding
- Pelvic pain or pressure
- Difficulty emptying the bladder
- Prolonged menstrual periods
- Frequent urination
- Constipation
- Backache or leg pains
- Pain during intercourse
How are fibroids diagnosed?
Fibroids are often discovered during a pelvic exam or prenatal ultrasound. If your doctor suspects fibroids, they may recommend additional tests such as an ultrasound, MRI, or hysteroscopy to confirm the diagnosis.
Treatment options:
Treatment for fibroids depends on the severity of your symptoms, the size and location of the fibroids, your age, and your desire to have children. Treatment options may include:
1. Watchful waiting: If you’re not experiencing symptoms or if your symptoms are mild, your doctor may recommend monitoring the fibroids over time without any treatment.
2. Medications: Certain medications such as hormonal birth control pills, GnRH agonists, or tranexamic acid can help control heavy bleeding and alleviate symptoms associated with fibroids.
3. Minimally invasive procedures: Procedures such as uterine artery embolization, myomectomy (surgical removal of fibroids) via open procedure or minimal access surgery/Laparoscopy.
4. Hysterectomy: In severe cases or if you have completed your family, a hysterectomy (surgical removal of the uterus) may be recommended as a last resort.
Living with fibroids: By Dr Ati, your gynaecologist in Durban
– Maintain a healthy lifestyle by eating a balanced diet, exercising regularly, and managing stress.
– Keep track of your symptoms and menstrual cycle.
– Talk to your doctor about any concerns or questions you may have about fibroids or your treatment options.
Remember, fibroids are common and treatable. With the right treatment and support, you can manage your symptoms and improve your quality of life.
If you have any concerns about fibroids or are experiencing symptoms, don’t hesitate to reach out to your healthcare provider for guidance and support.
