Fibroids are noncancerous growths in the uterus and are a common concern for many women. While they can sometimes cause uncomfortable symptoms, you might be surprised to learn that not all fibroids require treatment. In fact, many women coexist peacefully with these growths, experiencing no disruption to their daily lives.
So, how do you know if your fibroids fall into the “watch and wait” category or require medical intervention? Let’s dive into the factors influencing treatment decisions and explore the options.
What Exactly are Fibroids?
Fibroids are non-cancerous growths that originate from the muscle tissue of the uterus. Although the precise cause of fibroids is unknown, these tumours are hormone-dependent and fueled by oestrogen. Fibroids can be found inside the uterine cavity, within the walls, on the outer surface, or attached to the uterus via a stem-like structure.
Who’s at Risk?
Fibroids are more prevalent in women aged between 30 and 40 years. But they can occur at any age. Women with a familial predisposition and an early onset of periods are more likely to develop fibroids. African-American and Caucasian women are also more likely to develop fibroids.
Fibroids: Signs and Symptoms
Symptoms of fibroids can include changes in menstruation, such as long, frequent, or heavy periods, painful periods, or irregular vaginal bleeding. Other symptoms may include:
● dull, heavy abdominal or lower back pain
● pressure symptoms affecting urination and bowel movements
● a noticeable bump in the belly.
Infertility or miscarriages can also be linked to fibroids, which are often detected during early pregnancy or follicular tracking scans.
Fibroids Diagnosis
Numerous diagnostic methods are available to confirm fibroid diagnosis, including ultrasonography, hysteroscopy, hysterosalpingography, laparoscopy and MRI.
- Ultrasonography (US): A non-invasive imaging technique using sound waves to create pictures of organs and tissues.
- Hysteroscopy: A minimally invasive procedure where a thin, lighted scope is inserted through the vagina and cervix to view the inside of the uterus.
- Hysterosalpingography (HSG): A healthcare professional injects contrast dye into the uterus and fallopian tubes and then uses X-ray imaging to assess their patency (openness).
- Laparoscopy: A surgeon views the internal organs, including the uterus, fallopian tubes, and ovaries, by making a small incision in the abdomen and inserting a laparoscope (lighted scope) for visualisation.
- Magnetic resonance imaging (MRI): A non-invasive imaging technique that uses strong magnetic fields and radio waves to create pictures of internal organs and tissues.
Do all fibroids need to be treated?
Not all fibroids require treatment. Small, asymptomatic (not showing symptoms) fibroids in women nearing menopause may not need intervention. However, specific symptoms like heavy bleeding or painful periods, bleeding between periods, rapid size increase, infertility, and pressure symptoms may indicate the need for treatment.
If you’re seeking fibroid treatment in London, you’ll find numerous gynaecology clinics. Choosing the most suitable one can significantly impact your experience.
Can medications be used to treat fibroids?
Medications can alleviate symptoms like heavy bleeding or pelvic pain, but they do not prevent fibroid growth. Painkillers, oral contraceptive pills, progesterone pills, IUCD, and GnRH agonists are among the medications used to manage fibroid symptoms.
If you are experiencing symptoms that might be related to fibroids, consulting a private gynaecologist in London can be really helpful. They can create a personalised treatment plan based on your unique needs and health history.
What surgeries can treat fibroids?
Surgical interventions, like myomectomy and hysterectomy, are also available. Myomectomy involves removing fibroids while preserving the uterus, while hysterectomy removes the uterus containing fibroids. Alternative treatments like uterine artery embolisation and high-intensity focused ultrasound (HIFU) are additional options for managing fibroids.
Pelvic ultrasound Scan
The pelvic ultrasound scan is a prime diagnostic tool in investigating fibroids and other gynaecological issues. While the NHS may have long waiting times for transvaginal ultrasound scans, private ultrasound services provide detailed information on transabdominal and transvaginal scans.
If you suspect you have fibroids, it’s essential to book an appointment with a healthcare professional for accurate diagnosis and personalised treatment plans. Understanding fibroids involves recognising symptoms, using various diagnostic methods, and considering appropriate treatment options tailored to individual needs.
My Final Verdict
Uterine fibroids are surprisingly common, affecting up to 70% of women by the age of 50. However, the presence of fibroids doesn’t really need treatment.
So, when should you consider treatment?
● Heavy or prolonged bleeding: If you notice a substantial increase in menstrual flow or prolonged duration of your periods.
● Pelvic pain or pressure: A frequent feeling of fullness or discomfort in the lower abdomen can indicate fibroid.
● Frequent urination or difficulty emptying your bladder: Fibroids pressing on the bladder can lead to these issues.
● Pain during sexual intercourse: This symptom can be a sign of fibroid affecting intimacy.
Remember, every woman’s experience is unique. While some may manage mild symptoms with lifestyle adjustments like applying heat to the abdomen for pain relief, others might require medication or minimally invasive procedures to manage more severe symptoms.
Fibroids treatment FAQs
Q1) Do all fibroids need treatment?
No, not all fibroids require treatment. In fact, many women have fibroids and don’t experience any symptoms at all. Treatment is typically only recommended if you’re experiencing symptoms such as heavy bleeding, pelvic pain, or difficulty emptying your bladder.
Q2) How can I tell if my fibroids need treatment?
Schedule a consultation with a healthcare professional if you’re experiencing any symptoms impacting your quality of life. They can discuss your situation and determine if further evaluation or treatment is necessary.
Q3) What are the different treatment options for fibroids?
Countless treatment options are available for fibroids, depending on the severity of your symptoms and your individual preferences. These options include medications like hormonal therapy, minimally invasive procedures like uterine artery embolisation, and surgical procedures like myomectomy or hysterectomy.
Q4) What are the risks associated with fibroid treatment?
As with any medical procedure, there are potential risks associated with fibroid treatment. Discuss these risks and benefits with your doctor before making any decisions.
Q5) Is it possible for my fibroids to resolve on their own?
Fibroids often shrink and sometimes disappear entirely post-menopause due to the natural decline in oestrogen levels. However, this isn’t always the case. If you’re concerned about fibroids, it’s best to consult a healthcare professional for personalised guidance.