Fibroid treatment in Coimbatore Causes Symptoms Prevention and Treatment

Uterine fibroids are tumours that develop in the uterine tissue.They are almost always benign(not cancerous). It can be as tiny as a seed or as big as a melon, and they are composed of muscle and fibrous tissue. Depending on their size, quantity, and its location, it may produce symptoms.

Depending on the location of the fibroid within the uterus , the fibroids are classified as intramural , submucosal and sub serosal .

1. Intramural Fibroids

These fibroids are located within the wall of the uterus. They produce symptoms like heavy menstrual bleeding and painful periods. When they are large , they produce pressure symptoms to the organs around and cause urinary disturbances and rectal symptoms.

2. Submucosal Fibroids

These fibroids extend into the uterine cavity. They are called Nuisance fibroids, as even smaller sized ones lead to considerably increased bleeding and pain during periods. For women planning pregnancy, they interfere with the implantation of the baby leading to infertility and recurrent miscarriages. Usually they need hysteroscopic removal.

3. Sub serosal Fibroids

These fibroids are called innocent fibroids – because usually they don’t cause any symptoms. When they are large enough , they cause pressure symptoms.

Nowadays, Uterine fibroids are very common especially in women of reproductive age. Studies have shown that as many as 70-80% of women will develop fibroids at some point in their lives. It mostly occurs during the age (ages 30 to 50). Some women never experience symptoms at all whereas others endure a longer period of fertility and pain. The tumors develop faster and have more severe symptoms.

There are a lot of factors responsible for the development of fibroids.

1. Genetic

Fibroids are known to have genetic influence. It is common in daughters of mothers who had fibroids and also in sisters.

2. Hormonal

Fibroid is predominantly an ESTROGEN dependent tumor. Women with fibroids also have other problems which are related to estrogen excess like endometriosis and adenomyosis.

3. Lifestyle

Obesity increases the risk of fibroids as excess fat is known to secrete estrogen hormone.So proper exercise and well balanced diet along with maintaining a normal BMI definitely reduces the risk of women developing a fibroid.

The location and size of uterine fibroids can affect symptoms. Some women experience very few or no symptoms at all. But some people may experience severe discomfort that interferes with their daily activities. Here are some signs and symptoms of melanoma.

1. Prolonged or heavy menstrual cycles:
   

The fibroids can cause heavy bleeding which can interfere with the day to day work of a woman and cause anemia. Anemia has its consequences like fatigue, inability to concentrate and fatigue. Long standing severe anemia can compromise cardiac function.

2. Pressure and Pain in the Pelvis
   

Large fibroids can put pressure on the organs in the pelvis .This can lead to pain which can vary in intensity from constant dull aching pain to severe pain. Fibroids can also cause pain when they degenerate –This pain is usually severe and is associated with fever.

3. Difficulty or Frequent Urination

Urinary bladder is an organ which holds urine and is situated in the front of uterus . Fibroids in the anterior wall of the uterus (front of uterus )can compress the bladder and cause urinary obstruction, painful urination.

4. Constipation

Fibroids in the posterior wall of the uterus (ones located behind) can compress the rectum and lead to constipation and create a feel of incomplete defecation.

5. Infertility

Large intramural fibroids and submucosal fibroids can interfere with the successful implantation of pregnancy and lead to infertility. It is better to remove these fibroids by myomectomy to increase the pregnancy rates.

6. Repeated abortions

For the same reason explained above, fibroids can also cause repeated miscarriages.

There are a lot of factors responsible for the development of fibroids.

1. Routine Pelvic Exam
   

The initial step for fibroids diagnosis is a pelvic exam. The size of the uterus is enlarged in case of fibroids. Very large fibroids can be felt by abdomen examination, others may need an internal pelvic examination.

2. Ultrasound and Imaging Techniques
   

Various imaging techniques are utilized to confirm the diagnosis and offer extra information. These techniques include:

• Ultrasound

Done by transabdominal and transvaginal route.It is possible to do a complete mapping of uterine fibroids by a good transvaginal scan – this will give good information about the number , size and location of fibroid.

• Magnetic Resonance Imaging (MRI)

MRI can pinpoint the precise size, quantity, and location of fibroids while also providing a more detailed image of them. It can distinguish between different types of fibroid and identify anomalies in the surrounding tissues, which makes it very helpful when planning therapy.

• Hysterosonography (Sonohysterography)

Using a tiny tube, a saline solution is injected into the uterus to facilitate hysterosonography (also known as sonohysterography) before an ultrasound is conducted. Submucosal fibroids and other uterine anomalies can be seen more clearly on scans because the saline dilates the uterine cavity.

• Hysteroscopy

The uterus is visually examined and any fibroids or other abnormalities can be detected by the doctor by inserting a tiny, lighted tube, or hysteroscope, through the cervix into the uterus.

The intensity of the symptoms, the size and location of the fibroids, and the patient’s desire for future fertility all influence the course of treatment for uterine fibroids.

1. Cautious Waiting
   

When There Are No Symptoms
A cautious waiting strategy is frequently advised if fibroids are tiny and not producing any symptoms.
In this instance, it is recommended to periodically check the fibroids with ultrasounds or pelvic examinations.

• • It is recommended to regularly check the fibroids with ultrasounds or pelvic examinations
  • Treatment might not be required if a woman is approaching menopause unless her symptoms increase because many fibroids shrink on their own after menopause. This is the best course of action for women whose fibroids do not cause them to suffer from severe discomfort or health issues.

2. Medications

Medication may help women with mild to moderate symptoms control their discomfort and shrink their fibroids. Typical treatment plans consist of:

• • Hormonal Treatments:
    1. Birth control pills: Birth control pills do not reduce fibroids, although they can help manage heavy monthly flow and improve other symptoms.
    2. GnRH (Gonadotropin-Releasing Hormone) Agonists: These medications cause a transient menopausal state by decreasing progesterone and estrogen levels, which causes fibroids to shrink. But because prolonged usage might result in bone loss and other menopausal adverse effects, its use is usually limited.
    3. Progestin-releasing intrauterine devices (IUDs): These can help manage excessive bleeding, but they won’t shrink the size of fibroids.
  • Anti-inflammatory Drugs:
    1. Nonsteroidal anti-inflammatory drugs (NSAIDs), like Ibuprofen and other nonsteroidal anti-inflammatory medications (NSAIDs) can be used to treat pain and discomfort associated with fibroid disease. They do not, however, treat severe bleeding or shrink fibroid size.

  3. Surgical Options:

Women with symptomatic fibroids need surgery.
There are two important types of surgery for a fibroid.

• • 1. Removal of fibroid (Myomectomy )
    2. Removal of uterus (Hysterectomy)

Myomectomy involves an incision on the uterus and removal of fibroid.The uterus is not removed.A single fibroid or multiple fibroids can be removed by myomectomy . Since removal of fibroid from the fibroid bed involves blood loss, correction of anemia prior to myomectomy .Myomectomy is especially useful for women with fibroids and infertility as removal of fibroid of fibroids may enhance fertility.It should be noted that only fibroids are removed and not the basic tendency to develop fibroids. So the women may develop another fibroid in later life.

After initial evaluation of signs and symptoms of fibroid, patients who need surgery are advised and counseled whether they need myomectomy or hysterectomy .

For hysterectomy , patients are admitted the day before surgery around 5 pm the day prior to surgery. This is to ensure that the basic blood tests are done, cardiac fitness for surgery is obtained and anesthetic fitness is obtained.

Surgery is usually done on the next day either in the morning or afternoon based on other emergency surgeries listed for the day.The laparoscopic uterus removal surgery is done in general anaesthesia.The patient is usually started on oral liquid diet 6 to 12 hours after surgery based on patients response.The patient is made to walk the day after surgery . Oral diet is started and patients are discharged on the same day.Overall the inpatient hospital stay for laparoscopic hysterectomy comes to around 24 to 36 hours which may extend depending on patient parameters.

Patients are advised oral antibiotics and minimal pain killers for about 5 days.They can resume their day to day activities from the very next day.

A hysterectomy in Coimbatore may cost different amounts based on a number of factors, such as:

1. Type of surgery A day
2. Hospital facilities The price may differ based on the kind of hospital (government or private), the amount of care given during recovery, and other factors.
3. Surgeon’s expertise epending on the experience and training of the surgeon doing the surgery, fees may vary.
4. Additional services Preoperative consultations, diagnostic exams (MRI, ultrasound), anesthesia, length of hospital stay, and post-operative care might raise costs.

Uterus removal Surgery in Coimbatore typically costs between ₹85,000 and ₹1,50,000. For exact expenses that are suited to each patient’s demands, it is crucial to confer with hospitals and healthcare professionals. ELCE Hospital in Coimbatore, is one of the best hospitals in Coimbatore performing this surgery with advanced laparoscopic techniques with very minimal blood loss .Even larger fibroids which may need open surgery are removed laparoscopically .In case of larger fibroids, it is broken down into smaller pieces with morcellator and the pieces are removed laparoscopically.

At ELCE Hospital which is one of the best Hospital for Uterus removal Surgery in Coimbatore, we specialize in detecting and treating fibroids with a patient-centered approach. Our skilled group of gynecologists and specialists collaborates closely with patients to identify their unique requirements and provide customized treatment regimens. ELCE Hospital provides a variety of cutting edge therapies, whether your goal is to reduce symptoms with medicine, or surgical choices like myomectomy or hysterectomy.

We advise women who have symptoms associated with fibroid disorders, such as heavy menstrual flow, pelvic discomfort, or trouble becoming pregnant, to consult a doctor as soon as possible. Regular check-ups and early identification can prevent symptoms from worsening and enhance quality of life. Our goal at ELCE Hospital in Coimbatore is to provide you with safe, efficient, and compassionate treatment so you can take back control of your health. Our knowledge is available to help you achieve the best possible result, no matter where you are in your fibroid journey. Please don’t hesitate to arrange a consultation with one of our experts to discuss your alternatives and start on the path to alleviation and healing.