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Writer's pictureSabapathy J

Uterine Fibroids (Myomas): Symptoms, Treatments, and Fertility – Expertise at Paul’s Hospital


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At Paul’s Hospital, we understand the challenges uterine fibroids bring to women’s lives, from discomfort and heavy bleeding to potential fertility concerns. Our commitment to advanced gynaecological care ensures that every woman receives personalised, compassionate treatment tailored to her unique needs. Let’s explore uterine fibroids—what they are, how they’re treated, and how they may impact your fertility—with insights from our experts.


What Are Uterine Fibroids?

Uterine fibroids, also called myomas, are non-cancerous growths that develop in or around the uterus. These growths originate from smooth muscle cells and can vary in size, number, and location, affecting symptoms and treatment strategies.

  • Intramural Fibroids: Develop within the uterine wall.

  • Submucosal Fibroids: Extend into the uterine cavity, often impacting menstrual cycles or fertility.

  • Subserosal Fibroids: Grow on the outer surface of the uterus, sometimes pressing on nearby organs.

  • Pedunculated Fibroids: Are attached to the uterus via a stalk.

At Paul’s Hospital, we specialise in identifying and managing these fibroids to minimise their impact on your life.


Are You at Risk of Fibroids?

Fibroids are common among women, especially during their reproductive years. Factors that may increase your risk include:

  • Age: Fibroids typically develop between ages 30 and 50.

  • Family History: If your mother or sister had fibroids, your risk increases.

  • Ethnicity: Women of African-Caribbean descent are more likely to develop fibroids.

  • Lifestyle: Obesity, high blood pressure, and certain dietary habits, such as a diet high in red meat, can elevate risk.

Regular gynaecological check-ups at Paul’s Hospital can help detect fibroids early, even before symptoms arise.


Common Symptoms of Fibroids

Fibroids often remain silent, but when symptoms do occur, they may include:

  1. Heavy Menstrual Bleeding: This can lead to anaemia and fatigue.

  2. Pelvic Pain or Pressure: Larger fibroids may cause a feeling of fullness in the lower abdomen.

  3. Frequent Urination: Fibroids pressing on the bladder can increase urgency.

  4. Pain During Intercourse: Especially when fibroids are near the cervix or uterine cavity.

  5. Fertility Challenges: Fibroids can interfere with conception or lead to pregnancy complications.

  6. Constipation: Subserosal fibroids can press on the rectum, making bowel movements difficult.

If you’re experiencing any of these symptoms, our specialists at Paul’s Hospital are here to guide you toward relief.

 

Diagnosing Fibroids at Paul’s Hospital

Accurate diagnosis is the first step toward effective treatment. At Paul’s Hospital, we offer:

  • 2D and 3D Ultrasound: A primary, non-invasive diagnostic tool. Assesment of the uterine cavity is also possible with 3D ultrasound

  • MRI Scans: For detailed imaging of multiple or large fibroid size and location.

Our state-of-the-art diagnostic facilities ensure clarity and precision in every case.

 

Advanced Treatment Options at Paul’s Hospital

The best treatment plan depends on the size, location, and symptoms of your fibroids, as well as your fertility goals.

1. Non-Surgical Approaches

  • Medication: Hormonal therapies or NSAIDs can manage symptoms like heavy bleeding and pain.

  • Microwave ablation : It is a non surgical method by which a needle is inserted into the fibroids and ablated with microwave technology. 

  • Uterine Artery Embolization (UAE): Minimally invasive; it shrinks fibroids by cutting off their blood supply.

Microwave ablation and uterine artery embolisation may not always provide a full resolution of your symptoms

2. Surgical Options

  • Myomectomy: Removes fibroids while preserving the uterus, making it ideal for women planning future pregnancies.

  • Hysterectomy: A permanent solution for severe cases, involving the removal of the uterus.

At Paul’s Hospital, our surgical team is known for their expertise in minimally invasive techniques, ensuring faster recovery and minimal scarring.

 

Fibroids and Fertility

For women trying to conceive, fibroids can present unique challenges:

  • Impaired Implantation: Submucosal fibroids may distort the uterine cavity.

  • Fallopian Tube Blockage: Fibroids near the tubes can hinder egg movement.

  • Pregnancy Risks: Preterm labour, restricted foetal growth, and placental complications.

Our fertility specialists at Paul’s Hospital work closely with you to address these issues, combining fibroid management with fertility-enhancing strategies.

 

Why Paul’s Hospital Is the Trusted Name in Fibroid Care

At Paul’s Hospital, we combine advanced medical technology with personalised care:

  1. Expertise: Our gynaecologists have extensive experience managing fibroids in women of all ages.

  2. Innovation: We offer cutting-edge minimally invasive treatments for faster recovery.

  3. Holistic Care: From diagnosis to recovery, our team ensures you’re supported every step of the way.

  4. Focus on Fertility: We prioritise preserving your fertility and reproductive health whenever possible.

 

Take Control of Your Health

Uterine fibroids don’t have to dictate your life. Whether you’re seeking relief from symptoms or exploring fertility-friendly treatments, Paul’s Hospital is here to provide comprehensive, compassionate care.

Contact us today to schedule a consultation and take the first step toward better health.

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