Health Hub: Exploring Fibroid Treatment Pathways

elcome to another edition of "Health Hub" on Women's Health & Wellness.

Did you know that up to 80% of women may experience fibroids by the age of 50, yet many remain unaware of their presence until symptoms arise?

In today’s issue, we’re diving into an essential topic for many women: fibroids. These non-cancerous tumours are common and affecting a significant number of women. Surprisingly many are unaware of their presence until symptoms arise.

This edition explores the various treatment pathways available, giving you insights and essential lifestyle changes to manage fibroids.

"Is it true that fibroids always cause symptoms like heavy bleeding and pain?" ??

#FibroidAwareness #ReproductiveHealth #WomensHealth #MythBusters

This common myth arises from the belief that fibroids always present noticeable symptoms. However, fibroids can often remain asymptomatic, especially in the earlier stages of life, like during menarche or early menstruation years.

As women progress through their reproductive lifespan, from menarche (11-12 years) to menopause (50+ years), fibroids may or may not cause issues depending on their size, location, and individual health conditions.

?? Fact: Many women live symptom-free with fibroids, but awareness and regular health checkups are vital to managing them effectively.

?? Stay informed and consult your gynaecologist, even if you feel perfectly healthy. Early detection can make a world of difference!

Understanding Fibroid: The Basics

Fibroids are benign growths that develop within the muscle tissue of the uterus. They vary greatly in size, shape, and location, and, while often asymptomatic, they can cause significant symptoms like heavy bleeding, pelvic pain, and urinary issues.

Also Read:

• Uterine Fibroids: Essential Information for Every Woman
• Uterine Fibroids and Fertility: What Every Woman Should Know
• Fibroids Treatment Demystified: Options to Manage and Relieve Symptoms

These additional resource would help you take informed decision. Thankfully, there are a variety of treatment options available today, allowing for personalized care that focuses on your specific needs.

1?? Medical Management

For many women, medical management serves as the initial treatment option. This method aims to manage symptoms rather than remove fibroids altogether. Medications such as hormone therapy can regulate menstrual cycles and reduce bleeding. Some options include:

• GnRH Agonists: These medications temporarily shrink fibroids by lowering estrogen levels, providing relief from heavy bleeding and pain.
• Progestin-releasing Intrauterine Device (IUD): This device helps control heavy menstrual bleeding, one of the most common symptoms of fibroids.
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): These are used to manage pain and discomfort associated with fibroids.

This approach works best when symptoms are mild. Remember to consult your healthcare provider. They would help you combine it with other treatment strategies.

2?? Non-Invasive Options

For women who wish to avoid surgery, non-invasive procedures can offer significant relief. These treatments aim to shrink or destroy fibroids without the need for cuts or incisions.

• Uterine Artery Embolization (UAE): This procedure involves blocking the blood vessels that supply the fibroids, causing them to shrink over time. It’s a minimally invasive option that has shown success for many women.
• MRI-guided Focused Ultrasound (MRgFUS): This procedure uses sound waves to heat and destroy fibroid tissue. It's non-invasive, providing an alternative to surgery for those who wish to preserve the uterus.

These methods can be ideal for women who want to avoid major surgery but still seek relief from fibroid symptoms.

3?? Surgical Treatments

In some cases, surgery may be necessary, especially for larger fibroids or when other treatment options haven’t worked. There are two main types of surgical procedures for fibroid management:

• Myomectomy: A procedure where the fibroids are surgically removed while preserving the uterus. This is often recommended for women who wish to retain their fertility and are looking to eliminate fibroid-related symptoms.
• Hysterectomy: This is the removal of the uterus, and it is typically considered when fibroids are large or causing severe symptoms. For women who have completed childbearing, this can provide a permanent solution to fibroids.

Both options come with their own set of benefits and risks, and the decision to proceed with surgery should be made in consultation with your doctor, considering your health, symptoms, and fertility goals.

4?? Radio Frequency Ablation

A newer, less invasive treatment option is Radio Frequency Ablation (RFA). During this procedure, a small needle is inserted into the fibroid tissue through the skin, and radiofrequency waves are used to destroy the fibroid. RFA is often used for fibroids that are small to medium in size and offers a relatively quick recovery time. It’s an ideal option for women who are looking for a minimally invasive solution that requires less downtime than traditional surgery.

5?? Lifestyle Changes and Self-Care

In addition to medical and surgical treatments, lifestyle changes can play a crucial role in managing fibroids and improving overall health.

Here are some tips:

• Dietary Adjustments: A diet high in fiber and low in red meat may help reduce the risk of fibroid growth. Incorporating plenty of fruits, vegetables, and whole grains can support hormone balance.
• Exercise: Regular physical activity, such as walking or yoga, can help improve circulation, reduce stress, and promote overall well-being.
• Stress Management: Chronic stress can contribute to hormonal imbalances, which may affect fibroid growth. Techniques like meditation, deep breathing, and mindfulness can be highly effective.
• Weight Management: Maintaining a healthy weight is important because excess body fat can lead to higher estrogen levels, potentially exacerbating fibroid symptoms.

These lifestyle changes are not a replacement for medical treatment but can work alongside therapies to improve your quality of life.

Making Informed Decisions

Deciding on the best treatment for fibroids can be a complex process, as it depends on various factors such as the size, location, and number of fibroids, as well as your personal goals (e.g., fertility, symptom relief). It’s essential to work closely with your healthcare provider to discuss all available options, weigh their pros and cons, and choose the path that is most aligned with your needs and preferences.

Before we Take a Leave!

Fibroids are a common yet often misunderstood health condition that can impact many aspects of a woman’s life. Whether you are experiencing symptoms or simply want to stay proactive about your reproductive health, it’s important to be aware of your treatment options. From medical management to non-invasive and surgical options, there are pathways to help you manage fibroids and maintain a healthy, active life.

Remember, patient-centered care is the key to addressing fibroids effectively, and each woman’s treatment plan should be tailored to her individual health needs.

Thank you for reading this edition of Health Hub! Stay empowered and informed, and don’t hesitate to reach out if you have any questions or need further guidance on managing fibroids.

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Stay Healthy and Empowered,

Dr. Madhu Goel

Senior Consultant Obstetrician and Gynecologist

Director, Fortis La Femme

#FibroidTreatment #WomensHealth #HealthHub #Empowerment #SelfCare #FibroidAwareness