

Dr. Lida Shafieyan is a distinguished obstetrician and gynecologist based in Tehran, Iran, with a comprehensive background in women’s health […]
Uterine myomas, also known as fibroids, are benign tumors that develop in the muscular wall of the uterus. They are a common condition affecting many women, especially those of reproductive age.
🔹 Heavy or prolonged menstrual bleeding (menorrhagia)
🔹 Pelvic pain or pressure
🔹 Frequent urination (due to bladder pressure)
🔹 Lower back pain
🔹 Pain during intercourse
🔹 Infertility or pregnancy complications
Note: About 30% of women with fibroids have no symptoms.
✔ Pelvic ultrasound (Transvaginal/abdominal)
✔ MRI (For large/complex fibroids)
✔ Hysterosonography (Saline-infused sonogram)
✔ Hysteroscopy (Camera-assisted uterine exam)
Hormonal birth control (Pills, IUDs)
GnRH agonists (Temporarily shrink fibroids)
NSAIDs (For pain management)
Uterine Artery Embolization (UAE) – Blocks blood supply to fibroids
MRI-Guided Focused Ultrasound (FUS) – Destroys fibroids with sound waves
Myolysis – Laser/electrical ablation of fibroids
Myomectomy (Fibroid removal while preserving the uterus)
Approaches: Laparoscopic, hysteroscopic, or open surgery
Hysterectomy (Complete uterus removal)
Recommended for women not planning pregnancy
Fibroid size & number
Location (Submucosal, intramural, subserosal)
Symptom severity
Future pregnancy plans
Patient’s age & overall health
✔ Regular ultrasound monitoring
✔ Iron supplements (If anemia from heavy bleeding)
✔ Healthy diet & exercise (May help manage symptoms)
While uterine fibroids are non-cancerous, they can significantly impact quality of life. Early diagnosis and personalized treatment are key. Consult a gynecologist to determine the best approach for your condition.
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