Uterine Myoma

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.

Symptoms & Warning Signs

🔹 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.

Diagnosis Methods

✔ Pelvic ultrasound (Transvaginal/abdominal)
✔ MRI (For large/complex fibroids)
✔ Hysterosonography (Saline-infused sonogram)
✔ Hysteroscopy (Camera-assisted uterine exam)

Treatment Options

1. Medications (For Symptom Relief)

  • Hormonal birth control (Pills, IUDs)

  • GnRH agonists (Temporarily shrink fibroids)

  • NSAIDs (For pain management)

2. Minimally Invasive Procedures

  • 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

3. Surgical Treatments

  • Myomectomy (Fibroid removal while preserving the uterus)

    • Approaches: Laparoscopic, hysteroscopic, or open surgery

  • Hysterectomy (Complete uterus removal)

    • Recommended for women not planning pregnancy

Factors Affecting Treatment Choice

  • Fibroid size & number

  • Location (Submucosal, intramural, subserosal)

  • Symptom severity

  • Future pregnancy plans

  • Patient’s age & overall health

Important Care Tips

✔ 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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