The Truth About Fibroids
Found in 25 to 40 per cent of women, should fibroids be cause for worry?
Fibroids are non-cancerous growth arising from the wall of the womb. They are found in 25-40 per cent of women in the reproductive age group. Studies have shown that different types of fibroids grow in various parts of the womb-wall. Submucous fibroids grow from under the womb-lining while Intramural fibroids are perhaps the most common. They are formed in the middle of the wombwall and Subserous fibroids grow near the outer surface. Fibroids can sometimes cause heavy bleeding, pain in the abdomen, problems related to fertility and cause difficulty in passing urine or stools if the size of the fibroid is big.
How can fibroids cause the fertility-related problems?
A small percentage of women with fibroids have problems with their fertility. Fibroids that change the shape of the uterine cavity (submucous) or are within the cavity (intracavitary) decrease fertility by about 70 per cent and removal of these fibroids increases chances of pregnancy. Women with large subserosal fibroids, may compress fallopian tubes thereby blocking the passage of sperm and eggs. Sperm may also be prevented from reaching its intended destination when intramural fibroids are located in the cervical region.
Do all fibroids need removal for fertility?
Fibroids more than 6 cms, altering the shape of the uterine cavity and fibroids in the lining of the uterus require removal for increasing the chances of pregnancy. Fibroids have also been linked with a reduction in the success rate of fertility treatments and may require removal to improve the results.
How do you treat patients when fibroids interfere with pregnancy?
Fibroids in the uterine lining can be removed by hysteroscopy which is an endoscope that looks inside the uterine lining. This procedure is called hysteroscopic Myomectomy Surgery India. Fertility chances increase after hysteroscopy. Large fibroids that alter the shape of the womb can be removed by laparoscopy.
If fibroids are present during pregnancy, does it mean that you would perhaps need a caesarean section?
Most women with fibroids can deliver normally. Rarely, a fibroid may grow near the cervix during pregnancy. If it is large enough, it may prevent the baby from coming through the birth passage. Multiple fibroids located in the lower part of the uterus can block the birth passage, making it necessary to have a caesarean birth. After laparoscopy, subsequent pregnancy may require a caesarean section.
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