Treatment options for Your Fibroids and Uterine Fibroids Symptoms

There are a number of treatment options for uterine fibroids. In the past, the most common treatment was a hysterectomy. Today, there are many less drastic treatment alternatives to hysterectomy, and women can chose the treatment most suitable for them. When looking at the options available, there are a few factors to consider: Age General health Severity of the symptoms Obstetric history of the patient Location of fibroid(s) in the uterus Fibroids and weight gain

Procedure	What is it?
MR guided Focused Ultrasound Surgery	This is a non-invasive, outpatient procedure for treating uterine fibroids while keeping the uterus intact. This procedure includes: No general anesthesia No cutting No hospital stay 1-3 days home recovery
Hysterectomy	Surgical removal of the uterus. Due to its invasive nature, this procedure requires some time for recovery: Uses general anesthesia 1-2 days post-op in the hospital 4-6 weeks of recovery at home No chance for pregnancy after this procedure.
Abdominal Myomectomy	Removal of one or more of the myomas by an incision made in the abdomen to reach the uterus. The uterus remains intact. Recovery is usually: Uses general anesthesia 2 nights in the hospital 4 weeks of home recovery
Laparoscopic Myomectomy	Removal of fibroids through laparoscopy using 2-3 half-inch incisions. This procedure only works on small fibroids. Uterus remains intact. Recovery: Uses general anesthesia No hospital stay 1-2 weeks home recovery
Hysteroscopic Myomectomy	Removal of uterine fibroids by inserting a hysteroscope through the vagina and the cervix into the uterus. Uterus remains intact. Recovery: Use of general anesthesia No hospital stay 1-3 days home recovery
Laparoscopic Assisted Vaginal Myomectomy (LAVM)	LAVM combines laparoscopic myomectomy with a vaginal incision for fibroid removal. Recovery: Uses general anesthesia Up to 48 hours hospital stay Up to 1 week home recovery
Laparoscopic Myomectomy with Mini-Laparotomy	Laparoscopic Myomectomy with Mini-Laparotomy allows for the removal of slightly larger myomas than what the laparoscope alone can handle and generally includes a relatively small incision of 3 inches or less in the abdomen. Recovery: Uses general anesthesia Up to 48 hours hospital stay 1-2 weeks home recovery
Robot-Assisted Myomectomy or Robotic Myomectomy	A minimally invasive procedure that uses laparoscopic myomectomy through small: "keywhole" incisions and reduces patient's recovery time. Uses general anesthesia Up to 48 hours hospital stay 2-6 weeks home recovery
Laser Treatment for Uterine Fibroids	Combines MR imaging, or Laparoscopic myolisis with lasers to cut off blood supply to the fibroids. Uses general anesthesia No hospital stay Up to 1 week home recovery This treatment may lead to skin burns
Uterine Artery Embolization	The uterine artery is injected with polyvinyl alcohol beads, with a catheter, which block the flow of blood to the fibroids and cause necrosis. No general anesthesia No hospital stay 1 -2 weeks home recovery
Alternative Treatments	Non-invasive treatment options for uterine fibroids such as hormone therapy, oral therapies, herbal treatments, homeopathic & holistic treatments
Watchful Waiting	No treatment. Monitoring for any progression of symptoms.

Minimally-Invasive Treatment of Fibroids (Uterine Artery Embolization) in India

Being a woman is hard enough as it is, but when everyday trials are made worse with heavy menstrual bleeding, backaches and general discomfort, the day can seem unending. Excessive bleeding or prolonged periods are a glaring sign that something is wrong in your body, and you need to visit your gynaecologist. One of the most common conditions that causes these symptoms in women over the age of 20 is what doctors call‘fibroids’, which are basically benign smooth muscle growths in the uterus. They can vary in size, from being as small as a pea to be as big or bigger than a melon.

In most women, a gynaecologist might incidentally notice the presence of fibroids during a routine sonography, since very few experience any noticeable symptoms.
Most women experience symptoms only when the fibroid grows to such an extent that it presses on the uterus, rectum, bladder or spinal column. Another possible cause for the symptoms could be the fact that when the fibroid outgrows its blood supply and is deprived of nutrition, it begins to die and releases by-products that causes pain and fever. If you notice any of the following symptoms, consult a good gynecologist:

• Prolonged menstrual bleeding that lasts for more than seven days

• Persistent pelvic pain even after menstruation (when the fibroid is pressing on the uterus or the back)

• Frequent urination and difficulty emptying the bladder 

• Constipation (when the fibroid is present at the back of the uterus, exerting pressure on the rectum)

• Back or leg pain (when a fibroid either grows large and presses on the spinal column through the uterus or is formed behind the uterus)

Uterine Artery Embolization  or  Uterine Fibroid Embolization  is a minimally invasive techniqueused for treating symptomatic fibroids. The advent of UAE for treatment of fibroids has been revolutionary as the procedure requires a tiny nick in the skin and virtually does not involve blood loss or need of blood transfusion.  Thus one can anticipate “No surgery and Quick Recovery” with Uterine Artery Embolization.

What does a Uterine Artery Embolization procedure entail?
The Uterine fibroids stimulate blood vessels which increase blood supply to fibroids. The uterine artery embolization procedure entails injecting small particles into the uterine arteries which supply blood to the uterus and fibroids. The injected embolic agents block the vessels which starve fibroids and cause them to shrink and die.
Advantages of Uterine Artery Embolization:

• Minimally invasive procedure with infrequent complications

• Simultaneously treats all fibroids

• Performed under local anesthesia

• Rare chances of recurrence of fibroids after UAE

• Shorter Recovery Period

• Minimal blood loss

• No need for any blood transfusion

• No adhesion formation

• Is emotionally, physically and sexually more advantageous over surgery

UterineArtery Embolization, the non surgical cure for uterine fibroids is now available in India at some of the best hospitals at highly affordable cost. Uterine Artery Embolization is done by some of the best interventional radiologists in India who are specially trained to diagnose and treat conditions using miniature tools while watching their progress on imaging equipment.
The hospitals in India that offer Uterine Artery Embolization in India are well equipped with latest technology and infrastructure which are at par with any other facility in the world. The cost of Uterine Artery Embolization in India is much lesser than its western counterparts. Thus getting Uterine Fibroid Embolization in India is highly advantageous than getting it done in any other western country.

If untreated, fibroids can reduce the chances of getting pregnant. They may cause a distortion of the fallopian tubes leading to lack of ovulation, may block the entry of sperm into the uterus in the case of cervical fibroids and may cause disruptions in the implantation of the fetus in the case of submucosal fibroids.

In case a woman is already pregnant, fibroids can be quite dangerous. Complications during this phase include pain during the first and second trimester of the pregnancy. If a woman experiences multiple miscarriages or is unable to conceive after a year of trying, she should consult her gynecologist immediately.
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