Comprehensive Guide to Fibroids Treatment at Harley Womens Health
Introduction
Fibroids, also known as uterine myomas or leiomyomas, are benign growths that develop in or around the uterus. While often symptomless, these non-cancerous growths can sometimes cause significant discomfort and health issues. Understanding your fibroids treatment options is crucial if you’re experiencing symptoms or if fibroids are impacting your daily life or fertility. This post explores the causes, symptoms, and various treatment options available for fibroids at London Women’s Centre.
What Are Fibroids?
Fibroids are muscular and fibrous tissue growths that vary in size and can be located inside the uterine wall, outside the uterus, or within the uterine cavity. Most women are unaware they have fibroids because symptoms only manifest in about one-third of cases. Common symptoms include:
- Heavy or painful periods
- Abdominal pain
- Lower back pain
- Frequent urination
- Constipation
- Pain during sex
Causes of Uterine Fibroids
The exact cause of fibroids remains unclear, but they are believed to be linked to increased estrogen levels, making them more common during a woman’s reproductive years. Other factors that may contribute to the development of fibroids include:
- Vitamin D deficiency
- Early onset of menstruation
- Family history of fibroids
Do I Need Treatment for Fibroids?
Fibroid treatment is recommended if your fibroids cause significant symptoms or discomfort or affect your fertility. For many women, fibroids are mild and may shrink naturally after menopause due to decreased estrogen levels. The choice of treatment depends on various factors, including the severity of your symptoms, the size and location of the fibroids, your age, and whether you plan to have children.
Medications for Fibroid Treatment in the UK
Medications can help manage fibroid symptoms, although they won’t eliminate fibroids. These treatments generally work by affecting the hormones that regulate the menstrual cycle and can help shrink fibroids or slow their growth.
- Levonorgestrel Intrauterine System (LNG-IUS):
- This T-shaped device releases the hormone progestogen, thinning the uterine lining and reducing bleeding.
- Gonadotropin-Releasing Hormone (Gn-RH) Agonists:
- These medications create a temporary menopausal state by blocking estrogen and progesterone, shrinking fibroids and reducing symptoms. However, fibroids may grow again after treatment is stopped.
- Contraceptive Pills:
- Birth control pills can help alleviate fibroid symptoms by making periods lighter and reducing menstrual pain. The intrauterine system (Mirena coil) also releases progesterone to reduce heavy bleeding.
Surgical Treatment Options for Fibroids in the UK
For more severe cases, or when medications are ineffective, surgical options may be recommended.
- Laparoscopic Myomectomy:
- This minimally invasive procedure removes fibroids while preserving the uterus. It involves small incisions and offers a quicker recovery time, making it ideal for intramural and subserosal fibroids.
- Hysteroscopic Resection:
- A hysteroscope is used to remove submucosal fibroids from inside the womb. This procedure is performed through the vagina, requires no incisions, and patients can usually go home the same day.
- Hysteroscopic Morcellation:
- Similar to hysteroscopic resection, this procedure uses a morcellator to cut and remove fibroid tissue. It can be done under general or local anesthetic.
Minimally Invasive Radiological Procedures for Fibroid Treatment
For those seeking non-surgical options, minimally invasive radiological procedures are available.
- Uterine Artery Embolization (Fibroid Embolization):
- This technique involves cutting off the blood supply to the fibroids, causing them to shrink. An MRI is required beforehand to determine if the fibroids are suitable for this treatment. It’s performed under local anesthesia and is usually a day-case procedure.
Can Fibroids Come Back After Treatment?
While many fibroid treatments effectively reduce symptoms, they don’t necessarily eliminate fibroids. In some cases, fibroids can regrow, requiring additional treatment. The only sure way to prevent fibroids from returning is a hysterectomy, which involves the removal of the uterus and is considered a last resort.
Fibroid Treatment at London Women’s Centre
At London Women’s Centre, we offer a holistic approach to fibroid treatment, with a focus on minimally invasive surgery for reduced recovery time and better outcomes. Our lead consultant, Mr. Athanasias, has extensive experience in fibroid management and is committed to finding the most effective treatment for each patient. We also specialize in fibroid treatments for women who are trying to conceive, with a proven track record of enhancing fertility.
Conclusion
If you suspect you have fibroids or are experiencing symptoms, it’s essential to seek professional advice. London Women’s Centre offers cutting-edge treatments tailored to your individual needs. Contact us today to schedule a consultation with our experienced gynaecologists and find out the best treatment options for you.