How to Diagnose and Manage Uterine Fibroids?

Uterine fibroids are benign tumors that commonly affect women between their 30s and 60s. Although often asymptomatic, fibroids can lead to various issues, such as heavy and painful menstruation, frequent urination, and pelvic pressure or pain. In certain cases, fibroids can also impact fertility by distorting the uterus and interfering with embryo implantation.

Classification of Fibroids

Fibroids are categorized based on their size and location within the uterus, with three main types:

1. Subserous Fibroids: Located in the outer wall of the uterus.
2. Intramural Fibroids: Present in the muscular layer of the uterine wall.
3. Submucosal Fibroids: Protrude into the uterine cavity.

Understanding the distribution of fibroids is crucial, as submucosal fibroids, for example, are more likely to affect fertility.

Management Strategies

After evaluating the size and location of fibroids, decisions on management strategies need to be made. The choice between conservative and surgical approaches is determined by factors such as the number, size, and location of fibroids.

Surgical Intervention

For large intramural or submucosal fibroids:

• Patients are informed about the potential impact on IVF outcomes and early pregnancy loss.
• Myomectomy, either laparoscopic or open, is considered based on the characteristics of the fibroids.

Conservative Approach

For fibroids up to 4 cm not impinging on the endometrial cavity:

• ART procedures can be initiated without fibroid removal.
• Regular ultrasound evaluations are essential to monitor fibroid size and ensure the well-being of the fetus.

GnRH Analog Usage

If a conservative approach is chosen before ART:

• GnRH analogs may be used to constrict fibroid size, increasing the chances of success.

Counseling and Decision-Making

In up to 15-20% of infertility cases involving fibroid uterus. A thorough counseling session is crucial for the couple to understand the diagnosis and prognosis. The decision for surgical intervention or direct ART procedures is made collaboratively by the medical team and the couple. So, taking timely decision influence the success of treatment. The proper understanding of the diagnosis and prognosis guides the management approach, ensuring the best possible outcomes for the patient. For individuals seeking expert care for uterine fibroids or any reproductive health concerns, Vardaan Hospital provides comprehensive services tailored to your needs. Our experienced team of gynecologists in Jalandhar specializes in diagnosing and managing uterine fibroids, ensuring personalized and effective treatment. Get in touch with us at +91 9814021991