What Are Uterine Fibroids?
Uterine fibroids, or leiomyomas, are non-cancerous growths that develop in the uterus, often during reproductive years. Composed of muscle and fibrous tissue, they vary in size and location: intramural (within the uterine wall), subserosal (outside the uterus), submucosal (under the uterine lining), and pedunculated (on a stalk).
Symptoms include heavy menstrual bleeding, pelvic pain, frequent urination, and reproductive issues. Although their exact cause is unknown, factors like hormones and genetics play a role. Treatment options range from watchful waiting and medications to non-invasive procedures and surgery, depending on symptom severity and reproductive goals.
Symptoms and Signs of Fibroids
Menstrual Symptoms
- Heavy Menstrual Bleeding: Prolonged and excessive menstrual bleeding, sometimes with clots.
- Menstrual Periods Lasting More Than a Week: Extended duration of periods.
Pelvic Discomfort
- Pelvic Pain and Pressure: Persistent pain or a feeling of pressure in the pelvic area.
- Lower Back Pain: Pain in the lower back, often related to the size and position of fibroids.
Urinary Symptoms
- Frequent Urination: The need to urinate more often due to pressure on the bladder.
- Difficulty Emptying the Bladder: Inability to fully empty the bladder, leading to urinary retention.
Gastrointestinal Symptoms
- Constipation: Difficulty with bowel movements due to pressure on the rectum.
- Bloating: A feeling of fullness or bloating in the abdomen.
Reproductive Issues
- Infertility: Difficulty conceiving or maintaining a pregnancy.
Pregnancy - Complications: Increased risk of miscarriage, preterm birth, and complications during labor.
Pain and Discomfort During Activities
- Pain During Intercourse: Discomfort or pain during sexual activity.
- Leg Pain: Fibroids pressing on nerves can cause pain radiating down the legs.
Causes
These hormones, which stimulate the development of the uterine lining during each menstrual cycle, appear to promote the growth of fibroids. Fibroids contain more estrogen and progesterone receptors than normal uterine muscle cells, and they tend to shrink after menopause due to decreased hormone levels.
A family history of fibroids increases the likelihood of developing them. Specific genetic changes have been found in fibroid cells that differ from normal uterine muscle cells.
Substances that help the body maintain tissues, such as insulin-like growth factor, may affect fibroid growth.
This material makes cells stick together and is increased in fibroids. ECM stores growth factors and causes biological changes in cells.
Fibroids are more common as women age, particularly during their 30s and 40s through menopause. After menopause, fibroids typically shrink.
African-American women are more likely to develop fibroids than women of other ethnicities, and they often develop them at a younger age and with more severe symptoms.
A diet high in red meat and low in green vegetables, fruit, and dairy may increase the risk of fibroids.
Being overweight increases the risk of fibroids.
Insufficient levels of vitamin D may be associated with an increased risk of fibroids.
Drinking alcohol, including beer, appears to increase the risk of developing fibroids.
Risk Factors
Fibroids are most common in women during their reproductive years, particularly in their 30s and 40s. The risk decreases after menopause.
African-American women are more likely to develop fibroids compared to women of other ethnic backgrounds. They also tend to develop fibroids at a younger age and experience more severe symptoms.
A family history of fibroids increases the risk. If a woman's mother or sister had fibroids, her chances of developing them are higher.
Higher levels of these hormones, which regulate the menstrual cycle, are linked to fibroid growth. Conditions that increase hormone levels, such as early onset of menstruation, may raise the risk.
Consuming a diet high in red meat and low in green vegetables, fruit, and dairy products may increase the risk of fibroids.
Drinking alcohol, particularly beer, is associated with a higher risk of developing fibroids.
Being overweight or obese increases the likelihood of developing fibroids. Excess body fat can lead to higher levels of estrogen.
Insufficient levels of vitamin D are linked to a higher risk of fibroids.
Women who have never given birth are at a higher risk of developing fibroids compared to those who have had one or more pregnancies.
Some studies suggest that high blood pressure may be associated with an increased risk of fibroids.
Early onset of menstruation is linked to a higher risk of developing fibroids later in life.
Diagnosis
Medical History and Physical Examination
- Medical History: The doctor will ask about your symptoms, menstrual history, and any family history of fibroids or other reproductive conditions.
- Pelvic Examination: During a pelvic exam, the doctor will check for abnormalities in the shape and size of your uterus, which may indicate the presence of fibroids.
Imaging Tests
Ultrasound:
- Transabdominal Ultrasound: A device that is moved over your abdomen to create images of the uterus.
- Transvaginal Ultrasound: A probe is inserted into the vagina to get closer images of the uterus. This is often more accurate for detecting fibroids.
Magnetic Resonance Imaging (MRI):
- Provides detailed images of the uterus and helps determine the size, number, and location of fibroids. MRI is especially useful for planning surgical treatments.
Hysterosonography (Saline Infusion Sonography):
- A saline solution is injected into the uterine cavity to expand it, providing a clearer view of the uterine lining and any fibroids present.
Hysterosalpingography:
- A dye is injected into the uterine cavity and fallopian tubes, which are then viewed on X-ray images. This can show abnormalities in the uterus, including fibroids.
Hysteroscopy:
- A thin, lighted telescope (hysteroscope) is inserted through the vagina and cervix into the uterus. This allows direct visualization of the uterine cavity and any fibroids.
Additional Tests
Blood Tests:
- It may be conducted to check for anemia if you have heavy menstrual bleeding. Hormonal tests may also be performed to rule out other conditions.
Treatment Options
Medications
Hormonal Treatments:
- Gonadotropin-releasing hormone (GnRH) agonists: Reduce estrogen and progesterone levels to shrink fibroids.
- Progestin-releasing intrauterine device (IUD): Alleviates heavy bleeding but does not shrink fibroids.
- Oral contraceptives and progestins: Help control menstrual bleeding.
Non-Hormonal Treatments:
- Tranexamic acid: Reduces heavy menstrual bleeding.
- Nonsteroidal anti-inflammatory drugs (NSAIDs): Relieve pain but do not reduce fibroid size.
Non-Surgical Procedures
- Uterine Artery Embolization (UAE):It cuts off the blood supply to fibroids, causing them to shrink.
MRI-guided Focused - Ultrasound Surgery (FUS):It uses high-intensity ultrasound waves to destroy fibroid tissue.
Surgical Options
- Myomectomy: Surgical removal of fibroids while preserving the uterus. It can be performed via open surgery, laparoscopy, or hysteroscopy.
- Hysterectomy: Complete removal of the uterus. Consider when other treatments are ineffective or not suitable, especially for women who do not wish to have children.
Minimally Invasive
- Procedures Endometrial Ablation: Destroys the uterus lining to reduce menstrual bleeding, suitable for small fibroids within the uterine lining.
- Laparoscopic or Robotic Myomectomy: Minimally invasive surgery to remove fibroids while preserving the uterus
How Naturopathy Can Help with Fibroids?
- Anti-Inflammatory Diet:
Incorporate fruits, vegetables, whole grains, nuts, seeds, and fatty fish to reduce inflammation. - Reduce Red Meat and Processed Foods:
Limit red meat and processed foods intake, which may exacerbate fibroid growth. - Increase Fiber Intake:
High-fiber foods can help balance hormones by promoting regular bowel movements and reducing estrogen levels. - Organic Foods:
Choose organic produce to minimize exposure to pesticides and hormones that may contribute to fibroid growth.
- Vitex (Chasteberry):
It may help balance hormones and reduce fibroid symptoms. - Milk Thistle:
Supports liver function, aiding in the detoxification of excess hormones. - Green Tea Extract:
Contains antioxidants that may inhibit fibroid growth.
- Vitamin D:
Adequate levels of vitamin D have been linked to a reduced risk of fibroids.
Omega-3 Fatty - Acids:
These are found in fish oil, which can reduce inflammation and may help with fibroid symptoms. - Iron:
If heavy menstrual bleeding leads to anemia, iron supplements can help replenish iron levels.
- Regular Exercise:
It helps maintain a healthy weight and balance hormones. - Stress Management:
Techniques like yoga, meditation, and deep-breathing exercises can reduce stress, which may help manage fibroid symptoms.
- Liver Detox:
Support liver health with foods like cruciferous vegetables (broccoli, cauliflower), which aid in hormone metabolism. - Hydration:
Drink plenty of water to support the body’s natural detoxification processes.
- Acupuncture:
It may reduce pain and improve overall well-being. - Chinese Herbal Medicine:
Specific formulations can be used to balance hormones and improve symptoms.
- Meditation and Mindfulness:
It can help manage stress and improve overall health.
- Toxins Endocrine Disruptors:
Reduce exposure to chemicals that can disrupt hormone balance, such as BPA and phthalates, commonly found in plastics and personal care products.
Best Hospital for Uterine Fibroid Treatments in Chennai, India
Beyond Birth is renowned for its exceptional care in treating uterine fibroids, offering a holistic approach that combines conventional medical treatments with naturopathy. As a leader in women’s health, Beyond Birth provides comprehensive naturopathic care in Chennai, focusing on natural remedies and lifestyle changes to support the body’s healing process.
Our team of experts offers personalized treatment plans that may include dietary modifications, herbal remedies, supplements, and lifestyle changes to manage fibroid symptoms effectively. Beyond Birth’s commitment to holistic care makes it the top choice for those seeking the best naturopathic care for uterine fibroids in Chennai, India.
Best Doctor for Uterine Fibroid Treatments in Chennai, India
Dr. Rishi Vardhini is renowned as the best doctor for uterine fibroid treatments in Chennai, India, offering a unique blend of conventional and naturopathic approaches. As a leading naturopathic doctor in Chennai, Dr. Rishi Vardhini emphasizes holistic healing, focusing on natural remedies and lifestyle modifications to address fibroid symptoms.
With a wealth of experience and expertise, Dr. Rishi Vardhini provides personalized treatment plans that may include dietary changes, herbal supplements, and other naturopathic interventions.
Patients trust Dr. Rishi Vardhini for her compassionate care and comprehensive approach, making her the top choice for those seeking the best naturopathic doctor for uterine fibroids in Chennai.
Cost of Medical Treatment for Fibroids in Chennai, India
The cost of medical treatment for fibroids in Chennai, India, can vary depending on the type of treatment needed. Generally, the price ranges from INR 50,000 to INR 2,00,000 for procedures such as medication, ultrasound, and consultation. Surgical treatments like myomectomy or hysterectomy may cost more. Get the best naturopathic treatment at an affordable price from Beyond Birth Clinic in Chennai, India.
Frequently Asked Questions
Some fibroids can shrink or disappear on their own, especially after menopause, when hormone levels decrease.
Untreated fibroids can lead to heavy menstrual bleeding, pelvic pain, infertility, and complications during pregnancy and labor.
Fibroids can be managed and potentially reduced in size through dietary changes, herbal remedies, supplements, and lifestyle modifications.
Fibroids larger than 5-6 cm or causing symptoms like heavy bleeding or pain may require surgery for removal.
While fibroids cannot be cured, they can often be managed effectively without surgery using medication, lifestyle changes, and other non-surgical treatments.