Fibroids are non-cancerous tumors caused by genetic factors, obesity, or hormones such as estrogen. This condition is common in women of childbearing age. The study shows that 70% of women at age 50 will develop this condition. It does not affect women who reach menopause since the production of these hormones will be less in them.
Fibroids can be symptomatic or asymptomatic. One in four women may be symptomatic. In symptomatic women, these fibroids do not cause life-threatening complications, but can cause infertility, heavy menstrual bleeding, pain during periods, dragging sensation in the lower abdomen, urinary frequency, urinary urgency, lower back pain and constipation according to size. and location of fibroids. It can also cause placental abruption, fetal growth restriction, and preterm labor.
There is a misconception among people about conceiving after surgical removal of fibroids (myomectomy). The chances of getting pregnant after a single myomectomy are around 34%. But several cases have shown that it is possible to get pregnant and deliver a healthy baby after undergoing a myomectomy twice. Even a woman after the age of 40 has a chance to conceive after a myomectomy. The symptomatic woman who does not desire future fertility can undergo a hysterectomy. It is a procedure for the complete removal of the uterus.
Since fibroids are the main obstacle to conceiving, removing them can increase the chances of pregnancy. With technological advancement and medical science it can be achieved. The doctor also encourages people to have laparoscopic surgery as people even have misconceptions about technological advancements.
Open surgery is the best for complete removal of fibroids is one of the myths among people. But it is contrary since fibroids can be seen four times more clearly during the laparoscopy technique. In addition, it is a minimally invasive technique with a faster recovery. Patients are discharged in just 24 hours and can resume their daily routine in two to three days.
The doctor also recommends proper lifestyle modification with yoga, regular exercise, and healthy foods that can help maintain hormonal balance. Consulting doctors in case of irregular menstrual cycle and heavy bleeding helps in early detection of underlying health complications.
Doctors also recommend performing a tubal patency test 3 months after surgery to check the condition of the fallopian tube. The signs of pregnancy after myomectomy are just like the normal signs of pregnancy i.e. missed period, nausea or dizziness etc. It takes a maximum of 3-6 months for the uterus to heal and doctors recommend getting pregnant after this period. .
About the Author: Dr. Shafalika S.B, is a Consultant, Minimally Invasive Gynecology, Manipal Hospital Hebbal, and has extensive experience in treating and helping women conceive. All views/opinions expressed in the article are those of the author.