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Gynecological Perspective on Family Planning

Fibroids and Fertility: A Gynecological Perspective on Family Planning

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Uterine fibroids, also known as leiomyoma or myoma, are benign growths that can develop on the muscular wall of the uterus. These common growths, prevalent among women of childbearing age, have raised questions about their potential impact on fertility. In this article, we’ll explore the relationship between uterine fibroids and a woman’s ability to conceive.

Types of Uterine Fibroids

Before delving into the connection between fibroids and fertility, it’s crucial to understand the three primary types of uterine fibroids:

Intramural Fibroids:

These fibroids grow within the uterine muscle wall.

Subserosal Fibroids: 

Subserosal fibroids protrude outward, away from the uterus.

Submucosal Fibroids:

Submucosal fibroids push into the inner cavity of the uterus.

Each type of fibroid can present with distinct symptoms. Intramural and submucosal fibroids may lead to heavy menstrual bleeding, while subserosal fibroids typically remain asymptomatic.

Recognizing the Signs of Fibroids

While the exact cause of fibroids remains unclear, they are often associated with genetic factors and an increased sensitivity to the hormone estrogen, which promotes their growth. Symptoms and complications of fibroids vary based on their size and type. Some common indicators of uterine fibroids include:

  • Prolonged or frequent menstrual periods. Heavy menstrual flow.
  • Menstrual pain.
  • Pressure symptoms such as abdominal or lower back pain, constipation, or urination difficulties.
  • A sensation of a mass or growth and an increase in abdominal size.

Experiencing these symptoms doesn’t necessarily confirm the presence of fibroids, but it’s advisable to seek a thorough assessment by the best gynecologist in Ahmedabad if any of these signs are noticed.

Diagnosing Fibroids

The most common methods used to diagnose fibroids include pelvic examinations and ultrasound scans. More detailed information can be obtained through minimally invasive procedures like:

Hysteroscopy: 

A scope is inserted through the vagina and cervix to inspect the uterus’s interior.

Hysterosalpingography: 

A special dye is injected into the uterus, followed by an x-ray to detect abnormalities.

Sonohysterography: 

Similar to hysterosalpingography but employing ultrasound.

Can Fibroids Cause Infertility?

Fibroids can indeed influence a woman’s chances of becoming pregnant, although research suggests that this impact is relatively small, affecting approximately 2.4% of women with fibroids. The likelihood of fibroids affecting fertility hinges on factors like their size, number, type, and location. They may also cause complications such as:

  • Obstruction of the fallopian tubes, leading to difficulties in fertilization.
  • Alterations in the uterine shape, impeding the implantation of a fertilized egg.
  • Changes in the structure and biochemical processes of the uterine lining, potentially leading to implantation issues.

Treatment Options for Fertility and Fibroids

Women facing fertility concerns due to fibroids have several treatment options. The most common choice for those wishing to preserve fertility is myomectomy, a procedure that involves removing the fibroids.

Other treatment alternatives include:

  • Uterine artery embolization, which cuts off the blood supply to fibroids.
  • Medications to reduce fibroid size.
  • Magnetic resonance-guided focused ultrasound (MRgFUS), which employs microbeam radiation therapy to destroy fibroids.
  • Each treatment option comes with its advantages and risks. When consulting with a gynec hospital in Ahmedabad, they will guide you through the available choices to help you make an informed decision that best suits your individual needs.

Conclusion

Uterine fibroids, while common among women, only minimally affect fertility in a small percentage of cases. Understanding the type, size, and location of fibroids is crucial for assessing their potential impact. Fortunately, there are various treatment options available, including myomectomy and minimally invasive procedures, to address fertility concerns while managing fibroids. It’s essential for individuals experiencing symptoms or fertility issues to consult with gynec hospital in Ahmedabad to explore the most suitable approach for their unique situation and reproductive goals.

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