Fibroids, also known as uterine leiomyomas, are noncancerous uterine growths that often occur throughout a woman's reproductive years. While many women with fibroids have no symptoms, these benign tumors can cause a variety of health problems, including excessive blood flow during periods, pelvic pain, and fertility issues.
When fibroids cause substantial discomfort or problems, fibroid removal becomes an appealing treatment option. In this article, we will delve into everything you should know about fibroid removal, from the types of procedures to their benefits and potential risks.
Understanding fibroids
Before considering fibroid removal, it's essential to understand what fibroids are and how they impact women. Fibroids consist mainly of muscle cells and other tissues that develop in and around the uterine wall. They might be as little as a seed or as large as a grapefruit or even mellon in size. Although the specific cause is unknown, hormonal and genetic factors are believed to have been involved in their development.
Fibroid symptoms include excessive menstrual flow, prolonged periods, pelvic pain, frequent urination, and pain during sex. In some cases, fibroids can cause infertility or recurrent miscarriages.
Types of fibroid removal procedures
There are several fibroid removal treatments available, determined by the size, number, and location of the fibroids, as well as the patient's general health and reproductive goals. Consultation with a medical professional is recommended when choosing a type of procedure. Several common methods for removing fibroids include:
Myomectomy
A myomectomy is a surgical treatment that removes fibroids and leaves the uterus intact. This surgery is often recommended for women who want to save their fertility or have tiny fibroids. It can be performed using a variety of methods, including laparoscopy (small incisions), hysteroscopy (via the vagina), and laparotomy (a larger abdominal incision).
Uterine artery embolization (UAE)
UAE is a minimally invasive method of fibroid removal that prevents fibroids from receiving blood, causing them to shrink. During UAE, a catheter is inserted into the blood vessels feeding the fibroids, and small particles are injected to block blood flow. This technique is often not appropriate for women who intend to become pregnant.
Hysterectomy
In some cases, a complete hysterectomy is the best fibroid removal option. A hysterectomy means the total removal of the uterus, ensuring that fibroids will not reappear. While this is an effective option, it means a woman will be unable to conceive.
Radiofrequency ablation (Acessa Procedure)
Radiofrequency ablation is a modern procedure for destroying fibroids that use heat energy. It is primarily performed through laparoscopy and is minimally invasive.
MRgFUS (MRI-guided focused ultrasound surgery)
MRgFUS is a non-invasive treatment that employs focused ultrasound waves to heat and eliminate fibroids. There is no need for incisions or surgery.
Laparoscopic morcellation
This is a minimally invasive procedure in which fibroids are cut into tiny pieces and removed through small incisions. It's important to go over the risks with your medical professional because laparoscopic morcellation has come under attention because of concerns about cancerous tissue spreading.
Benefits of fibroid removal
Depending on the treatment used and the individual's circumstances, fibroid removal procedures have numerous advantages:
- Symptom relief: Fibroid excision can dramatically reduce fibroids-related symptoms such as heavy bleeding, pelvic discomfort, and urine frequency.
- Improved fertility: For women who want to have children, myomectomy or other fertility-preserving operations can help them conceive by removing or minimizing the influence of fibroids on the uterus.
- Complication prevention: Removing fibroids helps avoid problems such as infertility, recurrent miscarriages, and the need for emergency surgery because of severe fibroid-related symptoms.
- Quality of life: By alleviating the discomfort and pain caused by these growths, fibroid removal can improve a woman's overall quality of life.
The bottom line
Fibroid removal is a good option for women who suffer from symptoms or problems caused by uterine fibroids. The method of treatment should be chosen after a comprehensive examination by a doctor and taking into account individual considerations such as fertility desires and general health.
