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GynaeMD Women’s & Rejuvenation Clinic

Uterine Fibroids Treatment

Pelvic Exam
& Ultrasound Scan

Many women might not know that they have uterine fibroids because most fibroids are asymptomatic and do not cause any discomfort. They may incidentally discover the presence of these growths during a pelvic exam or ultrasound scan.

A pelvic examination is a physical examination which involves the doctor trying to palpate the uterus to check for the presence of enlarged uterine fibroids. We recommend women of reproductive age to undergo regular pelvic examinations.

An ultrasound scan, which uses high frequency sound waves to re-create an image of your uterus, may be required to confirm the diagnosis of uterine fibroids.

When the diagnosis is confirmed, our gynae for fibroids will discuss with you the various fibroid treatment options available so that you would be in a better position to participate in making informed decisions with regards to your wellbeing.

Fibroid Management & Treatment

Medication

Medication (hormonal or non-hormonal) may be prescribed to relieve pain and reduce heavy menstrual flow. This will help to alleviate the discomfort temporarily. Medication in oral or injection form may also be used to control the growth of fibroids and in some cases even shrink the fibroids.

Myomectomy

This is a surgical procedure to remove the fibroids while leaving the uterus intact. It is usually recommended for women who plan to have children in the future. However, with myomectomy (fibroids removal), there is a chance of fibroid recurrence. This can be performed via open surgery (laparotomy) or key-hole surgery (laparoscopy).

With advancements in technology, laparoscopic myomectomy can be performed, where small incisions are made at the abdomen and laparoscopic instruments are inserted to help excise the fibroids. This less invasive form of myomectomy results in a more aesthetically pleasing external scar and therefore a faster recovery. It requires more surgical skills and time to perform and may not be suitable for all patients especially if future pregnancy is desired.

Hysterectomy

A hysterectomy is the permanent solution to removing fibroids. However, it involves removing the entire uterus, which means that the patient will not be able to conceive in the future. A hysterectomy is recommended when future fertility is not wanted, the fibroids are very large in size and number and especially when other fibroids treatments have failed with the fibroids symptoms persistently affect your quality of life.

Similarly, both open and laparoscopic hysterectomy can be performed and this would depend on the fibroid size, numbers, location, any previous surgery and malignant potential.

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