Fibroid Treatment

Sai Speciality Center provides evaluation and personalised treatment planning for women experiencing heavy periods, pelvic pressure, abdominal discomfort, frequent urination, and other symptoms linked to uterine fibroids. Treatment depends on the number, size, and position of the fibroids, the severity of symptoms, the patient’s age, and whether she wishes to become pregnant in the future.

What Are Uterine Fibroids?

Uterine fibroids are non-cancerous growths that develop from the muscle and tissue of the uterus. They may also be called myomas or leiomyomas. Fibroids are almost always benign, which means they are not cancer.

A woman may have one fibroid or several fibroids of different sizes. Some remain small, while others can grow and change the shape or size of the uterus.

Fibroids can develop:

• Inside the muscular wall of the uterus
• Inside the uterine cavity
• On the outer surface of the uterus
• On a stalk attached to the uterus

Many women with fibroids do not have symptoms and may discover them during a routine examination or ultrasound. When fibroids cause heavy bleeding, pain, pressure or fertility concerns, medical evaluation is required.

Symptoms and Conditions Treated

Fibroid symptoms depend on their size, number and location. A small fibroid inside the uterine cavity may cause heavy bleeding, while a larger fibroid outside the uterus may press on the bladder or bowel.

Heavy or prolonged periods

Heavy menstrual bleeding is one of the most common fibroid symptoms. A woman may need to change pads frequently, pass large blood clots or experience bleeding that lasts longer than seven days.

Continued heavy bleeding may reduce iron levels and cause anaemia. This may lead to tiredness, weakness, dizziness, headaches or shortness of breath.

Painful periods

Fibroids may cause severe menstrual cramps or lower abdominal pain. The pain may begin before the period and continue during the menstrual cycle.

Pelvic pressure or heaviness

Larger fibroids can create a feeling of pressure, fullness or heaviness in the lower abdomen. Some women may notice abdominal swelling or feel that their clothes have become tighter.

Frequent urination

A fibroid pressing against the bladder may cause a frequent or sudden need to pass urine. In some cases, a woman may feel that her bladder has not emptied.

Constipation and bowel pressure

Fibroids located towards the back of the uterus may press against the bowel. This can cause constipation, bloating or discomfort while passing stool.

Lower back or leg pain

Large fibroids may put pressure on nearby tissues and nerves, resulting in lower back discomfort or pain that radiates to the legs.

Pain during sexual activity

Some women with fibroids may experience pelvic discomfort or pain during sex.

Fertility and pregnancy concerns

Fibroids do not always affect fertility. However, certain fibroids can interfere with the shape of the uterine cavity, embryo implantation, or pregnancy. The effect depends mainly on the fibroid’s size and location.

Fibroid Symptoms, Diagnosis and Treatment

The same treatment is not suitable for every woman. The doctor will consider the symptoms, fibroid location, fertility plans and overall health before recommending the next step.

When Should You Consult a Doctor?

Consult a gynaecologist when heavy bleeding, pelvic pain or pressure affects your daily routine. You should also seek medical advice if your periods have suddenly become heavier or longer than usual.

A consultation is recommended if you experience:

• Heavy or prolonged menstrual bleeding
• Large blood clots during periods
• Severe or worsening period pain
• Bleeding between periods
• Persistent pelvic pressure or abdominal swelling
• Frequent urination or difficulty emptying the bladder
• Constipation caused by pelvic pressure
• Pain during sexual activity
• Unexplained tiredness, dizziness or weakness
• Difficulty becoming pregnant
• Rapid increase in abdominal size
• Fibroids detected during another scan

Fibroids that are small and do not cause symptoms may not need immediate treatment. Regular monitoring may be enough, particularly when the patient is approaching menopause. Treatment is more likely to be required when fibroids cause anaemia, severe pain, infertility, bleeding between periods or disruption to normal activities.

When is urgent care required?

Seek urgent medical attention if you have very heavy bleeding with fainting, severe weakness, chest discomfort or breathing difficulty. Sudden and severe pelvic pain, especially with nausea, vomiting or fever, also requires prompt assessment.

How Are Fibroids Diagnosed?

Fibroid diagnosis begins with a discussion about the patient’s symptoms, menstrual pattern and health history. The doctor may ask how long the bleeding lasts, how frequently pads are changed and whether the patient has pelvic pain, bladder pressure or fertility concerns.

Physical examination

An abdominal or pelvic examination may be recommended. The doctor may check whether the uterus feels enlarged or shows tenderness in the pelvic area.

The reason for the examination should be explained before it is performed.

Blood tests

A complete blood count may be recommended when periods are heavy. This helps check whether blood loss has caused anaemia.

Other tests may be required to rule out pregnancy, thyroid problems, bleeding disorders or other causes of abnormal menstrual bleeding.

Pelvic ultrasound

Ultrasound is commonly used to confirm the presence, size and location of fibroids. It may be performed over the abdomen or through the vagina, depending on the patient’s symptoms and medical requirements.

Hysteroscopy

Hysteroscopy uses a thin viewing instrument to examine the inside of the uterus. It may be recommended when a fibroid is suspected inside the uterine cavity or when the patient has heavy bleeding.

In selected cases, a fibroid inside the cavity may also be removed during hysteroscopy.

MRI or other imaging

MRI can provide detailed information about the number, size, and location of fibroids. However, advanced imaging is not required for every patient and is usually considered when ultrasound findings are unclear or a procedure is being planned.

Fibroid Treatment Options

Treatment depends on how much the fibroids affect the patient’s health and daily life. The doctor will also consider whether the patient wants to preserve her uterus or plans to become pregnant.

Monitoring without immediate treatment

Fibroids that are small and do not cause symptoms may only need regular monitoring. The doctor may advise follow-up visits or ultrasound scans to observe any changes.

Fibroids often become smaller after menopause because reproductive hormone levels reduce, although this does not happen in every case.

Medicines for pain and bleeding

Medicines may be prescribed to reduce menstrual pain or control heavy bleeding. Hormonal treatment may also help make periods lighter or more regular.

Some medicines can temporarily reduce the size of fibroids. They may be used before surgery or for short-term symptom control. Medicines do not always remove fibroids permanently, and symptoms may return after treatment stops.

Hysteroscopic fibroid removal

Fibroids growing inside the uterine cavity may sometimes be removed through hysteroscopy. The procedure is performed through the vagina and cervix without an abdominal cut.

Suitability depends on the size and position of the fibroid.

Myomectomy

Myomectomy is surgery that removes fibroids while keeping the uterus in place. It may be considered for women who want to preserve fertility or avoid removing the uterus.

Myomectomy may be performed through hysteroscopy, laparoscopy or open surgery. The approach depends on the fibroid’s size, number and position. Fibroids can develop again after a myomectomy.

Uterine artery embolisation

Uterine artery embolisation blocks the blood vessels supplying the fibroids. This reduces their blood supply and causes them to shrink.

The procedure may be suitable for selected patients, but its effect on future fertility must be discussed carefully with the treating specialist.

Hysterectomy

Hysterectomy is surgery to remove the uterus. It provides a permanent solution for uterine fibroids because fibroids cannot return after the uterus is removed.

It may be considered when fibroids are large, symptoms are severe, other treatments have not helped, and the patient does not wish to become pregnant in the future. A woman cannot carry a pregnancy after hysterectomy.

Fibroids and Fertility

Most women with fibroids can become pregnant. The effect on fertility depends on whether a fibroid changes the shape of the uterine cavity, blocks a fallopian tube or affects implantation.

Women planning pregnancy should discuss their fertility goals before starting treatment. A procedure that is suitable for someone who has completed her family may not be suitable for someone planning a future pregnancy.

The doctor may recommend fertility tests, ultrasound assessment, or examination of the uterine cavity before deciding whether treatment is required.

Doctor Expertise

Fibroid consultations at Sai Speciality Center are provided under the guidance of Dr. Kavitha Lakshmi Easwaran, Senior Consultant Obstetrician and Gynaecologist.

Her areas of care include comprehensive gynaecology, gynaecological procedures, vaginal surgeries, pregnancy care and infertility management up to IUI. The official clinic website lists her qualifications as MBBS and MD in Obstetrics and Gynaecology.

During the consultation, the doctor can assess the patient’s symptoms, review ultrasound findings and explain whether monitoring, medicine or a surgical opinion is appropriate.

Facilities and Patient Support

Fibroid evaluation may include gynaecology consultation, menstrual-history assessment, blood-test coordination, ultrasound support and follow-up care.

When a procedure or hospital admission is required, the patient should receive clear information about:

• Where the procedure will be performed
• Which specialist will perform it
• Whether hospital admission is needed
• Expected recovery time
• Possible risks and benefits
• Effect on future pregnancy
• Required follow-up

The clinic should clearly identify which tests and procedures are available onsite and which are arranged through associated hospitals or diagnostic centres.

Fibroid Care for Women from Nearby Areas

Sai Speciality Center is located in Kasturi Nagar, Bangalore. Women can visit the clinic for fibroid evaluation and treatment planning from:

• KR Puram
• Tin Factory
• Banaswadi
• Horamavu
• Ramamurthy Nagar

Women from these areas can consult for heavy periods, pelvic pain, abdominal pressure, anaemia and fertility concerns associated with fibroids.

Sai Speciality Center is located in Kasturi Nagar and provides fibroid evaluation and treatment guidance for women travelling from KR Puram, Tin Factory, Banaswadi, Horamavu and Ramamurthy Nagar.

Frequently Asked Questions

Are uterine fibroids cancerous?

Fibroids are almost always non-cancerous. However, any rapidly changing uterine growth should be assessed by a gynaecologist.

Do all fibroids need treatment?

No. Small fibroids that do not cause symptoms may only require monitoring. Treatment is considered when symptoms affect health, fertility or daily life.

Can fibroids cause heavy periods?

Yes. Fibroids, particularly those close to or inside the uterine cavity, can cause heavy or prolonged menstrual bleeding.

Can fibroids affect pregnancy?

Some fibroids may affect implantation or pregnancy depending on their size and position. Many women with fibroids still have healthy pregnancies.

Can fibroids be treated without surgery?

Yes. Monitoring, medicines and selected minimally invasive treatments may help. The right option depends on the symptoms and fibroid characteristics.

Can fibroids return after treatment?

Fibroids may grow again after medicines are stopped or after a myomectomy. They do not return after hysterectomy because the uterus is removed.

Is an ultrasound enough to diagnose fibroids?

Ultrasound is usually the main imaging test. Hysteroscopy or MRI may be required in selected cases.

Will fibroids shrink after menopause?

Fibroids often become smaller after menopause, but this does not happen in every woman.

Book a Fibroid Consultation

Heavy periods, persistent pelvic pressure, and repeated pain should not be ignored. Early evaluation can identify the size and location of fibroids and help determine whether monitoring, medicine, or a procedure is suitable.

Book a fibroid consultation with Dr. Kavitha Lakshmi Easwaran at Sai Speciality Center, Kasturi Nagar.

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