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Fibroids

What are Fibroids?

The term “Fibroid” is a common name derived from the medical term “Fibromyoma”. It describes a benign tumour of the smooth muscle wall of the uterus.

Why do Fibroids occur?

There are genetic predispositions to developing fibroids, but precisely why some women get them, and others don’t is unknown.

What problems do Fibroids cause?

Fibroids are known to cause:

  1. Increased/abnormal menstrual bleeding and associated iron deficiency anaemia.
  2. Increased menstrual pain and abdominal discomfort.
  3. Pressure effects on surrounding pelvic organs such as the bladder.
  4. Fertility related problems such as increased risk of miscarriage and infertility.

The degree to which fibroids cause these problems is related to their size and their location in the wall of the uterus.

What treatment options are there for Fibroids?

The treatments for Fibroids can be targeted at the symptoms they cause, or at the fibroids themselves.

Symptomatic Treatments

Pain

  • Although most fibroids are painless, some women benefit from anti-inflammatory painkillers such as ibuprofen. More severe pain will need medical assessment and management, such as that offered by our specialists at Gynae North.

Abnormal bleeding

  • Either an abnormal pattern of bleeding or, more commonly, excessively heavy bleeding can be managed by hormonally manipulating the menstrual cycle using progestins or the oral contraceptive pill.

Pressure effects due to the size of fibroids

  • Because the growth of fibroids is promoted by oestrogen, using medications that stop oestrogen production by the ovary can help to reduce the size of fibroids.

Infertility

  • Treatment of fertility related problems associated with fibroids requires permanent shrinkage or surgical removal.

Treatments to permanently shrink or remove fibroids

Treatments available to permanently shrink or remove fibroids may be non-invasive or surgical.

Non-invasive procedures:

  • Uterine artery embolization
  • Ultrasound or MRI guided High intensity focused ultrasound (HIFU) ablation. 
  • Radio frequency ablation. 

Surgical Procedures:

Surgical procedures may be used to either shrink the fibroids, remove them or remove the whole uterus (hysterectomy).

  • Hysteroscopy.
  • Advanced Laparoscopic Surgery.
  • Open surgery – used when fibroids are >5cm or there are more than 3 of them.

How can Gynae North help you?

The Specialist Team at Gynae North have many years of experience and success in treating uterine fibroids, and we offer a choice of male or female clinicians with consultations available 6 days a week.

To see one of our Specialists, all patients will need a referral from their General Practitioner. To make an appointment contact our friendly Admin Team on 08 9301 1075.