Why fibroids are so common, and still so misunderstood
Overall, an estimated 40% to 80% Women develop fibroids by menopause. Around 20 to 40% Feel symptoms during their years of reproduction.
“In recent years, we have found a constant increase in diagnoses,” said Dr. Mitul Gupta, principal, obstetrics and gynecology at Cocoon hospital. “This is due in part to better awareness and access to analyzes. But lifestyle changes – delayed pregnancies, hormonal changes, increasing obesity – also play a role. “
Warning signs
“Heavy periods and fatigue are generally swept under the carpet,” said Dr. Gupta. “But symptoms like persistent pelvic fullness [a constant sense of pressure or heaviness]Frequent urination or current bloating should not be rejected. The most painful signs include bleeding between cycles or pain that interferes with daily life. »»
The diagnosis is important because fibroids can affect more than your rules. Depending on their size and location, they can press against neighboring organs and cause macultons, constipation, urinary problems or fatigue of chronic blood loss. From the point of view of fertility, fibroids which deform the uterine lining or block the fallopian tubes can make the design difficult and increase the risk of complications during pregnancy.
ERT next to caution and ask for a transvaginal ultrasound if it is your lived experience.
Is surgery the only option?
For many women, the first recommendation is always a hysterectomy; A permanent solution that involves removing the uterus. But for those who want to preserve fertility, laparoscopic myomectomy is often the favorite route. “It’s effective, with fewer complications and faster recovery,” said Dr. Gupta.
However, not everyone needs surgery. “We generally recommend it when there are excessive bleeding, rapid growth in fibroids, infertility or serious pressure symptoms,” she said. “If the signs are softer or if someone is younger or provides pregnancy, we start with medication or care -based care.”
The analogues of the gonadotrophin liberation hormone (GNRH) can temporarily reduce fibroids, often used before surgery. Oral drugs and Ulipristal acetate have proven to be promising. For some, the embolization of the uterine artery (water), a procedure which cuts the blood supply to the fibroma, can offer relief.
Even with surgery, fibroids can return in up to 30% of cases within five years.
Rethink the lifestyle and alternative care
Although conventional treatment remains central, several experts highlight the role of holistic care in fibroid management. From Ayurveda and functional nutrition to movement -based protocols, emphasis is often placed on the reduction of inflammation, the balance of hormones and the digestion of support.
