Most women will have at least one uterine fibroid—a noncancerous tumor that forms in the uterus wall—by the time they reach 50. Despite the condition’s prevalence, accurate therapeutic information is challenging to come by. There are many misconceptions about uterine fibroid therapy, ranging from affecting fertility to whether it can cause cancer. Dr. Hrishikesh Pai, a top gynecologist in Mumbai, has provided these science-backed facts regarding uterine fibroids to help you avoid unneeded tension. Dr. Hrishikesh Pai is a highly skilled and experienced fertility specialist and one of Mumbai’s best gynecologists. He has received more than 50 accolades for pioneering several breakthrough treatments and procedures in gynecology and infertility. Dr. Hrishikesh Pai isn’t one to rest on his laurels, and he’s constantly pushing himself to do more for women’s health. He is a member of several notable organizations and has authored several books. He has also been invited to participate as a faculty member and speaker in several seminars and conferences worldwide. This article will cover all the myths related to the uterine fibroid and will assist you in understanding the facts related to it.
Myth: If you have fibroids, you should treat them all.
Fact: Up to 70% of women have fibroids, yet many are unaware. “If fibroids were discovered by accident on an ultrasound, not everyone needs therapy,” explains Dr. Pai. The majority of fibroids only grow a half-centimeter to a centimeter per year. If you don’t have any symptoms or aren’t attempting to conceive, you can take a wait-and-see strategy. Your doctor will use routine checkups and imaging tests to track their progress. If you start to experience symptoms, you can talk to your doctor about other treatment choices.
Myth: Fibroids Will Disappear on Their Own
Fact:Fibroids appear in various sizes and forms, and they can grow, decrease, or stay the same throughout time. They can cause excessive bleeding and painful cramps, as well as putting strain on your bladder and bowels, resulting in constipation, incontinence, and painful sex. Some women, on the other hand, may be in denial. “They have gigantic fibroids by the time I see them.” “There’s a part of them that thinks, ‘Oh, I was hoping it’d simply go away,’ but it doesn’t,” the expert adds.
Myth: The Only Treatment Option Is Hysterectomy
According to Dr. Pai, an excellent gynecologist in Mumbai, how you treat your uterine fibroids relies on your symptoms, reproductive concerns, and personal taste. According to Dr. Pai, hysterectomy (a.k.a. uterus removal) isn’t always necessary, and while it is the sole cure for uterine fibroids, it isn’t the only therapeutic option. Other treatment options include:
- Hysteroscopy (which removes fibroids from the uterus cavity).
- Endometrial ablation (which destroys the uterus lining to treat minor tumors).
- Myomectomy (which removes fibroids from the uterus cavity) (removing just the fibroids).
Non-surgical methods and drugs are also available to control heavy bleeding and shrink fibroids.
Myth: A hysterectomy isn’t an effective procedure.
Fact: According to Dr. Pai, removing one’s uterus has profound emotional ramifications for many women, marking not only the loss of parenthood but also what it means to be a woman. He advises ladies and their doctors to take a comprehensive approach to their health. Inquire with your doctor about the hormonal and physical consequences of a hysterectomy. What effect will it have on my sexual desire? What will it be like to not have a uterus? “I don’t see any reason why we can’t fulfill a woman’s desires if she wants to preserve her organ, and it’s medically safe to do so,” he continues.
Myth: Fibroid surgery causes cancer to spread.
Fibroid tumors in the uterus are benign tumors. According to Dr. Pai, less than 1% of women who have fibroid surgery develop a concealed uterine sarcoma, a sort of cancer. Using surgical equipment called a laparoscopic power morcellation during myomectomy and hysterectomy in people with hidden cancer may spread cancer outside the uterus. However, as a result, the device is no longer widely utilized.
Fibroids Must Be Removed Myth
Fact: MRI-guided focused ultrasound, which warms the fibroid until it evaporates, and uterine artery embolization, which stops the artery that causes the fibroid to grow, are two non-surgical methods for shrinking fibroids. Treatments such as birth control tablets and progesterone-containing IUDs can also help manage symptoms. Dr. Pai, Mumbai’s leading gynecologist, says, “All of these will assist manage to bleed linked with fibroids without increasing the size of the fibroid.”
Myth: Fibroids Must Be Removed Before Getting Pregnant
Fact: Even if fibroids aren’t removed, most women with fibroids can have healthy pregnancies. Submucosal fibroids—those found in the uterine cavity—are an exception. Dr. Pai explains, “We recommend removing those fibroids before pregnancy because they can raise the risk of miscarriage.” Fibroids can increase during pregnancy, thereby increasing pelvic strain. According to Dr. Pai, fibroids typically diminish after birth.
Myth: Fibroids can be cured with medications and surgery.
Fact: Medications for fibroids assist in lowering the size of fibroids, but they do not eliminate them. Fibroids, as you may have noticed, are tenacious. “It shrinks the fibroids, but they grow back as soon as you stop taking it,” Dr. Pai says. Fibroids can reappear even after they’ve been surgically removed. If you have fibroids, you’ll need regular checks and imaging tests to ensure there aren’t any new ones.
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