With National Women’s Health Week (May 8-14) fast approaching, it is time to highlight a common, but rarely discussed gynecological problem faced by millions of women, namely uterine fibroids, despite the fact that they are reported to be the most common benign tumors in women of childbearing age in the US. In fact, recent studies involving randomly selected women across the country between ages 35- 49 years found that the incidence of uterine fibroids by age 35 was 60% among African-American women and 40% among Caucasian women. The incidence increased by age 50 to greater than 80% and to almost 70% for African-American and Caucasian women, respectively. In addition, it was revealed that the condition is responsible for nearly 1/3 (roughly 200,000) of all hysterectomies in the US each year. Moreover, in 2007, there were an estimated 355,137 uterine fibroid-related hospitalizations in women aged 15–54 years.
Fibroids are made of muscle cells and other tissues that grow in and around the wall of the uterus, or womb. Symptoms of uterine fibroids can range from mild to severe and often include (but are not limited to): abnormal uterine bleeding characterized by long, heavy, and / or irregular menstrual cycles, passing clots; pelvic pain; pelvic pressure, backache, and abdominal bloating, distortion; infertility and recurrent miscarriages. They may also be the cause premature labor or interference with the position of the fetus.
Yet the survey found that women often wait an average of 3.6 years from onset of symptoms before seeking treatment and 42% of women saw 2 or more healthcare providers before diagnosis. The cause of fibroids is unknown. However, fibroids run in families and appear to be partly determined by hormone levels. In fact, they are dependent on estrogen and progesterone to grow and therefore relevant only during the reproductive years. Risk factors include obesity and eating a lot of red meat. Diagnosis may occur by pelvic examination or medical imaging.
Most fibroids do not require treatment unless they are causing symptoms. Current fibroid treatments, however, include medication to control symptoms including oral contraceptives (to reduce uterine bleeding and cramping); medication aimed at shrinking tumors (including aromatase inhibitors); ultrasound fibroid destruction; myomectomy or radio frequency ablation; hysterectomy; and uterine artery embolization. In the meantime it should be noted that fibroids tend to shrink after menopause and it is unusual for them to cause problems at that time.
and it is unusual for them to cause problems at that time.
Fibroids are muscular tumors that grow in the wall of the uterus (womb), originate from the smooth muscle layer (myometrium) of the uterus. This is commonly found in women during the middle and later reproductive periods. In most cases Symptoms of fibroid tumor are unnoticeable. However, a fibroid symptom depends on the type, their size, location within the uterus, and how close they are to the adjacent pelvic organs. It can cause infertility which is biggest disadvantage. Fibroids may be single or multiple.
An average age for women, suffering with uterine fibroid is 30 – 40 years. Different types of fibroids are associated with different signs. The cause of fibroid is unknown but may occur due to genetic factors. All uterine fibroids are the same; they are categorized according to their location:
- Submucosal fibroids are present just beneath the lining of uterus.
- Intramural fibroids lie between the muscles of the uterine wall.
- Subserol fibroids are seen from uterine walls to pelvic cavity.
- Pedunculated fibroids are joined to the uterine wall.
Surgeries are chosen by patient’s fibroid tumors size and location. Fibroid Surgery in India are as follows
Myomectomy – Surgery to remove fibroids without taking out the healthy tissue of the uterus. The advantage of this surgery is you can conceive even after the surgery.
Hysterectomy– uterus is operated and removed. This major surgery gives assured results to cure fibroids.
Endometrial Ablation – this involves removal or destroyed lining of uterus to control bleeding. This is minor surgery which is very uncommon but takes very less time to recover. Disadvantage of this surgery is it causes infertility in women. Other surgeries are performed but it does not give satisfying results. Also patient must be clear with the method of surgery and after effects. The Patient’s wish to conceive in future after surgery is also important to keep in mind for treatment method used.
Fibroid Treatment costs in developed countries are higher and skyrocketing, replacing those expensive treatment plan people are searching for inexpensive yet effective treatment. Surgical operations are carried out by experts having experience in giving better outcomes. Hospitals are equipped with latest instruments for diagnosing the problem and treating problem with ease, giving international patient an experience wellness within budget.
Urocare INDIA providing excellent healthcare services to international patients. The medical team evaluates benefits of Fibroid Surgery; one can easily get back to normal routine activity with the consent of doctor, faster recovery, less pain and normal menstruation cycle, fewer complications post surgery. The gynecology team associated with medical tourism company provides the patient with complete medication manual which helps in quicker and smooth recovery.