Uterine fibroids (https://drngkailyn.com/conditions/uterine-fibroids/) are non-cancerous growths that develop in the uterus. While they are quite common, affecting up to 70% of women by the age of 50, their impact on women’s health can be significant. These benign tumors can vary in number and size, ranging from as small as a pea to as large as a grapefruit, and can cause a wide range of symptoms. For many women, fibroids remain asymptomatic and go unnoticed. However, for others, they can lead to menstrual bleeding that is prolonged and heavy, pain in the pelvic area, frequent urination, and even fertility issues. Imagine the hassle of constantly needing to change tampons or pads, or the discomfort of experiencing sharp pains during intercourse. These symptoms can adversely affect a woman’s quality of life, making everyday activities challenging and affecting her emotional well-being. In this comprehensive guide, we will delve into the world of uterine fibroids in Singapore, exploring their types, symptoms, causes, and management options.
First of all – what are fibroids?
Fibroids, also known as uterine leiomyomas, are growths that originate from the smooth muscle tissue of the uterus. They can develop both inside and/or outside the uterus. The exact cause of fibroids is still a mystery, but they are thought to be influenced by hormones, particularly estrogen and progesterone.
Genetic predisposition, family history, and race can also influence the likelihood of developing uterine fibroids. Additionally, certain lifestyle factors, such as obesity and a diet high in red meat and low in fruits and vegetables, may increase the risk of fibroids as well.
Types of fibroids
There are several types of fibroids that can exist in a woman’s body, and they are classified based on their location within the uterus. The most common type is intramural fibroids, which develop within the muscular wall of the uterus. Submucosal fibroids protrude into the uterine cavity, while subserosal fibroids grow on the outer surface of the uterus. Another type is called pedunculated fibroids and they are attached to the uterus by a stalk, which makes them susceptible to twisting and causing severe pain.
The warning signs
The symptoms of uterine fibroids can vary greatly depending on the location, number, and size of the fibroids. Some women may experience no symptoms at all, while others may have significant discomfort and disruption to their daily lives. Common symptoms include heavy or prolonged menstrual bleeding, pelvic pain or pressure, frequent urination, constipation, and an enlarged abdomen. In some cases, fibroids can also lead to fertility issues or recurrent miscarriages.
When to see a doctor for uterine fibroids
Always remember – early detection and intervention can help prevent complications and improve outcomes.
If you experience any symptoms that could be related to uterine fibroids, it is important to consult with a healthcare professional as soon as possible. While fibroids are generally benign, they can cause significant discomfort. You need to see a doctor who can evaluate your symptoms, perform necessary tests, and provide appropriate treatment options.
Risk factors to consider
While the exact cause of fibroids is unknown, certain factors can increase the risk of developing these growths. Women of reproductive age, particularly those in their 30s and 40s, are more likely to develop fibroids. African-American women have a higher incidence of fibroids compared to women of other races. Family history, obesity, and hormonal imbalances are also considered risk factors for fibroids.
Diagnosis of uterine fibroids in Singapore
Uterine fibroids is diagnosed by performing a combination of medical history, physical examination, and imaging tests. Your doctor may ask about your symptoms, perform a pelvic exam to check for abnormalities, and order imaging tests such as ultrasound, MRI, or hysteroscopy to confirm the presence of fibroids. Additional tests, such as blood tests, may also be conducted to rule out other conditions that can mimic fibroid symptoms.
Complications associated with uterine fibroids
While fibroids are generally benign, they can lead to various complications depending on their size and location. Fibroids that are large can cause a lot of discomfort and pain. They can also lead to heavy or prolonged menstrual bleeding, which can result in anemia. There are cases where fibroids can affect fertility and increase the risk of complications during pregnancy, such as preterm labor or miscarriage.
Pregnancy and uterine fibroids
Many women with fibroids are able to conceive and have a healthy pregnancy. However, it is a known fact that fibroids can sometimes interfere with fertility and pregnancy. Depending on their size and location, fibroids can cause complications such as difficulty conceiving, increased risk of miscarriage, preterm labor, and fetal malposition. Thus, women with fibroids who are planning to conceive or are already pregnant should make it a point to receive appropriate medical care and monitoring.
Treatment and management options
The treatment and management options for uterine fibroids differ and are dependent on various factors, some of which are the severity of symptoms and the desire for future fertility. Treatment options include medication therapy to manage symptoms, minimally invasive procedures to remove or shrink fibroids, and surgical interventions such as hysterectomy. For those hoping to preserve fertility, minimally invasive procedures like uterine fibroid embolization can shrink or remove fibroids while preserving the uterus. Surgery, for those who need it, can be intimidating, but it can offer long-term relief. Your healthcare provider will work with you to develop an individualized treatment plan based on your unique situation and preferences.
Conclusion
Fibroids are a common women’s health issue that can cause a range of symptoms and complications. Understanding the types, symptoms, causes, and management options for fibroids is crucial for women’s overall well-being. If you suspect you may have fibroids, it is important to consult with a healthcare professional for proper diagnosis and treatment. With appropriate medical care and management, women with fibroids can lead healthy and fulfilling lives.
Dr. Ng Kai Lyn – Female Gynaecologist
38 Irrawaddy Rd, #05-34/35 Mt Elizabeth Novena Specialist Centre, Singapore 329563
+65 6011 1531
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