develop in or on the uterus. Although they are benign (non-cancerous), fibroids can cause significant discomfort and complications, especially in women of childbearing age. In Bangladesh, thousands of women silently endure the pain and stress associated with fibroids without proper treatment due to a lack of awareness.

In this blog post, we’ll explore what fibroids are, their causes, symptoms, types, and the most effective treatment options available.

What Are Uterine Fibroids?

Uterine fibroids are muscular tumors that develop in the wall of the uterus. They can vary in size—from as small as a seed to as large as a melon. Some women may have a single fibroid, while others may have multiple.

Types of Fibroids

1. Intramural Fibroids: Grow within the wall of the uterus.
2. Subserosal Fibroids: Grow on the outer surface of the uterus.
3. Submucosal Fibroids: Develop just under the lining of the uterus.
4. Pedunculated Fibroids: Attached to the uterus by a stalk.

What Causes Uterine Fibroids?

While the exact cause of fibroids is unknown, several factors may contribute to their development:

• Hormonal Imbalance: Estrogen and progesterone promote fibroid growth.
• Genetic Factors: Family history increases the risk.
• Age: Most common in women aged 30 to 50.
• Obesity: Higher levels of body fat can lead to increased hormone levels.
• Diet: A diet low in fruits and vegetables may increase the risk.

Symptoms of Uterine Fibroids

Many women with fibroids may not experience any symptoms. However, when symptoms occur, they can include:

• Heavy menstrual bleeding
• Pelvic pain or pressure
• Frequent urination
• Pain during intercourse
• Back or leg pain
• Constipation
• Difficulty getting pregnant

If you experience any of these symptoms, consult a gynecologist promptly.

How Are Uterine Fibroids Diagnosed?

Doctors typically diagnose fibroids through:

• Pelvic Examination
• Ultrasound (Abdominal or transvaginal)
• MRI Scan
• Hysteroscopy
• Sonohysterography

Early diagnosis can prevent complications and improve treatment outcomes.

Uterine Fibroids Treatment Options

The treatment for fibroids depends on several factors, including the size and number of fibroids, symptoms, patient’s age, and fertility goals. Here are the main treatment options:

1. Watchful Waiting (Observation)

If the fibroids are small and asymptomatic, regular monitoring may be sufficient.

2. Medications

• Hormonal Therapies: Gonadotropin-releasing hormone (GnRH) agonists can shrink fibroids.
• NSAIDs: Help relieve pain.
• Birth Control Pills: Manage heavy periods but do not shrink fibroids.
• Tranexamic Acid: Reduces heavy bleeding.

3. Non-Invasive Procedures

• MRI-Guided Focused Ultrasound Surgery (FUS): A non-invasive procedure using high-intensity ultrasound waves to destroy fibroid tissue.

4. Minimally Invasive Procedures

• Uterine Artery Embolization (UAE): Blocks blood flow to fibroids, causing them to shrink.
• Laparoscopic or Robotic Myomectomy: Removes fibroids through small incisions.
• Hysteroscopic Myomectomy: Removes fibroids from the inner uterus lining via the vagina.

5. Traditional Surgical Options

• Abdominal Myomectomy: Open surgery to remove fibroids.
• Hysterectomy: Complete removal of the uterus, usually recommended when fibroids cause severe symptoms and childbearing is not a concern.

Natural and Lifestyle Approaches

Although not a substitute for medical treatment, lifestyle changes may help manage symptoms:

• Healthy Diet: Include more fruits, vegetables, and whole grains.
• Exercise Regularly: Helps in weight management and hormone balance.
• Stress Management: Yoga and meditation can help reduce stress, which may impact hormone levels.

When Should You See a Doctor?

If you experience:

• Very heavy or prolonged periods
• Severe pelvic pain
• Difficulty in urination
• Trouble conceiving

…you should consult a gynecologist immediately. The earlier fibroids are detected, the more treatment options you have.

Best Treatment for Fibroids in Bangladesh

Bangladesh has made significant progress in the field of gynecology. Whether you need medications, surgery, or minimally invasive procedures, there are specialized facilities and doctors available. If you’re looking for expert consultation, it’s crucial to find the best gynecologist in Dhaka, where experienced specialists use modern diagnostic tools and treatments tailored to your needs.

Final Thoughts

Uterine fibroids are common, but they don’t have to take over your life. With timely diagnosis and the right treatment plan, most women can manage fibroids effectively and go on to live healthy lives. Whether you’re experiencing symptoms or planning for a pregnancy, consulting with an expert is your first step toward recovery.

Don’t ignore the signs. Seek professional help today and regain control of your reproductive health.