Effects of Fibroids on Women's Fertility – Best and Advanced Fibroids Treatment in India

Fibroids are common benign tumors of uterine origin that may develop as variably sized solitary tumors or as aggregated clusters. They occur predominantly in premenopausal women, and their growth appears to be hormone (estradiol, progesterone) dependent. They may grow towards the uterine cavity (submucous) or towards the abdominal cavity (subserosal), or they may be located within the uterine wall (intramural). 

 Fibroids may be asymptomatic or could be associated with a variety of complaints. Symptoms, such as menometrorrhagia, pressure, urinary frequency, constipation, and pain, are associated with size, number, and location of the fibroids.

Fibroids are very common – around one in two women will be affected at some point in their lives. However, most don't ever get any symptoms. You may have only one fibroid or you may have many fibroids of different sizes. Fibroids can range from being very small to around the size of a basketball.

Fibroids are named according to where they are found in your womb.

·         Intramural fibroids grow within the muscular wall of your womb.

·         Subserous fibroids grow from the outside wall of your womb into your pelvic cavity. They can become very large.

·         Submucosal fibroids grow from the inner wall of your womb into the space inside your   womb.
 

·         Pedunculated fibroids grow from the outside of your womb. These fibroids are almost free of the wall of your womb and are only attached by a narrow stalk.

It has long been suspected that fibroids that distort the uterine cavity are associated with infertility and miscarriages. The association between fibroids and reproductive failure (infertility, pregnancy loss) has been studied by several groups. The majority of these studies are affected by the same problems: small sample size, no or inappropriate controls, and a retrospective design. The use of a meta-analysis may remedy the shortcomings of individual studies. In addition, few studies have addressed the benefits of treatment in a well-designed manner. To further complicate the issue, several treatment options -- medical, surgical, radiologic -- are available, but their effects would need to be assessed separately.

This analysis is based on the results of 23 studies and is an update of a previous review  Fibroids in general, regardless of location, were associated with a 15% reduction in pregnancy rates, a 30% reduction in live birth rates, and a 67% increase in miscarriage rates when compared with controls without fibroids. The effect was especially pronounced when submucous fibroids were analyzed (64% reduction in pregnancy rates, 69% reduction in live birth rates, and 67% increase in miscarriage rate). The effect of intramural fibroids was significant but less pronounced (22% decrease in live birth rates, 89% increase in miscarriage rates). Subserous fibroids did not affect pregnancy rates or pregnancy outcome. The analysis did not demonstrate a consistent effect on pregnancy rates and outcomes.

Myomectomy was associated with improved pregnancy outcome when submucosal myomas were evaluated. The pregnancy rate was significantly higher after myomectomy when compared with women with fibroids left in place. On the basis of a small number of cases, the removal of intramural fibroids was not associated with improved pregnancy outcome.

Viewpoint

Although fibroids are one of the most common benign tumors that affect reproductive-age women, studies are few and have been poorly designed to assess their effect on reproduction. A cause-and-effect relationship seems obvious between submucosal fibroids and reproductive failure. This association is supported by this current review as well. In these cases, myomectomy does improve outcome. 

The association between intramural fibroids and lower pregnancy rates seems to be supported as well, but the effect of treatment is not obvious. In these cases, treatment needs to be individualized on the basis of the outcome of previous pregnancies, the number of previous surgeries, comorbidities, and the number and size of fibroids when treatment is offered. In the future, studies will have to evaluate the benefits of treatment of intramural myomas.

Minimally Invasive Procedure for Fibroid Treatment - Fibroid Embolization

Fibroids are common benign tumors of uterine origin that may develop as variably sized solitary tumors or as aggregated clusters. They occur predominantly in premenopausal women, and their growth appears to be hormone (estradiol, progesterone) dependent. They may grow towards the uterine cavity (submucous) or towards the abdominal cavity (subserosal), or they may be located within the uterine wall (intramural). Fibroids may be asymptomatic or could be associated with a variety of complaints. Symptoms, such as menometrorrhagia, pressure, urinary frequency, constipation, and pain, are associated with size, number, and location of the fibroids.

Fibroids are very common – around one in two women will be affected at some point in their lives. However, most don't ever get any symptoms. You may have only one fibroid or you may have many fibroids of different sizes. Fibroids can range from being very small to around the size of a basketball.

Fibroids are named according to where they are found in your womb.

·         Intramural fibroids grow within the muscular wall of your womb.

·         Subserous fibroids grow from the outside wall of your womb into your pelvic cavity. They can become very large.

·         Submucosal fibroids grow from the inner wall of your womb into the space inside your womb.

·         Pedunculated fibroids grow from the outside of your womb. These fibroids are almost free of the wall of your womb and are only attached by a narrow stalk.

It has long been suspected that fibroids that distort the uterine cavity are associated with infertility and miscarriages. The association between fibroids and reproductive failure (infertility, pregnancy loss) has been studied by several groups. The majority of these studies are affected by the same problems: small sample size, no or inappropriate controls, and a retrospective design. The use of a meta-analysis may remedy the shortcomings of individual studies. In addition, few studies have addressed the benefits of treatment in a well-designed manner. To further complicate the issue, several treatment options -- medical, surgical, radiologic -- are available, but their effects would need to be assessed separately.

This analysis is based on the results of 23 studies and is an update of a previous review  Fibroids in general, regardless of location, were associated with a 15% reduction in pregnancy rates, a 30% reduction in live birth rates, and a 67% increase in miscarriage rates when compared with controls without fibroids. The effect was especially pronounced when submucous fibroids were analyzed (64% reduction in pregnancy rates, 69% reduction in live birth rates, and 67% increase in miscarriage rate). The effect of intramural fibroids was significant but less pronounced (22% decrease in live birth rates, 89% increase in miscarriage rates). Subserous fibroids did not affect pregnancy rates or pregnancy outcome. The analysis did not demonstrate a consistent effect on pregnancy rates and outcomes.

Myomectomy was associated with improved pregnancy outcome when submucosal myomas were evaluated. The pregnancy rate was significantly higher after myomectomy when compared with women with fibroids left in place. On the basis of a small number of cases, the removal of intramural fibroids was not associated with improved pregnancy outcome.

Although fibroids are one of the most common benign tumors that affect reproductive-age women, studies are few and have been poorly designed to assess their effect on reproduction. A cause-and-effect relationship seems obvious between submucosal fibroids and reproductive failure. This association is supported by this current review as well. In these cases, myomectomy does improve outcome. The association between intramural fibroids and lower pregnancy rates seems to be supported as well, but the effect of treatment is not obvious. In these cases, treatment needs to be individualized on the basis of the outcome of previous pregnancies, the number of previous surgeries, comorbidities, and the number and size of fibroids when treatment is offered. In the future, studies will have to evaluate the benefits of treatment of intramural myomas.

Fibroid Embolization 

It is a minimally invasive procedure, which means it requires only a tiny nick in the skin. It is performed while the patient is conscious but sedated - drowsy and feeling no pain. Fibroid embolization is performed by an interventional radiologist, a physician who is specially trained to perform this and other minimally invasive procedures. The interventional radiologist makes a small nick in the skin (less then ¼ of an inch) in the groin and inserts a catheter into an artery. The catheter is guided through the artery to the uterus while the interventional radiologist guide the progress of the procedure using a moving X-ray (fluoroscopy). The interventional radiologist injects tiny plastic particles the size of grains of sand into the artery that is supplying blood to the fibroid tumor.

 This cuts off the blood flow and causes the tumor (or tumors) to shrink. The artery on the other side of the uterus is then treated. Embolization preparation: A tiny angiographic catheter is inserted through a nick in the skin in to an artery and advanced into uterus.

Minimally Invasive Procedure Fibroid Embolization in India

Fibroids are common benign tumors of uterine origin that may develop as variably sized solitary tumors or as aggregated clusters. They occur predominantly in premenopausal women, and their growth appears to be hormone (estradiol, progesterone) dependent. They may grow towards the uterine cavity (submucous) or towards the abdominal cavity (subserosal), or they may be located within the uterine wall (intramural). Fibroids may be asymptomatic or could be associated with a variety of complaints. Symptoms, such as menometrorrhagia, pressure, urinary frequency, constipation, and pain, are associated with size, number, and location of the fibroids.Fibroids are very common – around one in two women will be affected at some point in their lives. However, most don't ever get any symptoms. You may have only one fibroid or you may have many fibroids of different sizes. Fibroids can range from being very small to around the size of a basketball.

Fibroids are named according to where they are found in your womb.

·         Intramural fibroids grow within the muscular wall of your womb.

·         Subserous fibroids grow from the outside wall of your womb into your pelvic cavity. They can become very large.

·         Submucosal fibroids grow from the inner wall of your womb into the space inside your womb.

·         Pedunculated fibroids grow from the outside of your womb. These fibroids are almost free of the wall of your womb and are only attached by a narrow stalk.

It has long been suspected that fibroids that distort the uterine cavity are associated with infertility and miscarriages. The association between fibroids and reproductive failure (infertility, pregnancy loss) has been studied by several groups. The majority of these studies are affected by the same problems: small sample size, no or inappropriate controls, and a retrospective design. The use of a meta-analysis may remedy the shortcomings of individual studies. In addition, few studies have addressed the benefits of treatment in a well-designed manner. To further complicate the issue, several treatment options -- medical, surgical, radiologic -- are available, but their effects would need to be assessed separately.

This analysis is based on the results of 23 studies and is an update of a previous review  Fibroids in general, regardless of location, were associated with a 15% reduction in pregnancy rates, a 30% reduction in live birth rates, and a 67% increase in miscarriage rates when compared with controls without fibroids. The effect was especially pronounced when submucous fibroids were analyzed (64% reduction in pregnancy rates, 69% reduction in live birth rates, and 67% increase in miscarriage rate). The effect of intramural fibroids was significant but less pronounced (22% decrease in live birth rates, 89% increase in miscarriage rates). Subserous fibroids did not affect pregnancy rates or pregnancy outcome. The analysis did not demonstrate a consistent effect on pregnancy rates and outcomes.

Myomectomy was associated with improved pregnancy outcome when submucosal myomas were evaluated. The pregnancy rate was significantly higher after myomectomy when compared with women with fibroids left in place. On the basis of a small number of cases, the removal of intramural fibroids was not associated with improved pregnancy outcome

Although fibroids are one of the most common benign tumors that affect reproductive-age women, studies are few and have been poorly designed to assess their effect on reproduction. A cause-and-effect relationship seems obvious between submucosal fibroids and reproductive failure. This association is supported by this current review as well. In these cases, myomectomy does improve outcome. The association between intramural fibroids and lower pregnancy rates seems to be supported as well, but the effect of treatment is not obvious. In these cases, treatment needs to be individualized on the basis of the outcome of previous pregnancies, the number of previous surgeries, comorbidities, and the number and size of fibroids when treatment is offered. In the future, studies will have to evaluate the benefits of treatment of intramural myomas.

Fibroid Embolization 

It is a minimally invasive procedure, which means it requires only a tiny nick in the skin. It is performed while the patient is conscious but sedated - drowsy and feeling no pain. Fibroid embolization is performed by an interventional radiologist, a physician who is specially trained to perform this and other minimally invasive procedures. The interventional radiologist makes a small nick in the skin (less then ¼ of an inch) in the groin and inserts a catheter into an artery. The catheter is guided through the artery to the uterus while the interventional radiologist guide the progress of the procedure using a moving X-ray (fluoroscopy). The interventional radiologist injects tiny plastic particles the size of grains of sand into the artery that is supplying blood to the fibroid tumor.

 This cuts off the blood flow and causes the tumor (or tumors) to shrink. The artery on the other side of the uterus is then treated. Embolization preparation: A tiny angiographic catheter is inserted through a nick in the skin in to an artery and advanced into uterus.

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Why Fibroids can reduce the chances of getting pregnant ? Adavnced Fibroids Treatment (Uterine Artery Embolization)

Being a woman is hard enough as it is, but when everyday trials are made worse with heavy menstrual bleeding, backaches and general discomfort, the day can seem unending. Excessive bleeding or prolonged periods are a glaring sign that something is wrong in your body, and you need to visit your gynaecologist. One of the most common conditions that causes these symptoms in women over the age of 20 is what doctors call‘fibroids’, which are basically benign smooth muscle growths in the uterus. They can vary in size, from being as small as a pea to be as big or bigger than a melon.

In most women, a gynaecologist might incidentally notice the presence of fibroids during a routine sonography, since very few experience any noticeable symptoms. 

Most women experience symptoms only when the fibroid grows to such an extent that it presses on the uterus, rectum, bladder or spinal column. Another possible cause for the symptoms could be the fact that when the fibroid outgrows its blood supply and is deprived of nutrition, it begins to die and releases by-products that causes pain and fever. If you notice any of the following symptoms, consult a good gynecologist:

• Prolonged menstrual bleeding that lasts for more than seven days
• Persistent pelvic pain even after menstruation (when the fibroid is pressing on the uterus or the back)
• Frequent urination and difficulty emptying the bladder 
• Constipation (when the fibroid is present at the back of the uterus, exerting pressure on the rectum)
• Back or leg pain (when a fibroid either grows large and presses on the spinal column through the uterus or is formed behind the uterus)

Uterine Artery Embolization  or  Uterine Fibroid Embolization  is a minimally invasive techniqueused for treating symptomatic fibroids. The advent of UAE for treatment of fibroids has been revolutionary as the procedure requires a tiny nick in the skin and virtually does not involve blood loss or need of blood transfusion.  Thus one can anticipate “No surgery and Quick Recovery” with Uterine Artery Embolization.

What does a Uterine Artery Embolization procedure entail?

The Uterine fibroids stimulate blood vessels which increase blood supply to fibroids. The uterine artery embolization procedure entails injecting small particles into the uterine arteries which supply blood to the uterus and fibroids. The injected embolic agents block the vessels which starve fibroids and cause them to shrink and die.

Advantages of Uterine Artery Embolization:

• Minimally invasive procedure with infrequent complications
• Simultaneously treats all fibroids
• Performed under local anesthesia
• Rare chances of recurrence of fibroids after UAE
• Shorter Recovery Period
• Minimal blood loss
• No need for any blood transfusion
• No adhesion formation
• Is emotionally, physically and sexually more advantageous over surgery

UterineArtery Embolization, the non surgical cure for uterine fibroids is now available in India at some of the best hospitals at highly affordable cost. Uterine Artery Embolization is done by some of the best interventional radiologists in India who are specially trained to diagnose and treat conditions using miniature tools while watching their progress on imaging equipment.

The hospitals in India that offer Uterine Artery Embolization in India are well equipped with latest technology and infrastructure which are at par with any other facility in the world. The cost of Uterine Artery Embolization in India is much lesser than its western counterparts. Thus getting Uterine Fibroid Embolization in India is highly advantageous than getting it done in any other western country.

If untreated, fibroids can reduce the chances of getting pregnant. They may cause a distortion of the fallopian tubes leading to lack of ovulation, may block the entry of sperm into the uterus in the case of cervical fibroids and may cause disruptions in the implantation of the fetus in the case of submucosal fibroids.

In case a woman is already pregnant, fibroids can be quite dangerous. Complications during this phase include pain during the first and second trimester of the pregnancy. If a woman experiences multiple miscarriages or is unable to conceive after a year of trying, she should consult her gynecologist immediately.

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MyMedOpinion affiliated   Best hospitals in India provide an medical opinion from experienced surgeons and the treatment cost includes companion stay  , surgeon fee, medicines and consumables, nursing care, patient's food and airport pick up & drop etc. etc. We offer free, no obligation assistance to international patients to find world class medical treatment in India. We offer support and services to facilitate the care you require. We can help you find the best hospital in India

 

Send us a Medical Report to Get FREE Medical Opinion from India's Top Doctors

MyMedOpinion.com  is the hub of Surgeons and specialists for major diseases. We give you a chance to speak to our doctors and discuss your health issues directly.

Email Us: Free@mymedopinion.com  Call Us: +91-7503537224