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Phoenix Women & Childrens Hospital

Uterine fibroids are growths that happen in or on the uterus but are not cancerous. A lot of women have fibroids, but not all of them have symptoms. Some women only find out they have them during routine checkups. We will talk about why fibroids happen and how modern treatments can help below.

What Causes Fibroids?
Doctors believe fibroids arise from a combination of:

  • Hormones (estrogen and progesterone)—these fuel fibroid growth during reproductive years, and fibroids often shrink after menopause.
  • Genetic predisposition—having a family history of fibroids increases risk.
  • Growth factors—natural substances like insulin-like growth factor may encourage fibroid growth.
  • Changes in uterine tissue structure—fibroids contain extra dense “building material,” making them firm and fibrous.

Who Is More Likely to Get Fibroids?

You may be at higher risk if you:

  • Are between 30–50 years old
  • Have close female relatives with fibroids
  • Identify as African or Asian heritage
  • Are overweight—fat tissue produces extra estrogen
  • Began menstruating very early (before age 10–11)
  • Have low Vitamin D or high blood pressure

Common Symptoms

Fibroids may stay silent—or can cause:

  • Heavy or prolonged periods
  • Intense menstrual cramps
  • Pelvic pain or pressure
  • Bulging or firmness in lower abdomen
  • Frequent urination or constipation
  • Challenges with conception or pregnancy loss in some cases

 

 

Non-Surgical Treatment

1. Medications

  • Pain relievers (like ibuprofen), iron supplements
  • Hormonal therapies, including birth control methods or GnRH agonists to temporarily shrink fibroids

Surgical Treatment

2. Minimally Invasive & Non-Surgical Procedures

  • Uterine Fibroid Embolization (UFE): cuts off fibroid blood supply to shrink them
  • Radiofrequency Ablation (RFA): uses heat (microwave energy) to treat small fibroids
  • Endometrial Ablation: targets the inner lining to manage bleeding symptoms

3. Laparoscopic & Robotic Surgeries

  • Laparoscopic Myomectomy: Removes fibroids via small incisions, preserving the uterus
  • Robotic Myomectomy / Robotic Hysterectomy: powered by the da Vinci Surgical System, these offer precision, minimal pain, faster recovery, and excellent cosmetic outcomes

4. Traditional Surgery (when needed)

  • Hysteroscopic or Laparotomic Myomectomy depending on fibroid number and size
  • Hysterectomy (vaginal, laparoscopic, or open) as a permanent option

5. Supportive Environment and Expertise

  • Dr Astha Dayal team of internationally accredited gynaecologists with over thousands fibroid surgeries performed, state-of-the-art theaters, and minimally invasive focus
Treatment Option Benefits Best For
Medication Non-invasive, improves symptoms Small fibroids, initial management
UFE / RFA / Endometrial Ablation Minimally invasive, uterus-preserving Moderate cases seeking fertility
Laparoscopic / Robotic Surgery Precise, fast recovery, minimal scarring Larger/multiple fibroids, surgical need
Traditional Surgery Definitive solution Severe cases, completed family planning

Conclusion

Uterine fibroids develop through a combination of hormonal, genetic, and lifestyle factors. The good news?

Many women live symptom-free or find relief through a spectrum of modern, personalized treatment options at CK Birla Hospital—especially under expert care like Dr. Astha Dayal’s.

 

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