What is Uterine Fibroids? Dr. Hrishikesh Pai

Uterine fibroids is one of the most common gynecological problems found in women.If you think that you might be having uterine fibroids then this article will guide you and help you get a clearer idea about uterine fibroids.

The symptoms of fibroids are not always present, but when they are, they can include heavy menstrual bleeding, frequent urination, back pain, and discomfort during sex. Treatment for smaller fibroids may not be necessary, but for larger fibroids, surgery or medication may be necessary.

Due to their infrequent symptomatology, fibroids are frequently discovered by accident during a normal gynecological checkup, test, or scan. 

In this article Dr. Hrishikesh Pai, one of the best gynecologists in Mumbai from Budget IVF & Fertility Centre will discuss the risks, symptoms and treatment for uterine fibroids. 

Definition of Uterine Fibroids

Uterine fibroids is defined as Non-cancerous growths in the uterus that can develop during a woman’s childbearing years. 

Fibroids are almost always benign (not cancerous). Not all women with fibroids have symptoms. Women who do have symptoms often find fibroids hard to live with. Some have pain and heavy menstrual bleeding. Treatment for uterine fibroids depends on your symptoms.

Risk for uterine fibroids

  • Pregnancy
  • Obesity
  • 30 years of age or more
  • Fibroids run in the family.
  • Not having kids
  • Menstruation starts too early when a child.
  • Menopause happens later in life.

Symptoms for fibroids

Consult a skilled gynecologist in Mumbai if you experience persistent fibroids symptoms. So that they can confirm the diagnosis and look into any potential causes.

  • Heavy or uncomfortable periods
  • Abdomen ache
  • Lower back pain and diarrhea
  • Frequent urge to urinate
  • Annoyance or discomfort during sexual activity

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Causes of Uterine Fibroids:

According to Dr. Hrishikesh Pai, the following are the causes of uterine fibroids,

  • Genetic alterations : Numerous fibroids have gene alterations that are distinct from those found in ordinary uterine muscle cells. 
  • Hormones: The two hormones estrogen and progesterone encourage uterine lining forms during each menstrual cycle in preparation for pregnancy and also appears to encourage the growth of fibroids.
  • Additional drivers of growth: The development of fibroid tumors may be impacted by substances that aid in tissue maintenance, such as insulin-like growth factors.
  • Extracellular matrix (ECM): ECM makes your cells stick together. Fibroids have more ECM than normal cells, which makes them fibrous. ECM also keeps growth factors in it and causes cells to change.

Treatment for uterine fibroids

There are several things to think about while comparing the different surgical procedures for fibroid removal. A treatment plan may take into account not just the size, location, and the number of fibroids but also your choices about further pregnancies. 

While other surgical procedures either harm or remove the uterus, some keep the uterus and let you conceive in the future, says Dr. Hrishikesh Pai from IVF center in delhi which is one among the top ten IVF centers in India.

Surgical procedures 

  • Hysteroscopy: This procedure entails inserting a hysteroscope, a thin, flexible tube-like tool, through the vagina and cervix and into the uterus. During this procedure, the doctor makes no incisions. The doctor uses the scope to cut away and remove the fibroids during the procedure.
  • Laparoscopy: This procedure involves using a laparoscope to remove the fibroids. It entails making several small incisions in the abdomen. The scope will enter and exit the body in this manner.
  • Laparotomy: This procedure involves making an incision in the abdomen and removing the fibroids through one large incision.


Gonadotropin-Releasing Hormone (GnRH) Agonists:

GnRH agonists are medications that temporarily mimic menopause in order to treat fibroids by preventing the synthesis of oestrogen and progesterone. Menstruation ceases as a result, fibroids reduce in size, and anemia frequently gets better.

Leuprolide (Lupron Depot, Eligard, among others), goserelin (Zoladex), and triptorelin are examples of GnRH agonists.

When utilizing GnRH agonists, a lot of women get severe hot flashes. GnRH agonists are normally used for no longer than three to six months since long-term use might result in bone loss and symptoms returning after the medicine is stopped.

Before scheduled surgery or to ease your transition into menopause, your doctor may prescribe a GnRH agonist to reduce the size of your fibroids.

Progestin-releasing intrauterine device:

An IUD that releases progesterone can stop excessive bleeding brought on by fibroids. A progestin-releasing IUD simply relieves symptoms; it does not reduce or eliminate fibroids. It also helps women avoid getting pregnant.

Tranexamic acid:

This non-hormonal medication is taken to ease heavy menstrual periods. It’s taken only on heavy bleeding days.

Other medications:

Other medications may be suggested by your doctor. For instance, while oral contraceptives can help regulate menstrual bleeding, they have little effect on fibroid size.

Nonsteroidal anti-inflammatory drugs, which are not hormonal pharmaceuticals, may be useful in reducing fibroids-related pain, but they have no effect on fibroids’ tendency to hemorrhage. If you have excessive menstrual bleeding and anemia, your doctor can also advise you to take vitamins and iron.


Dr. Hrishikesh Pai, from budget IVF & Fertility Centre, one of the best gynecologists in Mumbai says that food plays an important part in the prevention and recovery of uterine fibroids.

Foods to add

  • Fiber rich foods to help prevent fibroids including cruciferous vegetables, oats, lentils, barley.
  • Potassium rich foods to balance salt levels including bananas, avocado, potatoes, tomatoes, citrus, cantaloupe.
  • Dairy foods contain phosphorus and magnesium which helps prevent the growth of fibroids which includes milk and cheese.
  • Green tea contains antioxidants including inflammation and estrogen which helps in fighting off inflation.

Foods to avoid

  • glucose
  • dextrose
  • maltose
  • corn syrup
  • high fructose corn syrup
  • white bread, rice, pasta, and flour
  • soda and sugary drinks
  • fruit juice
  • potato chips
  • Crackers

Dr. Hrishikesh Pai says, while uterine fibroids are very common and therefore if you are suffering from any of the symptoms then you should get immediate consultation from your doctor.

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