Fibroids of the uterus are benign (non-cancerous) growths within the wall of the uterus. A woman may have a single fibroid or multiple fibroids and they may be located anywhere in the uterus (exterior or interior or within the wall). They are usually associated with a heavy menstrual flow, severe cramping, pelvic pressure, fertility, and pregnancy-related issues.
The implications of the uterine fibroids on fertility are uncertain. The exact mechanism of fibroids causing infertility is less clear but it is thought that it may prevent embryo implantation by distorting the uterine cavity.
Uterine polyps are growths attached to the inner wall of the uterus and protruding into the uterine cavity. Overgrowth of cells in the lining of the uterus (endometrium) leads to the formation of uterine polyps. The sizes of uterine polyps range from a few millimeters — no larger than a sesame seed — to several centimeters — golf ball sized or larger.
They are attached to the uterine wall by a large base or a thin stalk. You can have one or many uterine polyps. They usually stay contained within your uterus, but occasionally, they may slip down through the opening of the uterus into your vagina.
Uterine polyps may disrupt the lining of the uterus (the endometrium). They may even reduce blood flow in parts of the endometrial lining. This disruption could possibly prevent a fertilized embryo from implanting in the endometrial lining.
The polyps could also cause a miscarriage after the embryo has implanted. There is evidence to show that removing uterine polyps does boost fertility in previously infertile women.
Several risk factors cause the growth of uterine fibroids. These are:
The most common symptoms of fibroids are:
Based on one’s individual experience with uterine fibroids and its severity, the doctor will prescribe that the couple undergo a fertility evaluation test.
Treatment options for this condition include different kinds of surgery, such as myomectomy, hysteroscopy, laparoscopy, and laparotomy.
Other treatment options that reduce the size of fibroids include electrical energy, ultrasound, medication, and embolization. This reduction of size is usually temporary and may breed more fibroids.
These medicines help manage the pain and discomfort of fibroids. They include medication like ibuprofen and acetaminophen.
Birth control helps control heavy bleeding, menstrual cramps, and spotting between periods. Suitable options are oral contraceptive pills, injections, IUDs and intravaginal contraception.
This medication can be taken via a nasal spray or as an injection. They help to shrink a fibroid before surgery to enable easy removal. However, they can grow back after a while if you stop taking this medication.
Women with anemia due to excessive bleeding may be given iron supplements.
Our entire team of fertility experts works collaboratively to come up with an effective treatment plan tailor-made for each patient.
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