Fibroma

Diagnosis of fibroids begins with a thorough gynaecological examination. The doctor may order a pelvic ultrasound to confirm the presence, size and location of fibroids. In some cases, other examinations such as pelvic MRI may be necessary for a more precise assessment.

Treatment options vary according to fibroid size and symptoms. They include drug treatments to control bleeding, uterine fibroid embolization, myomectomy to remove fibroids while preserving the uterus, and in some cases, hysterectomy. The choice of treatment depends on a number of factors, including the patient's age and desire for future pregnancy.

Fibroids can sometimes diminish naturally, particularly after the menopause due to the drop in hormones. However, during periods of hormonal activity, they tend to grow. Regular medical surveillance is recommended, even in the absence of active treatment.

Main complications include anemia due to heavy bleeding, fertility problems, complications during pregnancy, and chronic pain. In rare cases, very large fibroids can exert pressure on other organs, causing urinary or digestive problems.

Yes, depending on their size and location, fibroids can affect fertility by interfering with embryo implantation or altering the shape of the uterus. During pregnancy, they can increase the risk of miscarriage, premature delivery or the need for Caesarean section.

We recommend that you consult a doctor if you experience abnormally heavy menstrual bleeding, persistent pelvic pain, frequent urinary problems or difficulty conceiving. Prompt consultation is the key to early and appropriate treatment.

Evaluation usually includes a gynecological examination, pelvic ultrasound, and sometimes a blood test to check for anemia. In some cases, an MRI or hysteroscopy may be required for a more detailed evaluation of the uterus.

Medication cannot completely eliminate fibroids, but it can help control symptoms and sometimes reduce their size. Hormonal treatments can be effective in managing the bleeding and pain associated with fibroids.

The main surgical options are myomectomy (removal of fibroids while preserving the uterus) and hysterectomy (removal of the uterus). Fibroid embolization is a less invasive alternative. Each procedure carries its own risks and benefits, which will be discussed with your doctor.

Some hormonal contraception methods can help control the symptoms of fibroids, particularly heavy bleeding. However, the effect on fibroid size varies from case to case. It's important to discuss contraceptive options with your doctor to choose the method best suited to your situation.