Uterine fibroids are benign tumours that are common among women. They develop in the muscular walls of the uterus and while many women with fibroids experience no symptoms, others may face significant pain, and other complications. Fortunately, treatment and surgery are available for these non-cancerous growths.
Uterine fibroids, known as leiomyomas, are non-cancerous growths in or around the uterus. These growths, though typically benign, can cause discomfort, disrupt a woman’s reproductive health and impact their quality of life.
Uterine fibroids develop in or around the uterus. They vary in size and can manifest in different areas of the uterus, including:
Not all women with fibroids experience symptoms, but when symptoms do occur, they can vary. Some common signs include:
If any of these symptoms sound familiar, it’s a good idea to speak with your doctor to explore your options.
Several factors may contribute to the development of uterine fibroids, including:
If your doctor suspects fibroids, they’ll likely start with a pelvic exam and an ultrasound. Other tests, like an MRI or hysteroscopy, may be used for a more detailed look. These help determine the size, number, and location of your fibroids, which is vital for deciding on treatment.
Treatment for fibroids depends on where and how large the fibroid is, as well as the severity of your symptoms. Some options include:
If treatment with medication doesn’t provide relief or if your fibroids are large, surgery might be necessary.
In Singapore, there are several surgical options for fibroid removal, depending on your situation.
A myomectomy eliminates fibroids while preserving the uterus. This surgical procedure is often recommended for women who want to preserve their fertility. The procedure can be done via:
Through a large incision on the abdomen.
A minimally invasive approach using small incisions and a laproscope.
A procedure performed through the vagina and cervix, removing fibroids that are located inside the uterus.
Uterine artery embolization (UAE) blocks blood supply to the fibroids, causing them to shrink. This minimally invasive procedure is typically done when the fibroids are causing heavy bleeding or other symptoms but doesn’t require major surgery. It can be an option for women who wish to avoid a hysterectomy or myomectomy.
A hysterectomy removes the whole uterus and is generally recommended if other treatments haven’t been successful or if you no longer wish to preserve fertility. While it’s a permanent solution, it’s the most effective way to eliminate fibroids.
If you notice any changes in your symptoms or experience new, more severe symptoms like intense pain, heavy bleeding, or swelling, contact your fibroid surgeon. Don’t wait until symptoms worsen, your doctor can point you to the most suitable treatment options to manage your condition.
If you’re struggling with uterine fibroids, discuss your symptoms with a doctor who can help you find the best treatment option. At W Gynae Women’s Clinic in Singapore, you’ll find experienced specialists who can provide personalised treatment for uterine fibroids.
We offer thorough diagnostic services and a range of treatments to guide you through recovery.
Yes, fibroids can affect fertility, especially if they’re located in the uterine cavity or obstruct the fallopian tubes. However, many women with fibroids can still conceive, and treatments like myomectomy can help preserve fertility.
Fibroids can sometimes cause complications during pregnancy, such as miscarriage, preterm labour, or difficulty during delivery. However, many women with fibroids have healthy pregnancies. If you’re pregnant and have fibroids, regular monitoring by your doctor can help manage any risks.
Uterine fibroids are almost always benign (non-cancerous). However, in rare cases, fibroids can turn into a type of cancer called leiomyosarcoma. If you have fibroids, it’s essential to work with your doctor to monitor them, but the vast majority of fibroids are harmless.
Yes, fibroids can be treated without surgery in some cases. Medications to control symptoms, uterine artery embolization, and other non-surgical options may be appropriate for some women, especially if the fibroids are small and the symptoms are manageable.
Surgery may be recommended if fibroids are causing significant symptoms like heavy bleeding, pelvic pain, or pressure on nearby organs. Large fibroids (greater than 5 cm) or growing rapidly may also be more likely to require surgical intervention.
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