Wakad, Pimpri-Chinchwad, Pune, care@sunmedhospital.com
Intramural Fibroids Treatment
Intramural fibroids are a common condition affecting many women during their reproductive years. These non-cancerous growths can cause a variety of symptoms, including discomfort, heavy menstrual bleeding, and fertility challenges. While some women may experience no noticeable effects, others can face significant physical and emotional difficulties. Gaining a clear understanding of intramural fibroids is essential for selecting the most effective treatment plan.
At SunMed Hospital, we recognize the impact fibroids can have on a woman’s health and well-being. Our dedicated team of gynecologists, radiologists, and surgeons collaborates to deliver personalized care using advanced diagnostic tools and minimally invasive treatment options.
With our expertise, we aim to help women regain control of their health and enhance their quality of life. If you or a loved one is dealing with intramural fibroids, trust SunMed Hospital to provide support and intramural fibroid treatment in Pimpri Chinchwad.
Intramural fibroids are benign tumors that develop within the muscular wall (myometrium) of the uterus. They are among the most common types of uterine fibroids, ranging in size from tiny and undetectable to large growths that can distort the uterine shape. While generally harmless, larger fibroids can cause symptoms such as heavy periods, pelvic discomfort, and difficulty with fertility. Hormones like estrogen and progesterone influence their growth, making medical evaluation crucial for effective management.
Intramural fibroids are classified based on their location in the uterus:
Located in the front wall of the uterus, these fibroids can press against the bladder, causing symptoms such as frequent urination or a sensation of incomplete bladder emptying.
Found in the back wall of the uterus, these fibroids may press on the rectum, causing constipation, rectal discomfort, or lower back pain. Larger growths can also affect nearby pelvic structures.
Situated in the upper part of the uterus (fundus), these fibroids can interfere with uterine contractions, resulting in heavy menstrual bleeding. They may also pose complications during pregnancy if they distort the uterine cavity.
The exact cause of intramural fibroids remains unclear, but several factors are believed to contribute:
Certain factors increase the risk of developing intramural fibroids. Being aware of these can help identify individuals who may be more susceptible:
While smaller fibroids may not cause apparent symptoms, larger fibroids or those pressing on nearby organs can result in the following:
Diagnosing intramural fibroids involves a combination of physical examinations, imaging tests, and sometimes specialized procedures:
Pelvic Exam: A doctor may detect an enlarged uterus or a mass during a routine pelvic check.Ultrasound: This is the most generally used imaging technique to identify fibroids and assess their size and location.MRI: A more detailed imaging method used when ultrasound results are inconclusive or to aid in treatment planning.Hysteroscopy: A small camera inserted into the uterus can examine fibroids, especially those near the uterine lining.Sonohysterogram: Saline is injected into the uterus during an ultrasound to better outline the fibroids.Laparoscopy: In rare cases, this surgical procedure allows direct visualization of the uterus when other diagnostic methods are inconclusive.Treatment for intramural fibroids is tailored based on factors like the size and location of the fibroids, the severity of symptoms, and the patient’s health and reproductive goals.
Medications: Hormonal treatments such as birth control pills, intrauterine devices (IUDs), or GnRH agonists can manage symptoms by regulating hormone levels and reducing fibroid growth. These treatments are particularly effective for controlling heavy bleeding and pelvic pain.Uterine Artery Embolization (UAE): This minimally invasive procedure blocks the fibroid’s blood supply, causing it to shrink. UAE is a good option for women who want to avoid surgery.Myomectomy: A surgical process to remove fibroids while preserving the uterus, ideal for women planning to have children.Hysterectomy: The surgical removal of the uterus, typically recommended for women who no longer wish to have children or when other treatments are ineffective.MRI-guided Focused Ultrasound (FUS): A non-invasive treatment that utilizes ultrasound waves to target and destroy fibroids by heating them. This option is suitable for women avoiding surgery with easily accessible fibroids.Endometrial Ablation: A procedure to destroy the uterine lining to reduce heavy bleeding, generally for women who have completed childbearing.While many women with intramural fibroids experience mild or no issues, complications can arise that may impact overall health and quality of life:
Infertility: Large or multiple fibroids can distort the uterus and block fallopian tubes, affecting conception.Pregnancy Complications: Increased risks of miscarriage, premature birth, or complications during labor, particularly with fibroids near the uterine cavity.Heavy Menstrual Bleeding: Excessive bleeding can lead to anemia, causing fatigue, weakness, and other health issues.Urinary and Bowel Issues: Large fibroids pressing on the bladder or rectum can result in urinary retention, constipation, or back pain.Painful Sex: Fibroids in certain uterine locations can make sexual intercourse uncomfortable.Psychological Effects: Chronic symptoms like pain, bleeding, and fertility challenges can affect emotional well-being and quality of life.Though preventing fibroids completely may not be possible, these strategies can help reduce risk and manage symptoms effectively:
Maintain a Healthy Weight: Excess weight increases estrogen levels, contributing to fibroid growth. A balanced diet and regular exercise can help.Eat a Balanced Diet: Prioritize fruits, vegetables, and whole grains while limiting processed foods. Antioxidant-rich foods may also offer protective effects.Regular Exercise: Physical activity helps maintain hormonal balance and supports overall health.Control Hormonal Imbalances: Birth control pills or IUDs can regulate hormones. Consult a healthcare provider to determine the best option.Limit Alcohol and Caffeine: Reducing these substances can help avoid hormonal fluctuations linked to fibroid development.Monitor Blood Pressure: Managing hypertension through lifestyle changes or medication may lower fibroid risk.Regular Health Checkups: Routine pelvic exams and imaging tests ensure early detection and timely intervention.Yes, large or multiple fibroids can distort the uterus or block the fallopian tubes, making it harder to conceive. However, many women with fibroids successfully achieve and sustain pregnancies.
In some cases, fibroids may increase the risk of miscarriage, especially if they are large or located where the pregnancy implants. However, many women with fibroids have healthy pregnancies.
No, intramural fibroids are typically benign (non-cancerous). Regular checkups are essential to monitor fibroids and address potential complications.
Pain can be managed with doctor-prescribed pain relievers or hormonal treatments. If pain is severe or persistent, treatments like myomectomy or uterine artery embolization may be recommended.
Fibroids may cause complications such as preterm birth, placental abruption, or restricted fetal growth, depending on their size and location. However, most women with fibroids have successful pregnancies.
Fibroids are monitored with regular pelvic exams and imaging tests like ultrasound or MRI. The frequency depends on their size, location, and associated symptoms.
Yes, fibroids can recur, particularly after treatments like myomectomy or uterine artery embolization, if hormonal imbalances persist.
If asymptomatic, fibroids may not require treatment. However, untreated fibroids can grow larger, leading to heavy bleeding, pain, or pressure on nearby organs.
Yes, fibroids can cause heavy, prolonged, or irregular menstrual bleeding. Women with fibroids often experience more severe menstrual symptoms.
Fibroids generally shrink after menopause due to lower estrogen levels. However, symptoms may persist until menopause occurs.
