Uterine fibroids are non-cancerous growths that develop in or around the uterus. Some women with fibroids have no noticeable symptoms, while others experience heavy periods, pelvic pain, pressure in the abdomen, or frequent urination. The symptoms can vary depending on the size, number, and location of the growths.
A fibroid diagnosis does not always mean surgery is needed. Some women only require regular monitoring, while others may need medication or a procedure to manage their symptoms. The choice depends on how the fibroids affect daily life and whether the woman plans to have children.
Consulting a private gynaecologist in London can help women understand their condition, discuss suitable treatment options, and decide what to do next.
What symptoms can uterine fibroids cause?
Fibroids can form in various areas of the uterus. Their location and size often influence the symptoms a woman experiences. While some remain small and cause no problems, others can affect menstrual health and nearby organs.
Common symptoms include:
- Heavy periods: Menstrual bleeding may last longer than usual or involve passing large blood clots.
- Pelvic pain: Some women experience pressure, cramps, or discomfort in the lower abdomen.
- Frequent urination: Larger fibroids can put pressure on the bladder.
- Lower back pain: Fibroids may cause pressure or discomfort around the lower back.
- Pain during sex: Their position and size can sometimes cause discomfort during intercourse.
- Abdominal swelling: Larger growths may cause the stomach to look or feel swollen.
- Fertility concerns: Certain fibroids can affect conception or pregnancy, depending on their location.
Not every woman with fibroids will experience these symptoms. However, unusually heavy bleeding, persistent pelvic discomfort, or changes in menstrual patterns should be discussed with a healthcare professional.
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How does a private gynaecologist diagnose uterine fibroids?
A private gynaecologist begins by understanding your symptoms and medical history. During the consultation, they may ask about:
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Menstrual cycle and bleeding patterns.
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Pelvic pain or discomfort.
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Previous pregnancies.
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Future pregnancy plans.
Following the initial assessment, the gynaecologist may recommend the following investigations:
1. Pelvic Examination – Checks for changes in the size or shape of the uterus.
2. Ultrasound Scan – Identifies the number, size, and location of fibroids.
3. Blood Tests – Checks for possible anaemia caused by heavy menstrual bleeding.
4. MRI Scan – Provides more detailed information about fibroids when required.
5. Hysteroscopy – Helps identify growths inside the uterine cavity and other abnormalities.
An ultrasound is commonly used to confirm fibroids and assess their location. An MRI may be recommended when detailed imaging is needed for treatment planning.
A private gynaecologist in London can review the investigation results and explain whether the fibroids require treatment or can be monitored.
What are the available uterine fibroid treatment options?
Treatment depends on the symptoms, size and location of fibroids, and whether a woman wishes to have children in the future. There is no single approach that suits every patient.
A specialist may discuss the following options:
1. Medication to manage symptoms
Medication may help control heavy menstrual bleeding and period pain. Some hormonal medicines can also reduce bleeding by changing the menstrual cycle. However, medicines do not always shrink or remove fibroids.
2. Hysteroscopic resection
This procedure removes suitable fibroids growing inside the uterine cavity. A thin instrument with a camera is passed through the vagina and cervix into the uterus. No abdominal incision is needed.
3. Laparoscopic myomectomy
A myomectomy removes fibroids while leaving the uterus intact. During laparoscopic surgery, the surgeon performs the procedure through small abdominal incisions using a camera.
4. Open myomectomy
When fibroids are very large or numerous, open surgery may be considered. It involves an abdominal incision to remove the growths while preserving the uterus.
5. Uterine artery embolisation (UAE)
This procedure reduces the blood supply to fibroids, causing them to shrink over time. It is performed by blocking the blood vessels supplying the growths. Its suitability depends on individual circumstances, particularly future pregnancy plans.
6. Hysterectomy
Hysterectomy involves removing the uterus and permanently prevents pregnancy. It may be considered for women with severe symptoms who do not wish to have children in the future.
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How do you choose the best treatment for fibroids?
Choosing the best treatment for fibroids requires an assessment of more than their size. Two women with similar-sized fibroids may need different approaches because their symptoms and reproductive plans can differ.
A gynaecologist may consider the following factors:
- Fibroid location: Growths inside the uterine cavity may require a different procedure from those within the uterine wall.
- Number of fibroids: Multiple growths may affect the choice of treatment.
- Bleeding and pain: The severity of symptoms helps determine whether medication or surgery should be considered.
- Future pregnancy plans: Some procedures preserve the uterus, while others permanently prevent pregnancy.
- Previous treatment: Earlier procedures and their outcomes may influence the next recommendation.
Women should discuss the benefits, possible complications, and recovery period of each option before making a decision.
The best treatment for fibroids is the one that addresses the patient’s symptoms while considering her overall health and future plans. In some cases, monitoring without immediate treatment is also appropriate.
When should you consult a private gynaecologist in London?
Do not ignore symptoms that continue to affect your daily routine. Consider booking a consultation if you experience:
- Periods that are unusually heavy or prolonged
- Persistent pelvic pain or pressure
- Frequent urination without an obvious reason
- Abdominal swelling or discomfort
- Difficulty conceiving or concerns about pregnancy
- Symptoms that continue despite previous treatment
Heavy menstrual bleeding can also lead to iron deficiency anaemia. If you experience sudden severe pelvic pain, very heavy bleeding, or dizziness with bleeding, seek urgent medical attention.
A private gynaecologist in London can assess these concerns, arrange appropriate investigations, and explain whether further treatment is necessary.
Managing uterine fibroids with the right medical guidance
Uterine fibroids do not always require surgery. Some women can manage their symptoms with medication or regular monitoring, while others may benefit from a procedure. Understanding the available options helps women make decisions based on their symptoms, health, and plans for the future.
Finding the right uterine fibroids treatment in London starts with an accurate diagnosis and a discussion about the benefits and limitations of each approach. Regular medical advice can also help track changes in symptoms and determine when treatment is needed.
Well Women Clinic offers fibroid assessment and treatment options, including medication, myomectomy, and other procedures. Women experiencing fibroid-related symptoms can consult the clinic to discuss suitable uterine fibroids treatment in London and book an appointment.