Fibroid

Fibroid

Uterine fibroids are non-cancerous growths originating from the muscular tissue of the uterus. Typically, small fibroids measuring 1-2 cm are asymptomatic. However, when a fibroid exceeds 5 cm in diameter, it can lead to infertility by protruding into the endometrial canal, causing mechanical obstruction of the fallopian tube or cervical canal. There is no permanent medicinal cure for fibroids, but GnRH analogues, administered through daily or monthly injections or nasal spray over 4-6 months, are employed to reduce fibroid size before surgical intervention. This treatment can achieve a reduction of 30-60%.

In most cases, surgical treatment, either laparoscopic or traditional abdominal, is necessary. Fibroids within the uterine cavity are best addressed through hysteroscopy. Laparoscopic surgery, skill-dependent, can be used for fibroids of all sizes. The procedure involves making an incision on the uterine bulge where the fibroid is located, dissecting and removing the fibroid, and laparoscopically suturing the uterine defect. Fibroids up to 12-15 cm have been successfully treated in our setup using this method, and post-surgery, natural or assisted pregnancy rates show improvement.

Hysteroscopy is particularly effective for fibroids protruding into the uterine cavity. Using a resectoscope with an energy source, such as bipolar or monopolar current (with bipolar being the safer option), the fibroid is cut into small strips. Our center, Dr. Sudha Tandon’s Fertility, IVF, Gynec Endoscopy, and Maternity, is equipped with state-of-the-art facilities for laparoscopic and hysteroscopic surgeries, addressing various pelvic pathologies. Additionally, we provide IUI/IVF and ICSI treatments for assisted reproductive technology (ART).