Uterine fibroids are a common concern for many women, yet they often go unnoticed until symptoms start to interfere with daily life. These growths in the uterus, although non-cancerous, can cause discomfort, heavy periods, and even fertility issues.
If you’ve recently been diagnosed with fibroids or suspect you may have them, you may be wondering what your options are.
Uterine fibroids develop inside the uterus and are benign tumours. They grow to varying sizes, from tiny, seed-like growths to large masses that can disfigure the uterus. Many women with fibroids experience no symptoms, while others may have heavy menstrual bleeding, pelvic pain, bloating, or frequent urination due to pressure on the bladder.
Hormones and genetics are significant in the development of fibroids.
Fibroids grow in response to oestrogen and progesterone, the two main hormones that balance the menstrual cycle. These hormones not only stimulate the growth of the uterine lining each month but also encourage fibroid development. This is why fibroids shrink after menopause when hormone levels naturally decrease.
Genetics may also contribute to fibroid development. If your mother, sister, or other close relatives have had fibroids, your risk of developing them is higher. Certain inherited genetic mutations may make some women more prone to developing these benign tumours.
While fibroids can develop in any woman of reproductive age, some factors increase the likelihood:
If you suspect you have fibroids, a gynaecologist in Singapore will begin with a pelvic exam. This routine examination allows the doctor to check for an enlarged or irregularly shaped uterus, which may indicate the presence of fibroids. However, because fibroids are often difficult to detect through a physical exam alone, further imaging tests are usually necessary.
An ultrasound is the most common diagnostic tool used to confirm fibroids. The scan can be done either through a transabdominal ultrasound, where a device is moved over the lower abdomen, or a transvaginal ultrasound, which provides a closer view of the uterus by inserting a probe into the vagina. Both methods help determine the size, number, and location of fibroids.
In some cases, an MRI (Magnetic Resonance Imaging) may be recommended for a more detailed and precise assessment. This imaging technique is useful if surgery is being considered, as it provides clearer images of fibroid placement and its impact on surrounding structures.
These are the most common type of fibroids, growing within the muscular wall of the uterus. With intramural fibroids, periods are usually heavy, accompanied by pelvic pain, and bloating.
Subserosal fibroids are seen on the outer surface of the uterus and can pressure nearby organs, leading to symptoms like back pain or frequent urination.
These develop in the inner lining of the uterus and are the type most likely to cause heavy menstrual bleeding and fertility problems.
The best treatment for uterine fibroids will depend on their size, location, number, and the severity of symptoms. Treatment options range from non-invasive methods like medication to more advanced procedures, including surgery.
A myomectomy removes fibroids while keeping the uterus intact, making it a preferred option for women who want to preserve fertility. It can be done through:
A hysterectomy is completely removing the uterus and the only permanent cure for fibroids. It is recommended for women with severe symptoms who no longer wish to have children.
This non-surgical procedure cuts off the blood supply to the fibroids, causing them to shrink. It’s a good alternative for women who want to avoid surgery and are not planning to conceive. This is because UAE may also reduce blood flow to the uterus, potentially impacting the ability to sustain a pregnancy.
Choosing the right treatment depends on your health goals, whether you wish to preserve fertility, and how much the fibroids are affecting your quality of life. Consulting with a gynaecologist in Singapore can help you determine the most suitable approach for your condition.
If you experience any of the following, it’s time to consult a specialist:
Early diagnosis and intervention is best to prevent complications and improve quality of life.
Uterine fibroids are common, but they don’t have to take over your life. Whether you choose medication, non-invasive procedures, or surgery, there are many effective ways to manage fibroids. If you’re experiencing symptoms, consult a gynaecologist in Singapore to explore your options.
Dr TC Chang is an experienced gynaecologist in Singapore who specialises in the treatment of uterine fibroids. With modern diagnostic tools and treatment options, he provides personalised care tailored to each woman’s needs. Whether you require medication, minimally invasive procedures, or surgery, Dr Chang can help you make the best decision for your health and future.