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Fibroids are common benign (non-cancerous) tumor in the uterus which consist mainly of muscle fiber. The cause of fibroids are usually related to a combination of factors including genetics, hormones, and the environment. It affect 20% woman under age of 50 years (woman of childbearing age) and are the main reason for hysterectomies (removal of the womb). Fibroids are categorized according to their locations as follows;

  1. Submucous fibroid- grow from below the uterine lining, into the cavity of the uterus.

  2. Intramural fibroids-grow in between the muscles of the uterus, within its walls.

  3. Subserous fibroids- grow on the outer wall of the uterus.

  4. Pedunculated fibroids- grow on stalks from the outer surface of the uterus, sometimes protruding out through the cervix.

Symptoms of fibroids include the following:

  1. Heavy menses due to larger menstrual surface area, increase blood vessel and poor coagulation.

  2. Pelvic discomfort due to distension of uterus by growing fibroid.

  3. Feeling full in the lower abdomen sometimes called pelvic pressure.

  4. Lower back pain due to back pressure by the fibroid.

  5. Infertility due to poor implantation over the fibroid area.

  6. Multiple miscarriages due to poor implantation or increase uterine contraction.

  7. Early onset of labour during pregnancy because fibroid precipitate preterm baby.

  8. Increase frequency of urination due to fibroid pressing on the bladder.

  9. Pain during sex.

Treatments for fibroid will depend on your symptoms, age, family size, number and size of fibroids you have, and willingness to conceive in the future. The choices of treatments are:

  1. If your fibroid size is small and you don't have symptoms persist, regular basis observation using ultrasound scan will be suffice.

  2. If your fibroid is larger than 5 cm, then surgery to remove the fibroid (myomectomy) is needed. If you have completed your family the removal of uterus and fibroid (hysterectomy) is preferred.

  3. Fibroid can also be shrunk without surgery by decreasing the blood flow to them using embolisation technique. Recurrence may occur.


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     03-3341 2277

     03-3342 4479

     011-1084 0080


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