Guwahati, Assam 781028

Uterine Fibroids: Understanding Heavy Bleeding, Severe Pain, and When Surgery May Be Needed

Uterine Fibroids: A Patient’s Journey to Diagnosis and Treatment

Uterine fibroids, learn more about uterine fibroids, are non-cancerous growths that develop in or around the uterus, affecting many women during their reproductive years. Recently, I had the opportunity to consult with Jane, a 45-year-old woman experiencing symptoms typical of this condition. Her case highlights the importance of seeking medical attention when experiencing menstrual irregularities and provides insight into the diagnosis and treatment of uterine fibroids.

Symptoms and Initial Examination

Jane came to see me with complaints of heavy menstrual bleeding over the past year. She also reported irregular periods, sometimes occurring as frequently as every 10 days, accompanied by severe pain. Upon examination, Jane appeared weak and pale, suggesting possible anemia due to excessive blood loss.

A physical examination revealed an enlarged uterus, comparable in size to a 16-week pregnancy. The pelvic examination showed a bulky, large uterus with an irregular shape, firm to the touch but painless. These findings prompted further investigation to determine the underlying cause of Jane’s symptoms.

Diagnostic Procedures

To confirm the diagnosis, I recommended an ultrasound scan. This non-invasive imaging technique is commonly used to visualize the uterus and identify any abnormalities. The ultrasound results revealed multiple fibroids in Jane’s uterus, with the largest measuring approximately 7 cm in diameter.

Treatment Options and Decision

Given the size and number of fibroids, as well as the severity of Jane’s symptoms, I advised that a hysterectomy would be the most effective treatment option. Medications are available to help shrink fibroids, but in Jane’s case, they were unlikely to adequately reduce the size of the tumors.

After discussing the pros and cons of the procedure, Jane agreed to undergo surgery. This decision was based on her desire for long-term symptom relief and the impact her condition was having on her quality of life.

Preparation for Surgery

Before proceeding with the hysterectomy, we conducted a series of blood tests and other necessary investigations to ensure Jane was fit for surgery. These pre-operative assessments are crucial for minimizing risks and optimizing outcomes.

Conclusion

Jane’s case illustrates the importance of seeking medical attention for menstrual irregularities and pelvic pain. Uterine fibroids, while common, can significantly impact a woman’s quality of life when they cause severe symptoms. With proper diagnosis and treatment, women like Jane can find relief and improve their overall well-being.

If you’re experiencing similar symptoms or have concerns about your menstrual health, don’t hesitate to consult with your healthcare provider. Early detection and treatment of uterine fibroids can make a significant difference in managing this condition effectively.

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I am Dr.Madhumita Das Mazumdar, MD (O&G) and I am a Senior Consultant Gynecologist of Guwahati, Assam, India.

I worked as a Senior Gynecologist at the Marwari Maternity Hospital, an 80-bedded charitable private hospital at Guwahati in north east India for more than twelve years immediately after obtaining my MD (O&G) Degree.

I am now a Senior Consultant Gynecologist at the SM Polyclinic, as well as the Aries Online and O&G Clinic at Guwahati .I now have more than two decades of experience in obstetrics and gynecology.

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