These are tumors in the body of the uterus. Commonly picked up on ultrasound, they may be asymptomatic or they may cause problems like excessive and frequent bleeding, painful periods, heaviness in the lower abdomen, urinary complaints etc.
Depending upon the number, size, location etc various treatment options are available for fibroids. Patients may just require observation, that is serial ultrasound monitoring or may require surgery. The surgery can vary from laparoscopic myomectomy, hysteroscopic myomectomy, laparoscopic hysterectomy or traditional open surgery.
DUB – Excessive bleeding without an identifiable pathological cause is referred to as DUB or dysfunctional uterine bleeding. In such cases, patients are fully investigated and can be treated either with medicines, Mirena (intrauterine device) or surgical options are offered to them.
Prolapse – When the uterus leaves its place and comes to lie outside the vagina, it is called prolapse. The common complaint of the patient is usually something coming out of the vagina. Prolapse may be of various degrees and types depending upon the extent of the problem. Depending on the age of the patient and her reproductive desires, surgery is planned for the patient. This may be a sling surgery, a Manchester repair or vaginal hysterectomy.
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