There is a significant gender gap in between the knowledge that we have related to women and men. Most of the biomedical knowledge we have is based on the research and effects that were solely concerned on men. It’s only during the past few decades that the research community is paying attention to the existing gender differences, though there is still a lot more needed to understand the women health and broaden this concept.

If we trace the history, we come to know that the National Institutes of Health hardly used to enlist the people to keep the track of women in research. Besides, The Food and Administration Department was also excluding women of childbearing age from participating in drug trails that were conducted. The possible reasons researchers would give in was the child bearing capacity of a woman that could endanger two lives or the hard work that had to be carried out for women’s varying hormonal changes and cycles. To understand it better, if we look at the case of depression, women are twice as likely to have depression than males, yet the majority of research was conducted on males.

Though the scenario has changed and women are being a part of the research more than ever, they are still under presented in most of the research areas. Most of the tissue samples and cell lines are obtained from men where the knowledge on the symptoms and risk factors of various diseases remain limited to them only. Besides, it has been seen that most of the health problems common in women are comparatively under researched which include autoimmune diseases, gynecological disorders, fertility, chronic pain conditions etc. Besides being neglected of research, research funding has been also very petite in these areas.

Author – Dr. Jainesh Doctor MBBS, MS (Obgyn), FMAS

Consultant – Advanced Gynaecological Endoscopic Surgeon at Motherhood Hospital Kharghar, Mumbai

What Are Uterine Fibroids?

Uterine fibroids are common non-cancerous growths that develop in the uterus. They are often asymptomatic and can go unnoticed, but when they do cause symptoms, they can have a significant impact on a woman’s life. This is particularly true during pregnancy, where the presence of fibroids can complicate the pregnancy and put the health of both the mother and the baby at risk.

Motherhood India Hospitals are equipped to handle all aspects of pregnancy, including the management of uterine fibroids. Our hospitals have a team of experts, including gynecologists and obstetricians, who are well-versed in the latest diagnostic and therapeutic techniques for the management of fibroids in pregnancy.

Symptoms & Diagnosis of Uterine Fibroids

Some of the symptoms of uterine fibroids during pregnancy may include:

• Heavy or prolonged menstrual bleeding: Fibroids can cause heavy or prolonged menstrual bleeding, which can be particularly noticeable during pregnancy.
• Abdominal pain or pressure: Fibroids can cause abdominal pain or pressure, which may be exacerbated by the growing uterus during pregnancy.
• Urinary frequency or incontinence: As fibroids grow, they can put pressure on the bladder, causing frequent urination or incontinence.
• Constipation: Fibroids can also put pressure on the rectum and cause constipation.
• Miscarriage or preterm labor: In some cases, fibroids can increase the risk of miscarriage or preterm labor.
• Enlarged uterus: An enlarged uterus may be a sign of fibroids.
• Difficulty becoming pregnant: Fibroids can cause infertility in some women.

Diagnosis of fibroids in pregnancy is typically made using ultrasound or MRI scans. Once the diagnosis is made, the next step is to determine the size, location, and number of fibroids. This information is critical in determining the best course of action for the mother and her baby.

Treatment Of Uterine Fibroids

There is no cure for uterine fibroids, but there are several treatment options available to manage the symptoms and reduce their impact on a woman’s life. The appropriate treatment will depend on a variety of factors, including the size and location of the fibroids, the severity of the symptoms, and the woman’s age, overall health, and plans for future pregnancy.

Here are some of the common treatments for uterine fibroids:

• Medications: Hormonal medications, such as birth control pills or gonadotropin-releasing hormone (GnRH) agonists, can help to manage symptoms such as heavy bleeding and reduce the size of fibroids.
• Uterine Artery Embolization (UAE): UAE is a minimally invasive procedure that cuts off the blood supply to the fibroids, causing them to shrink.
• Myomectomy: Myomectomy is a surgical procedure that removes the fibroids from the uterus, preserving the uterus and allowing for future pregnancy if desired.
• Hysterectomy: Hysterectomy is a surgical procedure that removes the uterus and is typically recommended as a last resort for women who no longer wish to have children and have debilitating symptoms from the fibroids.
• Magnetic Resonance-guided Focused Ultrasound (MRgFUS): MRgFUS is a non-invasive procedure that uses high-intensity focused ultrasound to destroy the fibroids.

In some cases, fibroids can be managed conservatively during pregnancy, with close monitoring and observation. This may involve regular prenatal visits, ultrasound scans, and bed rest. However, if the fibroids are causing significant symptoms, such as heavy bleeding, pain, or affecting the growth and development of the baby, then intervention may be necessary.

If you’re looking for the right doctor for treatment, Dr. Jainesh is a highly respected gynecologist and obstetrician from Motherhood Hospital, Kharghar, Navi Mumbai with expertise in the diagnosis and treatment of uterine fibroids. He has a passion for helping women overcome the symptoms of fibroids and has helped countless women to manage their fibroids and regain their quality of life. Dr. Jainesh has extensive experience in both surgical and non-surgical treatments for uterine fibroids, including myomectomy, uterine artery embolization, and magnetic resonance-guided focused ultrasound. With a commitment to providing individualized, patient-centered care, Dr. Jainesh takes the time to listen to each woman’s concerns, answer her questions, and develop a customized treatment plan that is right for her.

In conclusion, uterine fibroids are common during pregnancy and can have significant impacts on the health of both the mother and the baby. Motherhood hospitals in India have the expertise and resources to manage fibroids in pregnancy and provide women with the best possible care and support during this critical time. If you are pregnant and have been diagnosed with fibroids, it is important to discuss your options with your doctor and choose a treatment plan that is right for you and your baby.

FAQ’s

What are the symptoms of fibroid in the uterus?

Common symptoms of uterine fibroids include heavy or prolonged menstrual periods, pain during sex, pelvic pressure or pain, frequent urination, and constipation. Some women may experience no symptoms at all.

What is the main cause of fibroids?

The exact cause of uterine fibroids is unknown, but they are believed to be related to hormonal imbalances, particularly the increase in estrogen levels. Genetics, obesity, and certain lifestyle factors may also play a role in the development of fibroids.

What is the best treatment for uterine fibroids?

The best treatment for uterine fibroids depends on several factors, including the size and location of the fibroids, the severity of symptoms, and the woman’s age, overall health, and plans for future pregnancy. Options for treatment include hormonal medications, uterine artery embolization, myomectomy, hysterectomy, and magnetic resonance-guided focused ultrasound. To know more about treatment options, connect with Motherhood Hospitals on 𝟭𝟴𝟬𝟬 𝟭𝟬𝟴 𝟴𝟬𝟬𝟴 or book an appointment by going here.

Can uterine fibroids come back after being removed?

In some cases, fibroids may grow back after they have been removed. This is more likely to occur if the fibroids were large or if multiple fibroids were present.

Are fibroids cancerous?

Uterine fibroids are noncancerous (benign) growths. They may cause symptoms that impact a woman’s quality of life, but they do not become cancerous or spread to other parts of the body.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists in Kharghar, Mumbai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. Do take an appointment with the best Gynaecology hospital in Kharghar, Mumbai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Jainesh Doctor, please book your appointment here.

Author – Dr. Surabhi Siddhartha MBBS, DGO

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Kharghar, Mumbai

While menstruation can lead to many disruptions in everyday life, some women may also suffer from a disorder known as heavy menstrual bleeding or menorrhagia. It refers to heavy bleeding that can last for more than seven days. During menorrhagia heavy bleeding with clots is a common sight. You are bound to change your tampon every 2 hours.

Quick Fact – It has been seen that around one in four women experiences heavy menstrual bleeding, which is common in women aged between 30 to 50.

Heavy menstrual bleeding

When the heavy bleeding lasts for more than 7 days, it is referred to as menorrhagia. It is advised to consult an expert Gynaecologist who will provide you professional health care if you are having continuous heavy bleeding. Avoiding it may cause anaemia and restrict you from being at your optimum.

Causes of heavy menstrual bleeding

Though in many cases, the cause of heavy periods is unknown, yet there are several conditions that relate to it:

• Hormonal imbalance: The hormones that regulate the lining of the uterus called endometrium are progesterone and estrogen, which are balanced in normal bleeding. If any imbalance occurs in these two, the endometrium lining can develop in excess where its shedding relates to heavy bleeding.
• Bleeding disorder due to ovaries: Ovaries release an egg during the menstrual cycle, whereas progesterone is produced during a regular menstrual cycle. However, your ovaries may not release an egg which leads to an imbalance in the progesterone levels and lead to heavy menstrual bleeding.
• Uterine problems: In extreme cases, cancer of the uterus or cervix can be one of the causes. Besides, any growth on the uterus, called uterine fibroids or polyps, can also lead to heavy periods.
• Infections: Infections or injuries in the vagina can also lead to heavy bleeding
• Pregnancy-related problems: In the case of ectopic pregnancy (when the fertilised egg gets implanted outside the uterus), a person may suffer from heavy bleeding during periods.A miscarriage can also cause heavy periods.

Signs and symptoms of heavy menstrual bleeding

The leading signs of menorrhagia are:

• Frequent change of sanitary pads every hour
• Using double sanitary protection to control the blood flow
• Feeling the need to change the tampon during the night due to heavy flow
• Bleeding for more than seven days or a week
• Discharging blood clots that are larger in size
• Experiencing symptoms of anaemia due to blood loss like tiredness, shortness of breath etc.
• Diagnosis and testing

When consulting with your lady gynaecologist, she will inquire about your menstrual cycles along with medical history. She may also suggest taking some common blood tests, pap tests, endometrial biopsy or ultrasound.

Treatment of heavy menstrual bleeding

Treatment for heavy periods will depend on many factors. Some common approaches are:

• Medications, including NSAIDs, oral contraceptives, oral progesterone etc.
• Surgical procedures like uterine artery embolization, dilation and curettage, focused ultrasound surgery etc.

Conclusion

Heavy bleeding should not be considered normal especially if it extends for more than 7 days. In such cases, it is best to consult with a gynaecologist who will diagnose your heavy menstrual bleeding situation and provide an accurate line of treatment.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists in Kharghar, Mumbai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best Gynaecology hospital in Kharghar, Mumbai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Surabhi Siddhartha, please book your appointment here.

Author – Dr. Jainesh Doctor MBBS, MS (Obgyn), FMAS

Consultant – Advanced Gynaecologic Endoscopic Surgeon at Motherhood Hospital Kharghar, Mumbai

Laparoscopy also known as “Keyhole surgery”, is a type of minimal invasive surgical procedure that is used to deal with pathologies of the organs present in the abdomen including those of a woman’s reproductive system. It derives its name from Latin ~ Lapara which means flank and scopy which represents the instrument used i.e., a thin tube with a camera-lens system.

Quick fact

In Laparoscopy, Advanced Techniques are employed leading to pain free/minimal pain associated major surgeries, bloodless surgeries along with fewer complications. Immediate post-surgical recovery and in some instances spending just a few hours in the hospital without the need for a night stay i.e., daycare surgery are exclusive miracles. Against this, Traditional Open Surgeries are associated with lot of post op care, pain due to extensive damage to nerves & muscles, big gruesome scars, delayed recovery- affecting personal-professional lifecare in an unimaginable way.

Best laparoscopic hospital

When it comes to best laparoscopy hospital in the region, Motherhood Hospital holds a distinct place due to its German-US Advanced Instrumentation and its association with the best of the best Laparoscopic specialists. Along with complete palette of advanced surgical work by experienced hands, it also stands out with an advanced diagnostic centre.

Hysterectomy

When it comes to hysterectomy, it is defined as the surgical removal of the uterus of a woman. Uterus can be removed due to various reasons like fibroids, abnormal heavy bleeding, severe menstrual pain, uterine prolapse and cancer. Once the uterus is removed, a woman loses the ability to become pregnant and menstruate. A hysterectomy was considered a major surgery, but along with the development of technological advances, the infections, discomfort and recovery time has been diminutive due to the laparoscopic method.

Laparoscopic hysterectomy

A laparoscopic hysterectomy is also a minimal invasive surgical procedure, where a uterus is removed using small 2-3, 5 mm incisions instead of large cuts. Performed by an expert these surgeries are bloodless and pain free. Patients hence resume daily chores/professional responsibilities as early as 7-10 days.

Before the treatment is carried out using laparoscopic hysterectomy, a pre-operative lab work is performed, and fitness taken by a physician or an anesthetist. Patients are advised not to eat or drink anything after the midnight of the night that falls before surgery.

The patient is wheeled inside the Operating room and immediate put under general anesthesia, so no pain is felt at all. Then a small sub-centimetric incision is made above the belly button through which a tiny camera is inserted. After this, the surgeon watches the internal organs in High Definition on a screen and performs the procedure using advanced precise technologies.

Following the surgery, patient sips liquids and walks within 4-6 hrs. Patient is usually discharged within 2 days. Surgical sutures are taken in cosmetic way and are absorbable leaving the patient free to wear a saree within days of surgery.

In all, hysterectomy is considered a safe procedure when done by expert hands and the chances of any complications are negligible.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist in Kharghar, Mumbai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best Gynaecology hospital in Kharghar, Mumbai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Jainesh Doctor, please book your appointment here.