Op.Dr. Nurettin Türktekin
Fibroids and Infertility

Fibroids and Infertility

Fibroids are benign tumors that originate from the muscle layer of the uterus's outer wall. Scientifically known as "uterine leiomyoma," fibroids are commonly observed in women.

They can also develop outside the uterus. They often grow under the influence of hormones and can frequently remain unnoticed without showing any symptoms. However, the presence of them in the uterus can lead to symptoms such as pain, irregular menstrual bleeding, pressure sensation in the pelvic area, and urinary or intestinal issues. "Can fibroids cause infertility?” and "Which fibroids cause infertility?" are one of the most common questions.

Patients also think "Are fibroids cancerous?”. Since they are generally benign, the risk of them turning into cancer is low. However, due to their size and location, they can impact the quality of life for individuals. The need for treatment depends on the severity of symptoms, the size, and location of them. Small, asymptomatic ones are usually only monitored, while those causing severe symptoms or problems due to their size should be treated with surgical operations or medication. The answer to the question "Do fibroids go away?" is yes.

What Are the Symptoms of Fibroids?

Many individuals wonder how to identify and how are fibroids diagnosed. They can exist without showing symptoms, but they can also be detected through certain signs. The most important symptoms are listed below:

  • Irregular menstrual periods
  • Pain and discomfort
  • Swelling in the lower abdomen
  • Urinary problems
  • Groin pain

Can fibroids cause bleeding? The answer is yes. These tumors can lead to irregular and heavy menstrual bleeding. Changes in the intervals between periods, and prolonged or intermittent haemorrhage can be considered signs of fibroids in the uterus. Additionally, they can cause pain or a pressure sensation in the pelvic region. These symptoms often worsen during menstruation or sexual intercourse.

Fibroids can cause the uterus to enlarge or create a feeling of swelling in the pelvic region. This can lead to a noticeable expansion of the lower abdominal area. If the tumor in the region is large, it can exert pressure on the urinary tract or intestines. This can result in issues such as frequent urination or constipation. If any of these symptoms or a combination of them are observed, it is necessary to consult a specialist without delay.

How is Fibroid Diagnosed?

The diagnosis of fibroids is generally carried out by a healthcare professional through examination and tests. The doctor attempts to detect any abnormalities or growths in the uterus or the relevant area during the examination. Transvaginal ultrasonography is one of the devices used in this field, which can provide a more detailed image with a specialized probe.

MRI is used to diagnose larger tumors or complicated cases. This imaging method also provides detailed information about the size, number, and locations of them. Additionally, computed tomography, hysteroscopy, and laparoscopy are alternative options included in fibroid detection. All of these methods are important for determining the right treatment and managing the process in a healthy manner.

What Are the Treatment Methods for Fibroids?

The treatment of these tumors can involve different methods depending on their size, the severity of symptoms, and the patient's overall health condition. Small-sized ones are generally closely monitored by a doctor. These often do not require any treatment, but they are managed through regular check-ups to monitor their growth or symptoms. Hormone-containing medications can also be an option. The goal here is to monitor their controlled growth. Additionally, these medications alter the balance of estrogen and progesterone, slowing down their development or alleviating symptoms. They can also be used to reduce pain in the area or regulate menstrual bleeding.

For those researching fibroid treatment, the question "What is Myomectomy?" often arises. This procedure is known as the removal of fibroids and is one of the options. It can be performed when deemed suitable by a gynecologist. The doctor specifies medications or supplements that should not be used in the preoperative process. Furthermore, the patient may be asked to stop eating or drinking for a certain period before the operation. Smoking or excessive alcohol consumption can negatively affect the recovery process, so discontinuing these habits is beneficial. During this period, it's important for patients to address all their questions to the specialist and communicate their expectations.

The patients also wonder "How fast do fibroids grow back after myomectomy?". It is very difficult for this to happen if expert advice is followed. Alongside the surgery above, Hysterectomy is also a surgical option. This procedure involves the complete removal of the uterus if deemed necessary. This method can be preferred for women with large tumors or severe discomfort. However, it renders pregnancy impossible afterward.

Advantages of Fibroid Embolization

In fibroid treatment, there is another alternative called embolization. It's a non-surgical procedure. The goal here is to create blockages in the arteries that supply the uterus so that the fibroids cannot be nourished and they shrink. This procedure doesn't involve a surgical operation. Therefore, the recovery process for patients can be shorter. The uterus is preserved during the procedure, so complete removal is not necessary. This is a valuable advantage for women who desire to conceive.

Compared to other surgeries, fibroid embolization can result in less blood loss. This helps reduce the risk of anemia for patients. Additionally, there are fewer and smaller scars left afterward. Another significant advantage is that multiple fibroids can be targeted in a single session. However, as with any medical procedure, this approach also carries certain risks and side effects. Therefore, it's important to undergo a thorough evaluation with a specialized healthcare professional when considering this treatment option. Following the recommendations of a doctor is important to determine the best treatment approach for each patient. Dr. Nurettin Türktekin stands out with his holistic and progressive approach to treatments in women's health. For more information about procedures, please contact us through our contact details.

WHAT IS OVARIAN CYST?

 

Ovarian cysts are fluid-filled sacs or vesicles seen inside the ovary. Normally, during each menstrual period, a cyst called a follicle, which carries the egg cell and can reach 3 cm in size, forms in the ovaries. Then this cyst cracks and the egg is released. In young girls with ovulation problems, normal or physiological follicle cysts that cannot rupture can grow every month and reach 5-10 cm, while small numbers of 0.5-1 cm in size, which we call polycystic ovaries, can be seen in series. Apart from these functional cysts, benign or malignant ovarian cysts can also be seen in all age groups.

Except for the most common functional ovarian cysts, cysts can be benign or malignant tumoral cysts. In addition, as a result of infection, abscess-shaped cysts may occur, which is usually accompanied by pain and high fever.

FAQ

Yes, many women with fibroids can still get pregnant and have successful pregnancies. The impact of fibroids on fertility varies depending on factors such as size, location, number of fibroids, and the individual's overall health. However, treatment is essential to find an answer to the question of how to deal with fibroids during pregnancy.

Whether fibroids need to be removed before getting pregnant depends on their size, location, and symptoms. Small, asymptomatic tumors may not need to be removed, while larger or symptomatic ones may require removal before pregnancy.

Fibroids can contribute to infertility by altering the shape or size of the uterine cavity, disrupting the normal function of fallopian tubes, or causing inflammation in the uterine lining. These factors can make the implantation of a fertilized egg or the development of pregnancy more difficult.

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