What is a fibroids? Fibroids, scientifically known as uterine fibroids or leiomyomas, are noncancerous growths that originate in the uterus. Composed of muscle cells and connective tissue, fibroids can vary greatly in size, from small, barely noticeable nodules to larger masses that can distort the shape of the uterus. They can develop inside the uterine cavity, on its outer surface, or within the uterine walls. These growths are prevalent among women of reproductive age, with factors like hormones, genetics, and other unknown elements contributing to their development. While, many women having fibroids do not experience any symptoms, but others may face issues such as pain in pelvic region, heavy menstrual bleeding, and reproductive challenges. 2. What causes fibroids? The precise cause of uterine fibroids remains elusive, but several factors are believed to contribute to their development: Hormones: Estrogen and progesterone, hormones that stimulate the development of the uterine lining during each menstrual cycle in preparation for pregnancy, may also promote the growth of fibroids. These tumors often shrink after menopause when hormone production decreases. Genetics : Genetics can be a key factor in the development of fibroids, with an increased likelihood when there's a family history. Additionally, specific genetic mutations are believed to contribute to their formation. Other Growth Factors: Insulin-like growth factor, transforming growth factor-beta, and proteins involved in tissue remodeling may contribute to fibroid growth. Ethnicity: Studies suggest that African American women are more likely to develop fibroids, and they often experience more severe symptoms than women of other ethnicities. Pregnancy and Hormonal Changes: Pregnancy, with its associated hormonal fluctuations, may influence fibroid growth. Additionally, hormonal changes during perimenopause can affect fibroid development. 3. What size of fibroid is normal ? Fibroids may grow from 1 mm to 20 cm in diameters size. Choice of treatment depend on the size of fibroid. - Small (less than 1cm to 5cm) like size of pea – this type of fibroids dissolve by medicines - Medium (5cm to 10 cm) like size of a peach to a large lemon – this type of fibroids may dissolve by medicines or removed by surgery. - Large (10cm+) like size of a mango to a watermelon – this type of fibroids only removed by surgery. 4. How do you remove a fibroid or What is treatment for fibroids? Treatment options for fibroids vary based on the size, number, and location of the fibroids, as well as the severity of symptoms and the patient's overall health. Here are the primary approaches: Ayurvedic Medications: Medicines will help in maintain the doshas in body and keep away the reoccurrence of symptoms in the future. - Kanchnar Guggul - Chandraprabha Vati - Pradarantak Churn - Pushyanug Churn Panchkarma Procedures: Panchakarma procedures (detoxification) like Vamana (Medicated emesis), Virechana (Medicated purgation), and Basti (Medicated enema) help to cleanse the channels and detoxify the whole body. It helps to support the normal functioning of uterus. Surgical Options/ Fibroid Surgery: Myomectomy, the removal of individual fibroids while preserving the uterus, is an option for women who wish to retain fertility. Hysterectomy, the complete removal of the uterus, is a definitive solution for severe cases or when fertility is not a concern. 5. Can fibroids harm you? While fibroids are generally benign, they can lead to various complications and health issues: Menstrual Issues: Heavy menstrual bleeding, prolonged periods, and irregular cycles can impact a woman's quality of life. Pelvic Pain and Pressure: Large or multiple fibroids can cause discomfort, pain, or a feeling of fullness in the lower abdomen. Urinary and Bowel Problems: Fibroids can press against the bladder or rectum, leading to increased frequency of urination or difficulty with bowel movements. Reproductive Issues: Fibroids may contribute to fertility problems, recurrent pregnancy loss, or complications during pregnancy and labor. Rapid Growth and Complications: In rare cases, fibroids can grow rapidly, causing severe pain and requiring immediate medical attention. 6. When should someone see a doctor about fibroid symptoms? It's crucial to seek advice from a healthcare professional if you encounter the following symptoms: Menstrual Changes: heavy bleeding, prolonged periods, or irregular menstrual cycles. Pelvic Discomfort: Consistent pelvic pain, pressure, or a sensation of fullness. Urinary or Bowel Issues: Difficulty emptying the bladder, increased frequency of urination, or bowel movement difficulties. Reproductive Challenges: Difficulty getting pregnant, recurrent miscarriages, or complications during pregnancy. Prompt medical attention ensures an accurate diagnosis and appropriate management of fibroid symptoms. 7. What is the impact of fibroids on pregnancy? While many women with fibroids have uncomplicated pregnancies, fibroids can influence various aspects of reproductive health: Increased C-Section Risk: Fibroids can obstruct the birth canal, making a cesarean section more likely. Preterm Birth Risk: Fibroids may contribute to an increased risk of preterm labor and delivery. Breech Birth Risk: The presence of large fibroids can interfere with the baby's position, increasing the chances of a breech birth. Miscarriage Risk: Some studies suggest an association between fibroids and an increased risk of miscarriage. Close monitoring by healthcare providers during pregnancy is crucial for women with fibroids to address any potential complications. In conclusion, fibroids are a common gynecological condition with multifactorial causes and a range of potential impacts on a woman's health, from menstrual discomfort to pregnancy complications. Seeking medical advice allows for a thorough evaluation and tailored management plan based on individual circumstances. If you have concerns or are experiencing symptoms, consulting with a healthcare professional is paramount for comprehensive care.