Fibroids are developments of the uterus, or womb. The uterus is made of muscle, and fibroids grow from the muscle. Fibroids can swell from the inside or outside of the uterus. Fibroids are not cancerous and are not thought to be able to become cancerous. However, it can sometimes be hard to determine if a mass in the uterus is a common fibroid or a rare cancerous tumour. Fibroids are very common. Almost 80 per cent of women will have fibroids in their life period, although not all these women have inconvenient fibroid symptoms. Treatments are available for women who have fibroid-related problems like heavy menstrual bleeding, pain or pressure in the pelvis, or problems with pregnancy or infertility. Difficulties with fertility and pregnancy — Most women with fibroids are able to become pregnant without a problem. However, certain fibroids that distort the inside of the uterus can cause trouble becoming pregnant and removing these fibroids can optimize fertility.
SURGICAL OR INTERVENTIONAL FIBROID TREATMENT
Your Doctor might recommend a surgical or interventional treatment for fibroids if:
●You have fibroid-related heavy menstrual bleeding, pain, or pressure that does not get better with medical treatments
●You are trying to get pregnant and fibroids appear to be interfering
●The size of the fibroid is giving you symptoms
If small fibroids are discovered, a hysteroscopic myomectomy can be performed. This is a minimally invasive technique which is only useful for the removal of tiny fibroids growing on the surface of the uterine wall.
Dr. Perminder Shah has over 28 years’ experience in laparoscopic surgery. She is able to remove not only “normal” fibroids but can remove very large and awkwardly located fibroids as well.
Dr. Perminder Shah, can you tell us why laparoscopy is such a boon to surgeons?”
Dr. Perminder Shah: “Laparoscopy gives us the visualization of the fibroids. Without it, surgeons just have an impression of the size and location. We don’t know how challenging the surgery will be unless we can visualize precisely where the fibroids are. Are they in or around the outside of the uterus? Are they on the surface, or buried inside? We can find answers to these and other questions during laparoscopy.”