hello viewers welcome to dr. Shannon today dr. shilagh sugar gates with us
vascular specialist hello Doctor doctor can you describe us what are
fibroids so you might have heard like a lot of females in the age of twenty to
forty they suffer from this difficulty in menstruation pain during the time of
mention and accessibility so the most common cause for the pain and all what
we see in the young patients is fibroids fibroids are nothing but they are the
non-cancerous they are not the cancer just a benign growth of the muscles of
the uterus so they can grow in any part right from the the funders the main body
and sometimes even the cervix so they are just the extra growth benign tumor
we can call it benign tumor of the muscles of the fiber uterus that is
called fibroids and they are can all be also be called myomas of the uterus so
they are non cancerous so nothing to worry that there is very less
possibility rare very rare possibly that they can convert into fibers but most
patients they go under treatment only because of the pressure symptoms of
fibroid because of the excess bleeding or pain or difficulty in the urination
or the bowel habits so those are the main reason doctor are there any times
basically the types are actually classified they are only because
depending upon their location where they are exactly located where they're there
towards the inner lining of the uterus or within the muscle exactly or towards
the outer wall of the vessel so the inner is called the submucosal the
middle in the center they are called the intramuscular and towards the surface
that is subsea Roesel and depending upon the location they also cause the
different symptoms or the presentation to the to the patients so suppose if
they are located towards the inner lining then they can be excessive
bleeding or pain during the mensuration so these are the symptoms if they're
intramuscular then again the pain and excess of bleeding because of the
improper contact ility of the uterus during the time of menses and if they're
sub-zero's are bent towards the surface they can can cause more of the pressure
symptoms they might be pressing that you are the
urinary bladder that as well or the rectum so they can have the problem with
the the difficulty in the urination or excess of urination or the the patient
won't be able to pass the urine properly or with the motions so depending upon
the nation's locations they can cause the different symptoms in the patients
as well doctor what are the diagnostic methods the symptoms will tell you and
depending and the age of the patient but the most common investigation what we do
is the ultrasound of the pelvis to see whether it's Parab domain or through the
internal scanning that is transverse angle so that you will get a good idea
about all the fibroids where they are located what is the size and all those
things about the fibroids so ultrasound is is the the first line investigations
for the fibroids but you can sometimes if there is difficulty or exactly you
know we can do the higher investigations will when we have some doubt I take MRA
of the pelvis and internal examination MRA of the pelvis this can be done but
usually the ultrasound will give you most of the information doctor what are
the treatment options are for it so basically what the treatment options
right from the olden days what we know is anything like in the fibroid once and
you just most of the patients what our advice is the hysterectomy this is
removal of the uterus and it will solve all the problem that is not the solution
like suppose a young patient who is not married
or who is in a childbearing age you want to have children's you can't remove the
uterus which you should ask you always ask your gynecologist what are the
alternatives so there are definitely the alternatives for the fibroids that is
uterine artery embolization so this you train in uterine fibroid embolization or
our train polarization what we do will go and cut the blood supply to the
fibroids so you are you are only tackling the fibroids you are not
removing the uterus he here and it's a very simple safe effective procedure
it's a day care procedure where you can go through through tiny opening in the
groin and go to the blood supply the artery which is supplying the fibroids
and block that attic so you are cutting off the blood supply to the fibroid so
that way the fibroid will die and slowly shrink in size and you are in that way
you are tackling the fibroid not remove the uterus so you can preserve the
uterus so any patient they just do anyone who don't want to remove the
normal uterus or normally organ when there is only problem at the localized
that is fibroids don't want to remove the whole fibroid just whole uterus just
because of the fibroids so these are option is very effective and this
treatment we are doing and it is one of the frontline treatment in the u.s. so
but the awareness about the uterine fibroid embolization in the indian
population is very less because of the unavailability of the such doctors also
performing this uterine fibroid and even the patient's awareness among the
patients is also very less for the uterine fibroid embolization thanks for
the useful information doctor thank you I hope you found this video useful so
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