Common Gynaecological conditions
Fibroid uterus
A common condition seen in 20-30% of women. It is the proliferation of fibrous tissue and muscle in the uterus. It is non cancerous growth. The risk of transformation into a cancerous growth is <1%.
- What symptoms can fibroids cause?
Most fibroids are aymptomatic and detected incidentally while undergoing scan for some other reason. Occasionally fibroids may cause increased flow during periods or painful cycles. If the fibroid is too large it may cause heaviness in the lower abdomen or women may feel a lump in the abdomen. It may be a cause of infertility or recurrent abortions, in some women.
- Do all fibroids need treatment?
The treatment depends upon the:
- Size of fibroid
- Symptoms caused by the fibroids
- Whether the woman has completed family
- Distance of the fibroid from the uterine cavity
Fibroids can be managed with medications or may require surgery.
Endometriosis
The growth of endometrium (inner lining of uterus) like tissue outside the uterus is called endometriosis.
- What are the symptoms associated with endometrisosis?
- Pain is the most common symptom associated with endometrisosis. It may present with pain during periods , pain during intercourse which may progress to chronic pelvic pain. Infertility is commonly associated with endometriosis.
- Endometriosis can spread to the non genital organs, such as intestines and bladder and cause symptoms.
- What is the treatment of emdometrisosis?
Endometrisosis treatment depends on several factors such as:
- Symptoms of the disease
- Desirous of pregnancy
- Age of the patient
- Spread / stage of the disease
Endometriosis can be managed medically or may require surgical interventions.
Adenomyosis
The presence and growth of endometrial tissue within the muscular layer of uterus is called adenomyosis.
- What are the symptoms associated with adenomyosis?
- Women with adenomyosis may experience severe bleeding during periods associated with pain. Pain is described as spasmodic intermittent pain which begins with the onset of menses. Women with adenomyosis may find it harder to conceive.
- On ultrasound, a large uterus with other features typical of adenomyosis may be seen. MRI is a reliable modality for reaching a diagnosis of adenomyosis.
- What is the treatment of adenomyosis?
The treatment depends on features such as:
- Age of the woman
- Symptoms experienced
- Fertility status
- Symptom relief for pain and increased flow
- Medications to suppress the disease process
- Surgery for complete cure
Most of the Gynecological conditions can be treated. Do not suffer in silence. Book your appointment with the best Gynecologist near you.
Frequently Asked Questions
Yes. Fibroids may be a cause of infertility or recurrent abortions in some women. Whether a fibroid affects fertility depends on factors such as its size and location, particularly its distance from the uterine cavity. A fibroid uterus and fertility assessment can help determine whether treatment is necessary.
Yes. Treatment decisions depend on the size of the fibroid, the symptoms it causes, whether the woman has completed her family, and how close the fibroid is to the uterine cavity. Fibroid treatment is therefore not based on size alone.
Yes. Most fibroids are asymptomatic and may be discovered incidentally during a scan performed for another reason. If symptoms do occur, they can include heavier periods, painful cycles, abdominal heaviness or a feeling of a lump. Asymptomatic fibroids may not require treatment unless other clinical factors make treatment appropriate.
Yes. Pain during periods and pain during intercourse can both occur with endometriosis, and the pain may progress to chronic pelvic pain. Endometriosis pain should be assessed when it is persistent or affecting daily life.
Yes. Endometriosis can affect non-genital organs such as the intestines and bladder, where it may produce additional symptoms. The symptoms and extent of disease help determine the appropriate endometriosis treatment approach.
Yes. Treatment decisions for endometriosis depend partly on whether the woman desires pregnancy, along with factors such as symptoms, age and the stage or spread of the disease. Endometriosis and fertility should therefore be considered together when planning treatment.
Adenomyosis involves endometrial tissue growing within the muscular layer of the uterus, whereas endometriosis involves endometrium-like tissue growing outside the uterus. The two conditions can have overlapping symptoms, but they affect different areas. Adenomyosis diagnosis may involve ultrasound, and MRI can be a reliable modality for diagnostic assessment.
Yes. Women with adenomyosis may find it harder to conceive. Fertility status is one of the factors considered when deciding how the condition should be managed. Adenomyosis and infertility should be evaluated individually rather than assuming that conception is impossible.
Ultrasound may show a large uterus with features typical of adenomyosis, while MRI can provide additional diagnostic information. Your doctor may recommend further imaging when the clinical picture requires clarification. MRI for adenomyosis can help with diagnostic assessment.
In some cases, yes. Fibroids and endometriosis can be managed medically, while adenomyosis treatment may include symptom relief, medications to suppress the disease process or surgery in selected cases. The appropriate gynaecological treatment depends on the condition, symptoms, fertility plans and other individual factors.
