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Your periods have become heavier. You are tired more often, there is pressure in your lower abdomen, and an ultrasound has revealed fibroids.
The first question many women ask is, “Do I need surgery?”
Not necessarily.
Fibroids are common, and finding one on a scan does not automatically mean it needs to be removed. The right decision depends on your symptoms, the size and location of the fibroid, your age, overall health and whether you want to become pregnant in the future.
Fibroids are growths that develop in or around the muscular wall of the uterus.
They are usually non-cancerous. Some women have a single fibroid, while others have several.
Their impact can vary greatly. One woman may have a relatively large fibroid without noticeable symptoms, while another may have significant bleeding or pain from a smaller one.
That is why the scan report alone does not tell the whole story.
This is one of the most common complaints.
Some women find that their periods become much heavier or last longer than they used to. Over time, heavy bleeding can contribute to iron deficiency and tiredness.
If you are regularly planning your day around access to a bathroom or changing pads, it is worth discussing the problem with a doctor.
Larger fibroids can sometimes create a feeling of heaviness or pressure in the lower abdomen.
Some women describe bloating, discomfort or a sensation of fullness rather than sharp pain.
A fibroid positioned close to the bladder can sometimes create pressure and make you feel the need to urinate more often.
This symptom can easily be mistaken for a urinary problem, which is why proper assessment matters.
Some fibroids, depending on their location and size, may affect fertility or pregnancy.
However, having fibroids does not automatically mean that you cannot become pregnant.
No.
This is one of the most important things patients should understand.
If a fibroid is small, causing no symptoms and not affecting the uterus in a concerning way, your doctor may recommend monitoring rather than immediate treatment.
The goal is not to remove every fibroid seen on an ultrasound. The goal is to treat fibroids when they are actually causing a problem or creating a meaningful medical concern.
Treatment may be discussed when fibroids cause significant symptoms such as heavy bleeding, persistent pain, pressure symptoms or problems affecting fertility.
Treatment may also be considered if fibroids are growing or their position creates a specific concern.
Your doctor will consider the complete picture rather than making the decision based only on size.
Treatment depends on your situation.
Some medicines can help control heavy bleeding or manage symptoms.
Medication may be useful when symptoms are manageable and there is no immediate need for a procedure.
A myomectomy removes the fibroids while keeping the uterus.
This can be an important option for women who want to preserve their fertility, although whether it is appropriate depends on the number, size and location of the fibroids.
Some patients may be candidates for minimally invasive procedures depending on their diagnosis and treatment goals.
The appropriate option should be discussed after imaging and clinical assessment.
A hysterectomy removes the uterus and therefore eliminates menstrual periods and the possibility of future pregnancy.
It may be considered when symptoms are severe, other treatments are unsuitable or the patient has completed her family and wants a definitive solution.
It is not automatically the first choice for every woman with fibroids.
We have seen patients become frightened after reading an ultrasound report that mentions multiple fibroids.
One client was particularly worried because she had been told by someone outside the medical team that surgery was “the only option.” Her symptoms, fertility plans and scan findings were reviewed carefully before deciding what treatment actually made sense.
The important lesson was that the presence of fibroids is not the same as needing immediate surgery.
Patients often assume that the largest fibroid must be the main problem.
That is not always true.
A smaller fibroid in a particular location may cause more bleeding or fertility-related concerns than a much larger fibroid elsewhere in the uterus.
Doctors therefore consider where the fibroid is, what symptoms it is causing and what the patient's goals are, rather than looking at size alone.
Fibroids are extremely common. The National Institutes of Health notes that uterine fibroids are among the most common benign tumours affecting women of reproductive age, with estimates suggesting they occur in a large proportion of women by age 50.
Many women never need treatment.
The important distinction is between having fibroids and having symptomatic fibroids that require management.
If you are searching for Fibroids Removal Treatment in Dwarka Sector 12, look for a gynaecologist who can explain both surgical and non-surgical options.
Ask:
How many fibroids do I have?
Where are they located?
Are they responsible for my symptoms?
Do I actually need treatment now?
Could medication help?
Can the uterus be preserved?
Will treatment affect future pregnancy?
What are the risks and recovery time of the recommended procedure?
These questions can make a difficult decision much easier.
Dr (Lt Col) Gargi Vikas Sharma is an example of an experienced medical professional patients may consider for gynaecological concerns such as fibroids. A sensible treatment discussion should take into account symptoms, scan findings, age, overall health and future pregnancy plans before recommending a particular intervention.
Tell your doctor before choosing any fibroid treatment.
Fertility goals can significantly influence the treatment plan. A procedure that may be suitable for one woman who has completed her family may not be the preferred approach for someone actively planning a pregnancy.
This is why your future plans should be part of the conversation from the beginning.
Some fibroids can shrink over time, particularly around menopause, while others may remain stable or grow. If they are not causing significant problems, your doctor may recommend monitoring rather than immediate removal.
Removal may be considered when fibroids cause significant bleeding, pain, pressure symptoms, fertility problems or other medical concerns. The decision depends on the individual case.
Pregnancy may be possible after certain types of fibroid treatment, particularly uterus-preserving procedures such as myomectomy. However, the effect on fertility depends on the fibroids and the treatment performed.
A fibroid diagnosis can sound alarming, but it does not automatically mean you need an operation.
Start by understanding what the fibroid is doing, where it is located and whether it is actually responsible for your symptoms. Then discuss the full range of reasonable options.
If you are looking for Fibroids Removal Treatment in Dwarka Sector 12, choose a gynaecologist who is prepared to discuss monitoring, medication and uterus-preserving options alongside surgery when appropriate.
Bring your ultrasound reports to your consultation, explain your symptoms clearly, and tell your doctor whether you want children in the future. The right treatment should fit both your medical needs and your life plans.
