Uterine Fibroids: Common Concerns and Treatment Options - Obstetrics and Gynecology

More Info

---

Uterine fibroids, also known as leiomyomas, are non-cancerous growths of the uterus that can cause a variety of symptoms and complications. Understanding these concerns is crucial for effective management and treatment.
1. Post-Surgical Symptoms: It is not uncommon for women who have undergone surgery for uterine fibroids to experience changes in urinary patterns, including increased frequency of urination. This can be attributed to several factors. The surgery itself may have affected the bladder's position or function, especially if the fibroids were large or located near the bladder. Additionally, post-operative inflammation or scarring can lead to urinary symptoms. If you are experiencing severe or worsening symptoms, it is essential to consult your healthcare provider for a thorough evaluation to rule out any complications such as infection or bladder dysfunction.

2. Urogynecological Treatment: Yes, obstetricians and gynecologists are trained to address female urinary issues, particularly those related to pelvic health. Many gynecologists specialize in urogynecology, a subspecialty that focuses on female pelvic medicine and reconstructive surgery. They can provide treatment options for urinary incontinence, frequency, and other bladder-related issues that may arise due to conditions like fibroids or after surgery.

3. Physical Examination Practices: Regarding your concern about your physician not wearing gloves during a physical examination, it is generally standard practice for healthcare providers to wear gloves when performing examinations that involve direct contact with the patient’s body, especially in sensitive areas. However, during abdominal examinations, particularly when assessing the abdomen above the navel, gloves may not always be necessary unless there is a specific reason to do so (e.g., if there is a risk of contact with bodily fluids). If you feel uncomfortable or have concerns about hygiene practices during your examination, it is important to voice these concerns to your healthcare provider.


Treatment Options for Uterine Fibroids
Treatment for uterine fibroids varies based on the size, location, and symptoms associated with the fibroids. Here are some common treatment options:
- Medications: Hormonal therapies, such as birth control pills or GnRH agonists, can help manage symptoms by regulating menstrual cycles and reducing bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) can alleviate pain associated with fibroids.

- Minimally Invasive Procedures: Options like uterine artery embolization (UAE) can reduce blood flow to the fibroids, causing them to shrink. Myomectomy, which involves the surgical removal of fibroids while preserving the uterus, is another option for women who wish to maintain their fertility.

- Hysterectomy: In cases where fibroids are severe and symptomatic, a hysterectomy (removal of the uterus) may be recommended. This is a definitive solution but eliminates the possibility of future pregnancies.

- Watchful Waiting: If fibroids are small and asymptomatic, a "watchful waiting" approach may be appropriate, with regular monitoring to assess any changes.


Conclusion
If you have concerns about your symptoms or the treatment options available for your uterine fibroids, it is crucial to have an open dialogue with your healthcare provider. They can provide personalized advice based on your medical history and current health status. Regular follow-ups and monitoring are essential to manage any complications effectively and to ensure that your treatment plan aligns with your health goals.