Fibroids, also known as uterine leiomyomas, are non-cancerous growths that can develop in or around the uterus. These growths are very common among women of childbearing age, with studies showing that up to 70 to 80% of women have a high risk of fibroid development by the age of 50. In India, about 37% of women aged 20-40 and 57% of those aged 40-59 have fibroids. Awareness about fibroids is crucial because many women may not realise they have them, especially if they are asymptomatic.

However, for those who do have symptoms, fibroids can greatly affect their quality of life. Even after diagnosis, patients often do not rush to get treatment since the growths are non-cancerous and do not pose an immediate risk to their health. Understanding fibroids and their effects is essential for managing this condition well. Being aware of important questions about fibroids helps you recognise symptoms early, explore different treatment options, and make informed decisions about your health. Since fibroids are a leading reason for hysterectomies, understanding this condition can help you avoid unnecessary surgery and find the best treatment for your situation.

To help you get started, we’ve compiled a list of essential questions for doctor about fibroids. This questionnaire will help you be informed and enable you to make well-informed decisions about your health in the future.

10 Questions To Ask Your Gynac About Fibroids

Your gynaecologist can help you shed a lot of light about fibroids, which is crucial for you to take appropriate medical decisions at the right time. It is important to know that while fibroids can cause quality of life problems, doctors don’t automatically start recommending extensive medical treatments or surgical treatments for the conditions. 

Often for asymptomatic patients, watchful waiting can be observed by doctors. Similarly, for patients with light symptoms, lifestyle and dietary changes to improve their lifestyle and health can be recommended. This goes to show that you should not be afraid to opt for a doctor’s advice and ask the questions mentioned below at your next gynaecological visit.

1. What Are Fibroids?

Start by asking your doctor to explain what fibroids are, how they form, and their common traits. Fibroids are usually non-cancerous tumours that can vary in size and location within the uterus. Knowing the different types of fibroids, subserosal, intramural, and submucosal, can help you understand how they might affect your health. Understanding the best possible medical approach to help you manage the condition moving forward is crucial.

2. What Symptoms Are Associated with Fibroids?

Fibroids can cause a variety of symptoms, which can range from mild to severe. Common symptoms include 

• Heavy menstrual bleeding
• Which can lead to anaemia 
• Fatigue and lack of energy to perform everyday tasks
• Women might also experience pelvic pain and pressure
• Leading to a feeling of fullness or discomfort in the pelvic area 
• This pain can be chronic or intermittent and can vary in intensity. 
• Frequent urination is often caused by fibroids pressing against the bladder, increasing the need to urinate, especially during the night. 
• Larger fibroids can press on the nerves in the lower back, leading to back pain and discomfort.
• Some women may also experience pain during intercourse, particularly if the fibroids are located near the cervix, making sexual activity uncomfortable or painful. 
• If fibroids press against the bowels, gastrointestinal symptoms such as constipation and bloating can occur. 
• In some cases, fibroids can also cause the abdomen to swell, giving the appearance of weight gain or pregnancy. 

Discussing these symptoms with your doctor is essential to better understanding which are most common and relevant to your condition. Based on your symptoms, doctors will determine the treatment plan that best helps you manage your condition.

3. How Are Fibroids Diagnosed?

Ask about the methods used to diagnose fibroids, such as pelvic exams, ultrasounds, or MRIs. Knowing the diagnostic process will help you know what to expect during your appointments. Ultrasounds are commonly used, but MRIs can provide a more detailed view of the fibroids’ size and location. This information is important for planning the most effective treatment.

4. What Treatment Options Are Available?

There are different treatments for fibroids based on the severity of symptoms and the size and location of the fibroids. Discuss all available treatments with your doctor, including medications, non-invasive procedures like MRI-guided focused ultrasound surgery and surgical options like myomectomy or hysterectomy. Each treatment has pros and cons, so understanding your options can help you choose the best path.

5. What Are the Pros and Cons of Each Treatment?

Every treatment has its own risks and benefits. Have your doctor explain these details to help you decide on the best treatment plan for your situation. For example, minimally invasive treatments like uterine fibroid embolization (UFE) might have shorter recovery times compared to surgery but may vary in effectiveness. Knowing these is important for making an informed decision.

6. How Will Treatment Affect My Fertility?

If you plan to have children, it's important to understand how different treatments might impact your fertility. Some treatments, like certain surgeries, can affect your ability to conceive or carry a pregnancy to term. Talk to your doctor in detail to understand these effects and choose a treatment that aligns with your future family plans.

7. What Lifestyle Changes Can Help Manage Symptoms?

Lifestyle changes can play a big role in managing fibroid symptoms. Ask your doctor about dietary adjustments, exercise routines, and other lifestyle modifications that can help alleviate symptoms and improve overall health. While lifestyle changes may not prevent fibroids, they can help manage symptoms effectively. Adding these changes to your daily routine can make a big difference in your quality of life. They can also help you stay healthy and prevent other chronic illnesses too, in the process.

8. Are There Alternative Therapies?

Some people explore alternative therapies like acupuncture, herbal remedies, or dietary supplements. Discuss these options with your doctor to understand their safety and effectiveness and how they might complement your main treatment. It’s important to consider scientific evidence and possible interactions with conventional treatments. Alternative therapies can sometimes provide extra relief, but they should be used carefully and with professional guidance.

9. How Often Should I Have Follow-Up Appointments?

Regular monitoring is essential for managing fibroids. Ask your doctor how often you should schedule follow-up appointments and what these visits will involve to ensure any changes in your condition are promptly addressed. This is especially important if you are undergoing treatment or have symptoms that require ongoing management. Regular check-ups help ensure that your treatment plan remains effective and can be adjusted as needed.

10. What Steps Should I Take If My Symptoms Get Worse?

Discuss with your doctor the signs to watch for and when to seek immediate medical attention. This will help you feel prepared and in control of your condition. Having a clear action plan can provide peace of mind and ensure that you get the care you need promptly.

Conclusion

Managing fibroids can be difficult, but knowing about your condition and treatment options can make a big difference. By asking important fibroids consultation questions, you can take charge of your health and work with your doctor to manage fibroids effectively. If you are looking for a Gynaecologist in Delhi, make sure you visit MASSH. Our expert gynaecologists can help you answer all the questions mentioned here and determine the best treatment plan to help you. To learn more about fibroid treatment at MASSH, check out our website. We offer specialised minimally invasive surgeries to treat uterine fibroids that have low risks and quick recovery. Visit us today to consult with our specialists.