If you have symptoms associated with uterine fibroids, your gynecologist may refer you to a fibroid specialist. These specialists can help you find the right treatment for your individual needs, and they have the experience to guide you through each step of the process.
When you see a fibroid specialist Melbourne, they will evaluate your symptoms and take an accurate history to determine whether you need treatment. They will perform a pelvic exam and an imaging test such as an ultrasound or MRI.
Uterine artery embolization (UFE) is a minimally invasive, nonsurgical procedure that blocks the blood supply to the uterine fibroids and shrinks them. Often, this procedure is an effective alternative to surgery and hormonal therapy. It’s also a great choice for women who want to preserve their fertility.
IUDs – Intrauterine devices that release a hormone into the uterus can reduce menstrual bleeding caused by fibroids. They can be inserted during a routine office visit.
Hormone therapy – Your doctor can prescribe hormones that decrease the production of estrogen and progesterone. These hormones slow the growth of fibroid tumors and shrink them.
Surgical options – Your doctor can recommend surgical treatment for fibroids based on their size, location and your personal preferences. They might choose a laparoscopic or robotic-assisted myomectomy, which removes the fibroids with a few small incisions. This type of surgery can be done with an open technique, too, but a larger incision is required and you may have a longer recovery time and more blood loss.
Hysterosonography – A saline solution is injected into the uterine cavity, and a thin, lighted tube with a camera attached passes through the cervix to view the inside of the uterus. This procedure can give your doctor a clear picture of fibroids and can be performed in the office or in the operating room.
MRI – This radiation-free imaging test shows your doctor the location and size of fibroids in more detail than an ultrasound or hysterosonography. It also helps identify the type of fibroid, which can make it easier to determine the best treatment for you.
Other testing – IVF specialist Melbourne might recommend other tests to examine the lining of your uterus or to look at your fallopian tubes. They might also want to check your thyroid function or your menstrual cycle to rule out a hormonal problem.
Genetics – Your doctor will want to check your family history for uterine fibroids, and ask about your health and your lifestyle. You may have a higher risk of developing fibroids if you’re older, have a family history of fibroids or are overweight or obese.
Uterine fibroid removal – Your doctor can remove large or multiple fibroids by cutting them into smaller pieces with a special tool called a morcellator. This is done within specialized containment systems to prevent tissue spread.
If you have a high recurrence rate for fibroids, you might need to repeat the procedure. This is often due to seedlings — tiny tumors that your doctor doesn’t spot during the first surgery, but which can grow and cause symptoms in the future.