How are fibroids managed and treated?

Written by: Dr Nanda Shetty
Published: | Updated: 02/05/2024
Edited by: Conor Lynch

In her latest online article, consultant obstetrician and gynaecologist Dr Nanda Shetty delves into fibroids, explaining  what they are, what causes them, and what could potentially occur if they are left untreated. 

 

What are fibroids?

Fibroids are non-cancerous tumours that form around the uterine wall. Although they are benign, they can still nonetheless cause significant symptoms and complications for women.

 

What causes fibroids?

The exact cause of fibroids isn’t known, but several factors contribute to their development. These include:

  • Hormonal variations
  • Genetics
  • Insulin-like growth factor (IGF)

 

Risk factors include:

  • Pregnancy
  • Age
  • Family history
  • Obesity
  • Vitamin D deficiency

 

If fibroids are left untreated, what might happen?

If left untreated, fibroids can lead to various complications. The most common complications include severe pain and/or excessive bleeding, anaemia, urinary tract infections, and obstructed labour.

 

How are they diagnosed?

Ultrasound scans, a complete blood count, MRI scans, and a hysteroscopy are all used in the diagnostic process of fibroids.

 

How are fibroids managed and treated?

Treatment depends on the fibroid size, location, and severity. Medication is the first line of treatment, and in severe cases, procedures such as endometrial ablation, uterine artery embolisation, myomectomy, and a hysterectomy are all considered for the patient who has been diagnosed with fibroids.

 

If you have recently been diagnosed with fibroids, you can book a consultation with Dr Nanda Shetty today by visiting her Top Doctors profile.

By Dr Nanda Shetty
Obstetrics & gynaecology

Dr Nanda Shetty is a highly experienced consultant obstetrician and gynaecologist who possesses a high level of expertise in management of various gynaecological conditions. She is currently practising both at the NHS at West Hertfordshire NHS Trust and privately at the Spire Bushey Diagnostic Centre and the Spire Harpenden Hospital.

The conditions that she specialises in and has extensive experience in treating include benign gynaecology - fibroids, endometriosis, adenomyosis, pelvic, vaginal and vulval Infections, vulval dermatosis, ovarian cysts, bartholin’s and other vulval and vaginal cysts, menopause, perimenopause and post-menopausal conditions, as well as paediatric and adolescent gynaecology. She offers both open operations and minimal access surgeries including laparoscopy and hysteroscopy when surgical intervention is needed.

She adopts a holistic approach and is empathetic, patient, and gentle in approach as well as detailed in diagnosis and treatment with a very high patient satisfaction score. After successfully completing MBBS in India, Dr Shetty subsequently went on to obtain a diploma and Masters in obstetrics and gynaecology. Dr Shetty's career began in the UK in 2004, where she trained at various hospitals namely Kings College Hospital, Guys and St Thomas ‘Hospital, Woolwich Hospital and Whipps Cross Hospital across Northeast and south London.

She has over 28 years of experience in the speciality and has been a consultant in the UK for the last 10 years. She has successfully held various senior leadership positions at the NHS namely clinical director at West Herts NHS trust, foetal monitoring lead, labour ward lead, and chair of various committees including foetal monitoring and pelvic health. She has been involved in various charities and has provided voluntary health related service to underprivileged tribal communities in India.

She is particularly proud of promoting a high covid vaccine uptake and involving in administering vaccinations and producing guidelines and driving its implementation through her role as the clinical director at The West Herts NHS Trust. Dr Shetty, who has published quite a substantial number of peer-reviewed articles thus far in her medical career has a keen ongoing interest in research and teaching. She is involved in teaching and training of medical students, junior doctors, consultants and midwives regularly and was awarded the outstanding teacher award at the Kings College Hospital trust.

She is an active member of the Royal College of Obstetricians and Gynaecologists, British Menopausal society BMS, British Paediatric and adolescent Gynaecology BritSPAG, British Society of Vulval Diseases BSSVD and British Society for Gynaecological Endoscopy BSGE and European society of gynaecological endoscopy ESGE. 

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