Fibroids are a common health concern among women, especially during their reproductive years. These non-cancerous growths, also known as uterine leiomyomas or myomas, can vary in size and location within the uterus, and their symptoms range from nonexistent to severe. Dr. Maureen Khoo, a leading obstetrician and gynecologist at Maureen O. Khoo MD in Los Gatos, CA, specializes in helping women navigate fibroid diagnosis and treatment. If you’re in the Los Gatos area and have questions about fibroids, Dr. Khoo and her expert team are here to help. Visit us at 320 Dardanelli Lane Ste 20, Los Gatos, CA, or call (408) 364-2440 to schedule a consultation.
What Are Fibroids?
Fibroids are benign tumors that develop in or around the uterus. They are made of muscle and fibrous tissue and are often classified based on their location:
- Intramural Fibroids: Found within the muscular wall of the uterus.
- Submucosal Fibroids: Develop under the uterine lining and can protrude into the uterine cavity.
- Subserosal Fibroids: Grow on the outer surface of the uterus.
- Pedunculated Fibroids: Attached to the uterus by a thin stalk.
Although fibroids are non-cancerous, they can cause significant discomfort and complications for some women.
What Causes Fibroids?
The exact cause of fibroid development remains unclear. However, several factors are believed to contribute to their growth:
- Hormonal Imbalance: Estrogen and progesterone play a significant role in fibroid growth.
- Genetics: A family history of fibroids increases your risk.
- Age: Women aged 30-50 are most commonly affected.
- Lifestyle Factors: Obesity, poor diet, and lack of exercise can contribute.
- Ethnicity: African-American women are more likely to develop fibroids and experience severe symptoms.
Common Symptoms of Fibroids
While some women with fibroids experience no symptoms, others may encounter a range of issues, including:
- Heavy or prolonged menstrual bleeding
- Pelvic pain or pressure
- Frequent urination
- Difficulty emptying the bladder
- Constipation
- Pain during intercourse
- Lower back pain
- Abdominal swelling or bloating
Diagnosis of Fibroids
Dr. Maureen Khoo uses advanced diagnostic tools to identify fibroids and their impact on your health. These include:
- Pelvic Exam: A routine pelvic exam can detect abnormalities in the shape of the uterus.
- Ultrasound: Transabdominal or transvaginal ultrasounds provide clear images of the uterus.
- MRI: Offers detailed imaging to determine fibroid size and location.
- Hysteroscopy: A small camera inserted into the uterus helps examine submucosal fibroids.
- Blood Tests: Rule out other causes of abnormal bleeding, such as anemia.
Treatment Options for Fibroids
Treatment depends on the size, number, and location of the fibroids, as well as the severity of symptoms. Dr. Khoo’s approach is personalized to meet each patient’s unique needs.
1. Watchful Waiting
For women with small fibroids and no symptoms, regular monitoring may be sufficient.
2. Medication
- Hormonal Therapies: Birth control pills or progestin-releasing intrauterine devices (IUDs) can help manage symptoms.
- GnRH Agonists: Medications that reduce estrogen and shrink fibroids temporarily.
- Non-Hormonal Options: NSAIDs for pain and tranexamic acid to reduce heavy bleeding.
3. Minimally Invasive Procedures
- Uterine Fibroid Embolization (UFE): Blocks blood flow to fibroids, causing them to shrink.
- Myomectomy: Surgical removal of fibroids while preserving the uterus. It can be performed laparoscopically or hysteroscopically.
- MRI-Guided Focused Ultrasound: Uses high-intensity ultrasound waves to destroy fibroid tissue.
4. Hysterectomy
For severe cases, removing the uterus may be the best option. This procedure is typically reserved for women who no longer wish to have children.
Fibroids and Fertility
Fibroids can impact fertility and pregnancy outcomes, particularly if they distort the uterine cavity. However, many women with fibroids can still conceive and carry a healthy pregnancy. Dr. Khoo offers specialized care to manage fibroids for women planning a family.
Lifestyle Changes to Manage Fibroids
Making healthy lifestyle changes can help reduce fibroid symptoms and prevent growth:
- Maintain a Healthy Weight: Obesity is linked to increased fibroid risk.
- Eat a Balanced Diet: Focus on fruits, vegetables, and whole grains. Limit red meat and processed foods.
- Exercise Regularly: Physical activity can help regulate hormones and reduce inflammation.
- Reduce Stress: Chronic stress may contribute to hormonal imbalances.
- Avoid Excessive Alcohol and Caffeine: These can exacerbate symptoms.
Fibroid Prevention: Is It Possible?
While it’s not always possible to prevent fibroids, maintaining a healthy lifestyle and managing hormonal health can reduce your risk. Regular check-ups with Dr. Khoo can also catch fibroids early, ensuring prompt treatment.
Why Choose Dr. Maureen Khoo?
Dr. Maureen Khoo brings years of experience and compassionate care to women’s health. Her personalized approach ensures that each patient receives the best possible care for their unique needs. Located in Los Gatos, CA, her practice is dedicated to empowering women with knowledge and effective treatment options.
Schedule Your Consultation Today
If you’re experiencing symptoms of fibroids or have questions about your reproductive health, don’t wait to seek help. Maureen O. Khoo MD and her team are here to guide you every step of the way. Visit us at 320 Dardanelli Lane Ste 20, Los Gatos, CA, or call (408) 364-2440 to schedule an appointment. Take charge of your health and live your best life!