Maureen O. Khoo, MD, FACOG
Uterine fibroids are a common concern for many women, especially during their reproductive years. Though benign, fibroids can significantly impact your quality of life—from causing heavy periods to pelvic discomfort and even fertility issues. At the practice of Dr. Maureen O. Khoo, MD, FACOG, we believe that informed patients are empowered patients. This guide will help you better understand what fibroids are, how they may affect you, and what treatment options are available.
What Are Uterine Fibroids?
Uterine fibroids, also known as leiomyomas or myomas, are noncancerous growths that develop in or around the uterus. They range in size from microscopic to bulky masses that can enlarge the uterus. Fibroids can grow on the uterine wall, inside the uterine cavity, or on the outside surface.
Though the exact cause remains unclear, fibroids are believed to be influenced by hormones—especially estrogen and progesterone—and genetic factors.
Symptoms of Fibroids
Many women with fibroids experience no symptoms. However, when symptoms do occur, they can include:
- Heavy or prolonged menstrual periods
- Pelvic pain or pressure
- Frequent urination or difficulty emptying the bladder
- Constipation
- Lower back pain
- Pain during intercourse
- Difficulty getting pregnant or recurrent pregnancy loss
If you’re experiencing any of these issues, a consultation with Dr. Khoo can help determine whether fibroids are the underlying cause.
Diagnosing Fibroids
At either of our locations in Los Gatos or Mountain View, Dr. Khoo offers comprehensive evaluations including:
- Pelvic exam
- Ultrasound
- MRI (if needed)
- Hysterosonography or hysteroscopy for more detailed imaging
These diagnostic tools help determine the size, number, and location of fibroids—crucial information for selecting the best treatment.
Treatment Options for Fibroids
Treatment is personalized based on the size and location of fibroids, severity of symptoms, your age, and reproductive goals. Options may include:
1. Watchful Waiting
If fibroids are small and not causing symptoms, regular monitoring may be all that’s needed.
2. Medications
- Hormonal therapies such as birth control pills, IUDs, or GnRH agonists can help shrink fibroids and manage symptoms.
- Non-hormonal medications may be used to control bleeding.
3. Minimally Invasive Procedures
- Uterine Fibroid Embolization (UFE) – cuts off blood supply to fibroids to shrink them.
- MRI-guided focused ultrasound surgery (FUS) – noninvasive method to destroy fibroid tissue.
4. Surgical Options
- Myomectomy – surgical removal of fibroids while preserving the uterus; ideal for women who wish to retain fertility.
- Hysterectomy – complete removal of the uterus; a permanent solution, typically for women who are done with childbearing and have severe symptoms.
Dr. Khoo takes time to explain each option and works with you to choose the right path for your lifestyle and reproductive goals.
Q&A: Common Questions About Fibroids
Q: Are fibroids cancerous?
A: No, uterine fibroids are benign (noncancerous) growths. However, rare cases of cancerous tumors (such as leiomyosarcoma) can occur. Evaluation by an experienced OB/GYN helps rule out other conditions.
Q: Can fibroids affect fertility?
A: Yes, depending on their size and location, fibroids can interfere with implantation, block the fallopian tubes, or distort the uterine cavity, making it more difficult to conceive or maintain a pregnancy.
Q: Do fibroids go away on their own?
A: In many cases, fibroids shrink after menopause due to the decrease in estrogen. However, they rarely disappear completely without treatment.
Q: What lifestyle changes can help manage fibroids?
A: A healthy diet, regular exercise, and managing stress may help regulate hormones. While these changes won’t eliminate fibroids, they can support overall reproductive health.
Q: Is it possible to get pregnant after fibroid treatment?
A: Absolutely. Many women conceive naturally after myomectomy or minimally invasive treatment, especially if the fibroids were impeding fertility. Dr. Khoo provides tailored guidance based on your reproductive plans.
Q: How do I know which treatment is right for me?
A: A detailed consultation with Dr. Khoo—including a full medical history, imaging, and discussion of symptoms and goals—is the best way to determine your personalized treatment plan.
Why Choose Dr. Maureen O. Khoo, MD, FACOG?
With a commitment to compassionate, comprehensive care, Dr. Khoo brings decades of experience in women’s health and a personalized approach to every patient. Whether you’re managing symptoms, exploring fertility options, or considering treatment, you’ll receive the highest level of OB/GYN care tailored to your needs.
Contact Information
Maureen O. Khoo, MD, FACOG
📍 Los Gatos Office
320 Dardanelli Lane, Suite 20
Los Gatos, CA 95032
📍 Mountain View Office (Melchor Pavilion)
2490 Hospital Drive, Suite 209
Mountain View, CA 94040
📞 Phone: (408) 364-2440
🌐 khoomd.com
Take Control of Your Health Today
If you suspect you may have fibroids or have been diagnosed and want to explore your treatment options, schedule a consultation with Dr. Khoo. With expert care and individualized attention, you’re never alone on your health journey.