Your period arrives and suddenly your whole routine revolves around it. You are changing pads frequently, avoiding long outings, dealing with cramps and feeling exhausted by the end of the day.
Maybe you have even been told that the problem is caused by fibroids.
That diagnosis can sound frightening, especially when the first treatment you hear about is surgery. But fibroid treatment is not one-size-fits-all, and surgery is not automatically the first or only choice.
For some women with symptomatic fibroids, minimally invasive treatments such as uterine artery embolization (UAE) may offer another option.
Fibroids are non-cancerous growths that develop from the muscle tissue of the uterus.
They can vary greatly in size and location. Some grow within the wall of the uterus, some project into the uterine cavity, while others grow toward the outer surface.
Many women have fibroids without experiencing any symptoms.
Others may experience heavy periods, pelvic pressure, abdominal discomfort, frequent urination or fertility-related concerns.
Common symptoms can include:
Heavy or prolonged menstrual bleeding
Severe period cramps
Pelvic pressure or fullness
Lower abdominal pain
Frequent urination
Constipation from pressure on nearby organs
Pain during intercourse
Tiredness caused by anaemia from heavy bleeding
If these symptoms are interfering with your normal routine, it is worth discussing them with a gynaecologist.
A fibroid does not necessarily need to be treated simply because it appears on an ultrasound.
If it is small and causing no problems, your doctor may recommend observation and regular follow-up.
Treatment becomes more relevant when bleeding is excessive, pain is persistent, the fibroid is creating pressure symptoms, or your quality of life is being affected.
For anyone researching Fibroid Treatment in Naraina, the first step should therefore be understanding what the fibroid is doing—not just how big it looks on a scan.
Depending on your symptoms, age, fibroid location and future pregnancy plans, treatment may include:
Observation
Medicines to control bleeding or pain
Hormonal treatments
Myomectomy
Uterine artery embolization
Radiofrequency ablation
Other minimally invasive procedures
Hysterectomy in selected situations
Each option has advantages and limitations.
The right choice should be based on your medical needs and personal goals.
Uterine artery embolization is performed by an interventional radiologist.
A thin catheter is introduced through a small opening in a blood vessel, commonly through the wrist or groin. Using X-ray guidance, the catheter is directed toward the arteries supplying the uterus.
Tiny particles are then delivered into selected uterine arteries to reduce blood flow to the fibroids.
Without the same blood supply, the fibroids gradually shrink.
No.
Unlike myomectomy, which physically removes fibroids, embolization treats them by reducing their blood supply.
The fibroids remain in the uterus but generally become smaller over time, which can reduce symptoms.
That difference is important when comparing treatment options.
A 2024 systematic review and meta-analysis comparing uterine artery embolization with myomectomy found that both approaches can effectively manage symptomatic fibroids. The analysis suggested that UAE may have advantages related to shorter-term recovery and some early complications, while myomectomy may have lower rates of later reintervention.
The takeaway is not that one procedure is universally better.
It is that different treatments have different trade-offs.
A woman sees “multiple fibroids” on an ultrasound report and may immediately think, “I need to get them removed.”
We would challenge that.
The presence of fibroids is not automatically a reason for treatment.
If the fibroids are not causing symptoms, observation may be completely reasonable.
Likewise, a small fibroid can sometimes cause major bleeding depending on where it is located.
So the important questions are:
Where is the fibroid? What symptoms is it causing? And what are your future plans?
Those answers should guide treatment.
If you are planning to become pregnant, say so before choosing any fibroid procedure.
Some fibroids can interfere with fertility depending on their size and location. At the same time, the effect of different treatments on future pregnancy can vary.
UAE may not be the preferred option for every woman who is actively trying to conceive. Your gynaecologist and interventional radiologist should discuss the available evidence and alternatives with you.
Some patients focus so much on controlling bleeding that they forget to mention their future pregnancy plans.
That can make a major difference to treatment selection.
Tell your doctor whether you want to preserve fertility, whether you are planning pregnancy soon and whether you have already experienced fertility difficulties.
Your doctor will usually review your ultrasound or MRI and ask about your periods, pain and pressure symptoms.
You may also be asked about previous pregnancies, fertility plans, medications and any history of anaemia.
If your periods are extremely heavy, blood tests may be recommended to check for iron deficiency or anaemia.
Before choosing treatment, ask:
How many fibroids do I have?
Where are they located?
Are they causing my symptoms?
Do I need treatment now?
Which treatment best fits my goals?
Could the treatment affect fertility?
How long is recovery?
Could I need another procedure later?
A clear conversation can prevent rushed decisions.
Consider a woman in her early 40s with very heavy periods and pelvic pressure.
Her ultrasound shows several fibroids, and her blood tests reveal anaemia. Medicines have helped only temporarily, and the symptoms are affecting her work and social life.
Her medical team reviews the location and size of the fibroids and discusses her future pregnancy plans. If she is an appropriate candidate, UAE can be considered alongside other options such as medication, myomectomy or other minimally invasive treatments.
The decision is based on her symptoms, anatomy and goals—not simply the word “fibroid” on the report.
Dr Raghav Seth, Interventional Radiologist, focuses on image-guided minimally invasive treatments for appropriately selected patients. For women considering fibroid embolization, careful review of imaging, symptoms, fertility goals and alternative treatments is essential before deciding whether UAE is appropriate.
UAE is minimally invasive, but it is still a medical procedure.
Possible risks include pain, cramping, fever, infection, bleeding or bruising at the catheter site and, rarely, complications involving nearby organs.
Some women may also experience changes in menstrual patterns or require another treatment later.
Your doctor should explain your individual risks before you make a decision.
Cramping can be significant during the early recovery period, and your medical team will provide pain-control treatment.
Many women gradually return to normal activities as symptoms settle, but recovery varies from person to person.
Follow-up is important to check symptom improvement and monitor how the fibroids respond.
If your periods are consistently very heavy, last unusually long or leave you exhausted, do not simply assume that this is normal for you.
You should also seek evaluation if you have persistent pelvic pressure, abdominal swelling, urinary frequency or unexplained pelvic pain.
And if you already know that you have fibroids but your symptoms are getting worse, it may be time to review your treatment options.
Yes. Depending on the fibroid's size, location and symptoms, options can include medicines, uterine artery embolization, radiofrequency ablation and other minimally invasive treatments.
Cramping and pelvic pain are common during the early recovery period. Your medical team will provide appropriate pain management and explain which symptoms are expected.
Treated fibroids can shrink substantially after embolization, but new fibroids can develop and symptoms may sometimes return. Some patients may eventually need additional treatment.
Heavy bleeding, pelvic pressure and recurring pain can take over your life, but you do not have to choose a treatment based on fear or assumptions.
Book a consultation with Dr Raghav Seth, Interventional Radiologist, bring your latest ultrasound or MRI reports, and discuss whether Fibroid Treatment in Naraina—including uterine artery embolization—fits your symptoms, health and future plans.
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