🧐Episode 6: When Should Fibroids Be Removed?

One of the biggest misconceptions is that every fibroid needs surgery.

The truth is: most fibroids do not require removal unless they are causing problems.

The decision to remove a fibroid is based on symptoms, location, size, fertility plans, and its impact on quality of life not simply its presence.

💥Fibroid removal may be recommended when:

🔴 Heavy menstrual bleeding

Persistent heavy periods

Iron deficiency anemia

Bleeding that affects daily activities.

🔴 Infertility or recurrent miscarriage

Especially with submucous fibroids

Intramural fibroids that distort the uterine cavity.

🔴 Significant pelvic pain or pressure

Chronic pelvic pain

Pelvic heaviness

Pain affecting daily life.

🔴 Pressure on nearby organs

Frequent urination

Difficulty emptying the bladder

Constipation or rectal pressure.

🔴 Rapidly enlarging fibroid

Particularly when associated with symptoms

Requires careful evaluation.

🔴 Very large fibroids

Causing marked abdominal enlargement

Significant pressure symptoms

Distortion of pelvic anatomy.

🎯Surgery is NOT always necessary if:

🟢 The fibroid causes no symptoms

🟢 Fertility is not affected

🟢 Pregnancy is progressing normally

🟢 The fibroid is stable on follow-up.

🧐Key Message

The presence of a fibroid alone is not an indication for surgery.

Treatment should always be individualized, taking into account the woman's symptoms, reproductive goals, and the characteristics of the fibroid.

The goal is to treat the patient not just the ultrasound report.

Dr Rabab Cares 

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