Uterine Fibroids — Specialist Diagnosis and Treatment

Uterine fibroids are non-cancerous growths that develop in or on the wall of the uterus. They are very common and vary in size and location. While many fibroids cause no symptoms, others can lead to heavy bleeding, pelvic pain, pressure symptoms, and fertility difficulties.

No. Many fibroids are asymptomatic and can be monitored without treatment. Treatment is recommended when fibroids cause significant symptoms such as heavy bleeding, pain, or pressure, or when they are affecting fertility.

Fibroids can affect fertility depending on their size and location. Submucosal fibroids, which grow into the uterine cavity, are most likely to impact implantation and pregnancy. Prof Mahmood offers fertility-preserving surgical options for women who wish to conceive.

A myomectomy is a surgical procedure to remove fibroids while preserving the uterus. It can be performed hysteroscopically, laparoscopically, or with robotic assistance, depending on the size and location of the fibroids. Prof Mahmood specialises in minimally invasive myomectomy techniques.

Fibroids can recur after myomectomy, although this does not happen in all cases. The risk of recurrence depends on the number and type of fibroids present. Prof Mahmood will discuss the likelihood of recurrence and long-term management options during the consultation.

No. Hysterectomy is one option, but many women are suitable for uterine-preserving procedures such as myomectomy. The most appropriate approach depends on the size, number, and location of fibroids, as well as the patient's symptoms and reproductive wishes.