Big tummy could be caused by fibroid in uterus
statesman news service
New Delhi, 7 July
A 40-year-old patient was successfully operated on for a very rare condition of major fibroids in Saket City Hospital in the Capital recently.
Mrs Rehana from Uttar Pradesh was unable to conceive.
A check-up showed the presence of a fibroid in the uterus big enough to interfere in conception.
Surgery was tried twice but the fibroid could not be removed. She kept on suffering as the fibroid kept on increasing in size.
Major fibroid is a non-cancerous or sometime cancerous melon size tumour in the uterus, which is generally left ignored as women take it they are getting obese due to excessive eating.
Uterine fibroids, non-cancerous tumours in the uterus is a most common health problem among middle-aged women, said Dr Anita Gupta, senior consultant gynaecologist, Saket City Hospital.
She said fibroids tend to develop and grow in the reproductive organ during child bearing age.
Dr Anita Gupta, who performed the operation, said Rehana&’s fibroid was so huge that it occupied her whole uterus making it seem like she was seven months pregnant.
The Ultrasound showed her urinary bladder completely stretched up much above her umbilicus.
The fibroid was pressing over her intestines as it was adhered all around due to previous surgeries leading to pain and constipation.
She had become anaemic due to excessive blood loss in each menstrual cycle because of which she needed blood transfusion. “In such a case the uterus has to be removed even if the woman is young,” said Dr Gupta.
She said, generally the complaint of uterine fibroid occurs between the age group of 30 to 45 years.
This benign tumour causes pain, excessive menstrual bleeding and infertility. It can vary in size, from that of a few mm to as large as a melon.
A small fibroid may not need treatment while a large fibroid can be treated only through surgery.
Some women have no symptoms to indicate that they have fibroid and will find out only on a routine ultrasound or gynaecological examination.
Fibroids affect at least 20 per cent of all women sometime during their life.
Overweight and obese women are at a higher risk of developing fibroid, compared to the women with normal weight.
During a woman’s reproductive years, her oestrogen and progesterone levels are high. When the oestrogen levels are high, especially during pregnancy, fibroids tend to swell. When oestrogen levels are low, fibroids may shrink as can be seen after menopause.
“Treatment of fibroid can range from no treatment at all to surgery. Unless fibroids are causing excessive bleeding, discomfort or bladder problems, treatment usually isn’t necessary.
Myomectomy is an operation to remove fibroid while preserving the uterus.
For women who want to have children in the future, myomectomy is the treatment option,” according to gynaecologists.
But women above 40 or those who have completed their family, need hysterectomy, a surgical procedure in which the uterus is removed, said Dr Gupta.
So if you are already experiencing symptoms like pelvic pain and cramping, excessive bleeding during your menses, it&’s time to go for a gynaecological check-up.