Fibroid gynaecologist Perth
Fibroids Perth
It is important to know that uterine fibroids are non-cancerous. They are benign tumours and they are common in women. The fibroids are round or half-round and they consist of muscle cells and tissues in the uterus wall and around the uterus.
- Submucosal: the fibroids are in the uterine cavity, under the inside layer of your uterus
- Subserosal: they are beneath the serosa - that is the membrane that covers the outer surface of your uterus
- Intracavitary: the fibroids are inside the uterine cavity
- Intramural: in this case, the fibroids are within the muscular wall of your uterus
- Pedunculated: they are on a stalk on the outer uterus wall
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- Hormonal imbalance in puberty years
- High blood pressure
- Abnormalities in the vascular system
- Genetic abnormalities
- Consequences of injury (tissue response)
- Family history
- Uterine infection
- Alcohol consumption
This is why it is important to see a gynaecologist who offers the best of both worlds: evidence-based medicine to get a clear diagnosis and a holistic approach to women’s health, so we look at your personal situation and history to get a clear picture of your condition.
In rare cases, fibroids may become cancerous.
Perth gynaecologist for fibroids
Not all women with fibroids will experience the same symptoms. Many women will not even experience any symptoms and in that case, they would often not know that they have fibroids.
70% of women will have fibroids by the time they are 50. The symptoms will depend on the number of fibroids, their size and the exact location.
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- Heavy periods (or prolonged periods)
- Pressure on the bladder and frequent urination
- Pressure on the back or your bowel
- Anaemia (iron deficiency)
- Swelling in the abdomen
- Lower back pain
- Period pain
- Pain during intercourse
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Fibroids are often detected during an examination for other conditions: a pelvic ultrasound, a routine gynaecological examination or during surgery for other conditions.
Fibroid surgery is considered the best treatment option and there are a few surgical options and techniques that you may discuss with your gynaecologist:
- Myomectomy (selective removal of fibroids within the uterus) or hysterectomy (removal of the uterus)
- Laparoscopic surgery, MRI-guided laser therapy, cryosurgery.
We will always take the time to guide you through the benefits and risks of the different surgical options and techniques. The different types of fibroid surgery may affect your fertility and your future pregnancies and the role of a gynaecologist is to make sure you are well informed before you decide on your treatment.
Alternative fibroid treatment involves the use of steroidal drugs that modify your hormone system, and this then impacts the growth of your fibroids
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Fibroids on the outer side of the uterus usually don’t impact the early stages of pregnancy. But if they are on the uterus cavity they can affect your fertility and cause miscarriage. Fibroids within the wall of the uterus require a more in-depth investigation by your gynaecologist because their impact is not clear.
If you have fibroids there are also concerns for the later stage of your pregnancy:
- If you have large fibroids there is a risk of preterm labour
- If the fibroid grows where the placenta is attached, there is a risk of abnormal separation of the placenta (placental abruption)
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