Uterine fibroids Treatment in Thailand

What are Uterine fibroids?

Uterine fibroids, or leiomyomas, are tissue and muscle growths in or around the uterine wall. These growths are the most prevalent noncancerous female tumours and are often benign (not malignant).

Numerous symptoms, including pain and heavy, irregular vaginal bleeding, can be brought on by uterine fibroids. Sometimes, a person is unaware that they have fibroids because they don't have any symptoms.

What is the Importance of Timely Treatment?

A woman's quality of life may be significantly impacted by consequences like heavy bleeding, anaemia, and pelvic pain, which can be avoided with timely treatment for uterine fibroids. Early treatment can help control symptoms, lower the chance of infertility, and stop fibroids from getting worse or getting more significant. Early intervention can also assist women who want to become pregnant in the future to maintain their reproductive health and prevent the need for more invasive operations.

What are the Common Symptoms of Uterine Fibroids?

The symptoms of uterine fibroids are often nonexistent. For those who do, the number, size, and location of fibroids may affect symptoms.

The most typical signs of uterine fibroids are:

• Painful periods or heavy menstrual blood
• Lengthier or more regular intervals
• Soreness or pressure in the pelvis
• Difficulty urinating or frequent urination
• Growing stomach region
• Constipation
• Lower back or stomach ache or pain during intercourse

Types of uterine fibroids

Uterine fibroids come in various forms based on their location and mode of attachment. Uterine fibroids come in several forms, such as:

• Intramural fibroids: These fibroids are encased in your uterus's muscular wall. They are the most prevalent kind.
• Submucosal fibroids: These fibroids develop beneath your uterine lining.
• Subserosal fibroids: These fibroids develop beneath the uterine lining on the outside. They have the potential to develop into your pelvis and get rather significant.
• Pedunculated fibroids: These fibroids, the least frequent kind, have a stalk or stem that connects them to your uterus.

Causes, Risk Factors and Complications of Uterine Fibroids

Causes

It's unclear what explicitly causes uterine fibroids. However, these elements might be involved:

• Gene changes: Gene alterations in many fibroids differ from those in normal uterine muscle cells.
• Hormones: In preparation for pregnancy, the tissue lining the inside of the uterus thickens with each menstrual cycle due to the action of two hormones, progesterone and estrogen.
• Compared to normal uterine muscle cells, fibroids have more cells that are bound by estrogen and progesterone. Following menopause, a decrease in hormone levels causes fibroids to shrink.
• Other growth factors: Fibroid growth may be impacted by substances like insulin-like growth factors that aid in tissue maintenance.
• Extracellular matrix (ECM): ECM stands for extracellular matrix. Like mortar between bricks, this substance causes cells to stick together. Fibroids become fibrous due to an increase in ECM. Additionally, ECM produces physiological changes in the cells and accumulates growth factors.

Risk Factors

When it comes to uterine fibroids, the only known risk factor is being of reproductive age. These consist of:

• Race: Fibroids can grow in any person of reproductive age who was born a woman.
• Family history: You are more likely to get fibroids if your mother or sister did.
• Additional factors: Fibroids appear to be more likely to develop in people who start their periods before the age of ten, are obese, have low vitamin D levels, eat a diet high in red meat and low in green vegetables, fruit, and dairy, and drink alcohol, including beer.

Complications

The majority of uterine fibroids don't result in significant issues. However, the following are the most typical fibroid side effects:

• Pain that becomes out of control.
• Swelling in the pelvis or abdomen.
• Excessive bleeding.
• Anaemia
• Infertility

Latest Research and Technologies in the Treatment of Uterine Fibroids in Thailand

• Thailand is advancing in treating uterine fibroids through novel technologies and research.
• Fibroids are being removed via minimally invasive treatments such as laparoscopic myomectomy and robot-assisted surgery, which allow for quicker recovery and reduced scarring.
• Uterine artery embolisation (UAE) is becoming a popular non-surgical method for shrinking fibroids.
• Research is also being conducted on focused ultrasound therapy (HIFU) for non-invasive fibroid treatment.
• Furthermore, advances in genetic research are aiding in a better understanding and individualised treatment for fibroid management.

Uterine Fibroids Prevention Tips

• Making healthy lifestyle choices may help reduce your risk of developing fibroid disease.
• Make an effort to maintain a healthy weight.
• Engage in frequent physical activity.
• Consume a diet rich in fruits and vegetables that is well-balanced.
• According to research, long-acting progestin-only contraceptives or birth control pills may reduce the risk of fibroids.