Empowering women: The transformative effect of uterine fibroid embolization on menorrhagia

For many women, Menorrhagia due to fibroid, or heavy menstrual bleeding, is more than just a monthly inconvenience—it can be a debilitating condition that severely impacts their quality of life. Traditional treatments often involve invasive surgeries, but advancements in medical technology have introduced minimally invasive solutions that offer new hope.One such solution is Uterine Fibroid Embolization (UFE).A Life Disrupted by Menorrhagia Many women have been struggling with heavy menstrual bleeding due to fibroid for years. The condition is so severe that it affects their daily activities and overall well-being. Often found exhausted and unable to keep up with their demanding schedule.Uterine fibroids are essentially non-cancerous tumors found in the uterus, made of smooth muscle tissue. They primarily occur in women, typically in the reproductive age group, from after puberty until before menopause, so roughly between 25 to 50 years of age, with peak incidence in the 30s and 40s. The exact cause remains unknown, but factors like genetic predisposition, high estrogen levels, and obesity are often associated with their development. While we can’t predict who will develop fibroids, certain risk factors are linked to their occurrence.Hormonal fluctuations, particularly estrogen levels, play a significant role in the growth of fibroids. While some women may have fibroids without experiencing any symptoms, others may face various issues. These symptoms typically fall into three main categories:1. Menorrhagia, or heavy menstrual bleeding, and dysmenorrhea: Involves severe menstrual pain, are common menstrual-related problems associated with fibroids2. Pressure symptoms: This occur when large fibroids exert pressure on nearby structures such as the bladder, leading to frequent urination or difficulty urinating, or the rectum, causing constipation and pelvic pain. 3. Infertility: Fertility issues can also result from fibroids interfering with the implantation process, making conception difficult.When a woman experiences these above mentioned symptoms, she typically seeks medical attention from a gynaecologist who may recommend a sonography test to confirm the presence of fibroids. Depending on the severity of the symptoms and the size of the fibroids, various treatment options are considered. Initially, hormonal treatments may be prescribed to manage menstrual symptoms. However, if symptoms persist or if there are large fibroids present, surgical intervention may be necessary.Surgical options include myomectomy, where only the fibroids are removed, or hysterectomy, which involves the removal of the entire uterus. While these surgeries can be performed laparoscopically, some cases may require open abdominal surgery, leading to longer recovery times and potential complications such as blood loss and the need for blood transfusions.Thus introducing Uterine Fibroid Embolization (UFE), this procedure offers relief without the invasiveness of traditional procedures and a much quicker recovery. Guiding them through the process, from consultation to the procedure itself, is about more than just medical expertise—it is about providing comfort and assurance during a time of uncertainty.The ProcedureUnder conscious sedation, a catheter was gently guided through the femoral artery to the arteries supplying the uterus, using fluoroscopic imaging for precision. Tiny particles were then injected to block the blood flow to the fibroids, causing them to shrink. Remarkably, the surgery is well tolerated and recovery is quick.A New BeginningIn the weeks following the procedure, a significant improvement is noticed in the symptoms. Menstrual bleeding became much lighter and more manageable. Over the next few months, menstrual cycle became normal, and elevated levels of energy were reported. UFE isn’t just a medical intervention; it’s a game-changer for women. Its effectiveness in relieving symptoms while preserving fertility opens doors to a better quality of life for countless women. And as awareness of UFE grows, so too will its role in managing menorrhagia and empowering women to reclaim their health and well-being.Patient’s safety and quality of care are paramount. Every step of the way, Priority is the well-being of all patients, ensuring that they receive the best possible care in a supportive environment and as we continue to advance in the field of minimally invasive treatments, the future of women’s health and the possibilities that lie ahead looks very optimistic.(By Dr. Dharav Kheradia, Wockhardt Hospitals Mumbai Central)Heart failure in men and women: Understanding the differences in symptoms


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