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Advancements in Fibroid Treatment

Fibroids, non-cancerous growths in the uterus, affect millions of women worldwide, causing symptoms like heavy menstrual bleeding, pelvic pain, and pressure. Over the years, medical science has made significant strides in understanding and treating fibroids. Among the various treatment options available, endometrial ablation has emerged as the most preferred choice for many patients. In this blog, let us explore the latest updates on fibroid treatment and probe into why ablation is increasingly becoming the go-to solution.

Understanding Fibroids:

Fibroids, also known as uterine leiomyomas, are benign tumors that develop in the muscular wall of the uterus. They vary in size, ranging from tiny seedlings that are undetectable to the naked eye to large growths that can distort the shape of the uterus. While the exact cause of fibroids remains unknown, factors such as hormonal imbalances, genetic predisposition, and estrogen levels play significant roles in their development.

Treatment Options for Fibroids:

Watchful Waiting: In cases where fibroids are small and asymptomatic, doctors may recommend a “watchful waiting” approach, monitoring the growth of the fibroids over time without immediate intervention.

Medications: Hormonal medications, such as gonadotropin-releasing hormone agonists (GnRH agonists) and oral contraceptives, can help manage symptoms like heavy bleeding and pelvic pain by regulating hormone levels.

Surgical Interventions: Surgical options for fibroids include myomectomy (removal of fibroids while preserving the uterus) and hysterectomy (removal of the uterus). While effective, these procedures may not be suitable for women who wish to preserve their fertility or avoid major surgery.

The Rise of Endometrial Ablation:

Endometrial ablation has gained prominence as a minimally invasive procedure for treating fibroids, particularly for women who experience heavy menstrual bleeding.

Radiofrequency Ablation (RFA):

Radiofrequency ablation is a minimally invasive procedure that utilizes thermal energy to destroy fibroid tissue. During RFA, a thin needle-like device is inserted into the fibroid under ultrasound guidance. Radiofrequency energy is then delivered to heat and destroy the fibroid tissue, leading to shrinkage and symptom relief. RFA offers several advantages, including precise targeting of fibroids, shorter procedure times, and faster recovery compared to traditional surgery.

Minimally Invasive: Endometrial ablation is typically performed as an outpatient procedure using minimally invasive techniques. It involves accessing the uterus through the vagina, eliminating the need for abdominal incisions. This results in shorter recovery times, reduced pain, and lower risk of complications compared to traditional surgery.

Preserves Uterus: Unlike hysterectomy, which involves removing the entire uterus, ablation allows women to preserve their uterus while addressing symptoms associated with fibroids. This is particularly beneficial for women who wish to maintain their fertility or avoid the physical and emotional impacts of losing their uterus.

Effective Symptom Relief: Endometrial ablation has been shown to significantly reduce or eliminate symptoms like heavy menstrual bleeding and pelvic pain in many women with fibroids. Studies have demonstrated high rates of patient satisfaction and improved quality of life following ablation procedures.

Rapid Recovery: Most women can resume their normal activities within a few days to a week after endometrial ablation. The procedure causes minimal disruption to daily life, allowing patients to return to work and other activities sooner compared to traditional surgery.

Fibroids can significantly impact a woman’s quality of life, but advancements in medical technology have provided effective treatment options, with endometrial ablation emerging as a preferred choice for many patients. Its minimally invasive nature, ability to preserve the uterus, and effectiveness in relieving symptoms make ablation a compelling option for women seeking relief from fibroids.

If you’re experiencing symptoms of fibroids, consult with our doctors at Avis Vascular Center who have successfully treated several hundreds of patients with fibroids, performing ablation procedures with exceptional outcomes.

Advanced Fibroid Treatment in India 

Meena’s life with fibroids was marked by a series of relentless challenges. Her days were overshadowed by excruciating pelvic pain and abnormally heavy menstrual bleeding, turning routine activities into exhausting events. The constant discomfort led to frequent, disruptive trips to the bathroom, and the intense bleeding caused anemia, leaving her perpetually tired. Meena found herself withdrawing from gatherings to avoid embarrassment, and professionally, her performance suffered due to the pain and fatigue. Her struggle with fibroids was not just a physical battle but an emotional and social ordeal that affected every aspect of her life.

Uterine fibroids, non-cancerous growths in the uterus, are a common health issue among Indian women. These fibroids can lead to symptoms like heavy menstrual bleeding, pelvic pain, and fertility issues, significantly impacting the quality of life.

What is Fibroid Embolization?

Uterine Fibroid Embolization (UFE), also known as Uterine Artery Embolization (UAE), is a minimally invasive procedure used to treat fibroids. It involves blocking the blood supply to the fibroids, causing them to shrink and die.

The Embolization Procedure

Performed by an interventional radiologist, the procedure involves making a small incision in the groin or wrist. A catheter is then guided through the artery to the uterus using imaging techniques. Tiny particles are injected to block the arteries supplying blood to the fibroids.

Comparative Cost Analysis of Embolization and Other Fibroid Treatments in India

  1. Uterine Fibroid Embolization (UFE)

Cost Range: The cost of UFE in India typically ranges from INR 1,50,000 to INR 2,50,000.

Factors Influencing Cost: The cost varies based on the hospital’s location, the expertise of the interventional radiologist, and the complexity of the procedure.

  1. Hysterectomy (Surgical Removal of the Uterus)

Cost Range: A hysterectomy can cost between INR 50,000 to INR 2,00,000 in India.

Factors Influencing Cost: The type of hysterectomy (abdominal, vaginal, or laparoscopic), hospital tier, and surgeon’s expertise impact the cost.

  1. Myomectomy (Surgical Removal of Fibroids)

Cost Range: The cost for a myomectomy ranges from INR 75,000 to INR 2,50,000.

Factors Influencing Cost: The surgical approach (open surgery vs. minimally invasive), number and size of fibroids, and hospital facilities play a role in determining the cost.

  1. Medication and Hormone Therapy

Cost Range: Ongoing medical management can vary greatly, from INR 500 to INR 5,000 per month.

Factors Influencing Cost: Type of medication, duration of treatment, and whether generic or brand-name drugs are used.

Cost-Benefit Analysis

UFE vs. Hysterectomy/Myomectomy: While UFE may initially seem more expensive than some surgical options, it is important to consider the quicker recovery time and lower indirect costs (like loss of income during recovery). UFE also preserves the uterus, which can be a significant consideration for many women.

Long-Term Costs: Surgical treatments like hysterectomy and myomectomy are one-time expenses, whereas medication costs accrue over time and can eventually surpass the cost of a single procedure.

Indirect Costs: Recovery time, post-surgery care, and potential complications can add significant indirect costs to surgical treatments, which are generally lower for UFE.

While UFE may have a higher upfront cost compared to certain surgical options, its benefits of being minimally invasive, having a shorter recovery time, and preserving the uterus often justify the expense. Moreover, the long-term economic impact, including the indirect costs associated with surgery and ongoing medical management, should be considered when evaluating the overall affordability of fibroid treatments in India.