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
- 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.
- 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.
- 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.
- 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.