Uterine Fibroids: Symptoms, Diagnosis, and Effective Treatments

Uterine fibroids are one of the most common health concerns affecting women, especially during their reproductive years. While many fibroids are harmless and cause no symptoms, others may lead to significant discomfort, fertility challenges, and disruptions in daily life. At SR Women & Children Specialists, our expert team is here to help women in Malaysia understand, diagnose, and treat uterine fibroids using evidence-based and personalised care.

What Are Uterine Fibroids?

Uterine fibroids, also known as leiomyomas or myomas, are non-cancerous growths that develop in or on the uterus. These growths are made up of muscle and fibrous tissue and can vary in size from as small as a pea to as large as a melon.

Types of Uterine Fibroids:

• Intramural fibroids – develop within the muscular wall of the uterus

• Submucosal fibroids – grow just beneath the uterine lining and can impact menstruation and fertility

• Subserosal fibroids – grow on the outside of the uterus and can press against surrounding organs

Common Symptoms of Uterine Fibroids

While some women may have no symptoms at all, others may experience:

• Heavy or prolonged menstrual bleeding

• Pelvic pain or pressure

• Frequent urination or difficulty emptying the bladder

• Pain during intercourse

• Constipation or bloating

• Lower back pain

• Difficulty getting pregnant

If you’re experiencing any of these symptoms, it’s important to seek medical advice from a trusted Obstetrics & Gynaecologist specialist.

Diagnosing Uterine Fibroids

Early detection can help manage fibroids effectively and avoid complications. At SR Women & Children Specialists, we use advanced diagnostic tools to provide accurate assessments, including:

1. Pelvic Examination

A physical check may reveal an enlarged or irregularly shaped uterus.

2. Ultrasound Scan

This is the most common imaging technique used to detect fibroids and determine their size and location.

3. MRI (Magnetic Resonance Imaging)

MRI provides more detailed imaging, useful for planning surgical or minimally invasive treatments.

4. Hysteroscopy

A small camera is inserted into the uterus via the vagina to examine the uterine cavity and identify submucosal fibroids.

Treatment Options for Uterine Fibroids in Malaysia

The best treatment for uterine fibroids depends on several factors, including the severity of symptoms, size and number of fibroids, and whether the patient plans to have children in the future.

1. Watchful Waiting

For women with small, symptom-free fibroids, no immediate treatment may be necessary. Regular monitoring helps ensure fibroids are not growing or causing issues.

2. Medications

• Hormonal treatments such as birth control pills or hormone-releasing IUDs can control heavy bleeding.

• Gonadotropin-releasing hormone (GnRH) agonists help shrink fibroids temporarily.

• Pain relief with NSAIDs and iron supplements to manage anaemia caused by heavy periods.

3. Minimally Invasive Procedures

• Uterine Fibroid Embolisation (UFE) – A non-surgical procedure that blocks blood supply to fibroids, causing them to shrink.

• MRI-Guided Focused Ultrasound Surgery (FUS) – Uses high-frequency sound waves to destroy fibroid tissue.

4. Surgical Options

• Myomectomy – Removal of fibroids while preserving the uterus, suitable for women wishing to maintain fertility.

• Hysterectomy – Complete removal of the uterus, considered in severe or recurrent cases where childbearing is no longer a concern.

Choosing the Right Fibroid Treatment

At SR Women & Children Specialists, we take a personalised approach to fibroid treatment. Our experienced team of obstetricians and gynaecologists will help you understand your condition and create a treatment plan that suits your needs and lifestyle.

We offer the latest diagnostic imaging, minimally invasive procedures, and advanced surgical care—all in a warm and supportive environment.

---

When to See a Doctor

If you’re experiencing heavy menstrual bleeding, pelvic pain, or fertility issues, don’t ignore the signs. Uterine fibroids can impact your quality of life and reproductive health. Early diagnosis and tailored treatment can make a significant difference.

---

Book Your Consultation Today

Don’t let fibroids control your life. Take the first step towards better health with SR Women & Children Specialists.

📍 Visit us at SR Women & Children Specialist Clinic Suite 206/207, Level 2 SCC, Gleneagles Hospital Johor, Medini Iskandar Puteri
📞 Contact us at [+6011-19923585]
📅 Convenient online booking available www.srwomenchildrenspecialists.com.my