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Fibroids: Symptoms and Management in London

Uterine fibroids affect approximately one in three women during their lifetime, yet many remain unaware they have them until symptoms become disruptive. Understanding fibroids, recognising when symptoms require attention, and knowing your management options can significantly improve your quality of life. If you’re experiencing concerning symptoms, consulting an experienced consultant gynaecologist in London can provide clarity and personalised treatment pathways.

Understanding Fibroids: Symptoms and Management – Causes, Symptoms, and When to Seek Help

Fibroids are non-cancerous growths that develop in or around the uterus, composed of muscle and fibrous tissue. Their size varies considerably, from as small as a pea to as large as a melon, and while many women experience no symptoms, others face significant daily challenges.

What causes fibroids?

The exact cause remains unclear, but several factors increase likelihood:

  • Hormonal influences – Oestrogen and progesterone appear to stimulate fibroid growth
  • Genetic predisposition – Family history increases your risk
  • Age – Most common between ages 30 and 50
  • Ethnicity – More prevalent in women of African-Caribbean descent
  • Lifestyle factors – Obesity and vitamin D deficiency may contribute

 

Recognising fibroid symptoms:

Not all fibroids cause problems, but when they do, symptoms can be disruptive:

  • Heavy or prolonged menstrual bleeding, sometimes with clots
  • Pelvic pain or pressure sensation
  • Frequent urination or difficulty emptying your bladder
  • Constipation or bloating
  • Lower back pain
  • Pain during intercourse
  • Fertility challenges or pregnancy complications

When should you seek specialist help?

If your periods are so heavy they interfere with daily activities, you experience persistent pelvic discomfort, or you’re struggling to conceive, it’s time to consult a gynaecologist. Early assessment can prevent complications and identify the most suitable management approach for your circumstances.

Fibroids: Symptoms and Management – Treatment Options Explained

Diagnosing fibroids typically involves pelvic examination, ultrasound scanning, or occasionally MRI for detailed imaging. Once confirmed, your consultant will discuss management options based on fibroid size, location, your symptoms, and future fertility plans.

Conservative management approaches:

For mild symptoms or small fibroids, watchful waiting with regular monitoring may be appropriate. Lifestyle modifications, including maintaining healthy weight and managing stress, can help control symptoms naturally.

Medical treatments:

  • Hormonal medications – Tranexamic acid reduces heavy bleeding, while hormonal contraceptives can regulate periods
  • GnRH analogues – Temporarily shrink fibroids by reducing oestrogen levels,  Ryeqo- combination of GnRH analogue
  • Hormone Replacement Therapy (HRT)
  • Levonorgestrel intrauterine system (Mirena coil) – Reduces heavy bleeding effectively

 

Surgical and minimally invasive procedures:

  • Myomectomy – Surgical removal of fibroids whilst preserving the uterus, ideal for women wanting future pregnancies
  • Hysterectomy – Complete removal of the uterus for definitive treatment
  • Uterine artery embolisation – Blocks blood supply to fibroids, causing them to shrink
  • Endometrial ablation – Destroys the uterine lining to reduce bleeding
  • MRI-guided focused ultrasound – Non-invasive technique using high-intensity ultrasound waves

NHS vs Private pathways:

Aspect

NHS Pathway

Private Pathway

Initial consultation

Potentially longer waiting times

Same-week or next-day appointments

Diagnostic imaging

Scheduled availability

Often same-visit ultrasound

Treatment timing

Waiting list dependent

Flexible scheduling

Consultant continuity

May vary

Consistent specialist care

Treatment options

Comprehensive but protocol-driven

Personalised, all options discussed

If you’re seeking effective options for fibroids symptoms and management, Mr Saurabh Phadnis offers expert private assessments and tailored treatments across London, providing comprehensive care from diagnosis through recovery.

How a Private Consultant Gynaecologist in London Supports You Through Fibroid Management

Choosing private gynaecological care in London offers distinct advantages, particularly when managing a condition like fibroids that significantly impacts quality of life.

Comprehensive diagnostic assessment:

Private consultations typically include extended appointment times, allowing thorough discussion of your symptoms, medical history, and concerns. Same-visit ultrasound scanning provides immediate diagnostic clarity, eliminating anxious waits for results.

Personalised treatment planning:

Your consultant will explore all suitable options based on your individual circumstances, considering factors like your age, symptom severity, fertility wishes, and lifestyle. This personalised approach ensures treatment aligns with your priorities rather than following a one-size-fits-all protocol.

Convenient London locations:

Accessing specialist care across London’s well-connected areas, including Harley Street, The Portland Hospital, and other leading private facilities, makes coordinating appointments around work and family commitments considerably easier.

Continuity and follow-up care:

Seeing the same consultant throughout your treatment journey ensures consistent care. Private follow-up appointments are scheduled promptly, with direct access to your specialist should concerns arise between visits.

Advanced surgical techniques:

When surgery becomes necessary, private gynaecologists often employ the latest minimally invasive techniques, including laparoscopic and robotic-assisted procedures, resulting in smaller incisions, reduced pain, and faster recovery times.

Common Patient Questions About Fibroids: Symptoms and Management

What are the main causes of fibroids?

Whilst the precise cause remains unknown, hormonal factors, particularly oestrogen and progesterone, play significant roles. Genetic predisposition, age, and certain lifestyle factors also contribute to fibroid development.

How long does fibroid treatment take?

Treatment duration varies considerably. Medical management may require ongoing medication, whilst surgical procedures like myomectomy typically involve same-day discharge or overnight stay, with recovery taking two to six weeks depending on technique used.

What are the benefits of private fibroid treatment in London?

Private care offers rapid access to specialist consultations, immediate diagnostic imaging, flexible surgery scheduling, consultant continuity, and personalised treatment plans tailored to your specific needs and lifestyle.

How much does fibroid treatment cost privately?

Costs vary depending on treatment type. Initial consultations typically range from £200-350, whilst surgical procedures vary from £3,000-12,000. Many private medical insurers cover fibroid treatment, and transparent pricing should be discussed during your consultation.

What recovery results can I expect from fibroid treatment?

Most women experience significant symptom improvement following appropriate treatment. Heavy bleeding typically resolves, pelvic pressure diminishes, and quality of life improves considerably. Your consultant will discuss realistic expectations based on your specific treatment plan.

Take the Next Step Toward Better Health

Living with symptomatic fibroids doesn’t have to mean compromising your quality of life. Understanding your condition and exploring appropriate management options empowers you to make informed decisions about your health.

If you’re ready to take control of your health, book a private consultation with Mr Saurabh Phadnis in London. As an experienced Consultant Gynaecologist, Mr Phadnis offers personalised guidance and advanced options for fibroids symptoms and management tailored to your needs, ensuring compassionate expert care throughout your treatment journey.

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