Fibroids & ovarian cysts

Fibroids & Ovarian Cyst Treatment in Erode

கர்ப்பப்பைக் கட்டிகள் · சினைப்பை நீர்க்கட்டிகள் சிகிச்சை

Fibroids and ovarian cysts are very common, and most are not cancer. Many cause no trouble and only need watching, while others cause heavy periods, pain or pressure and need treatment. Dr. Jayanthi Prabakaran helps you understand your scan, your options and the right time to act, including keyhole surgery when surgery is needed and suitable.

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Fibroids
Ovarian cysts
Symptoms
Diagnosis
Treatment
Pregnancy
Warning signs
When to visit
FAQs

What are fibroids?

Fibroids are non-cancerous growths in the muscle of the womb. They are very common, especially between about 30 and 50 years of age. They can be as small as a seed or as large as a melon, and there may be one or several. Many fibroids cause no symptoms and are found by chance on a scan. They usually shrink after menopause.

Having fibroids does not mean you need an operation. What matters is whether they cause symptoms, how big they are and where they sit.

What are ovarian cysts?

An ovarian cyst is a fluid-filled sac on or inside an ovary. Most are harmless. Many “functional” cysts form as part of the normal monthly cycle and settle on their own within a few cycles. Other types need a closer look, for example cysts linked to endometriosis (sometimes called chocolate cysts), dermoid cysts, and cysts that are large or keep growing.

The many small follicles seen on the ovaries in PCOS are not the same thing: see PCOS treatment.

Symptoms to look out for

Fibroids may cause

heavy or long periods, sometimes with clots
tiredness or breathlessness from anaemia
pelvic pressure or a feeling of fullness
passing urine often, or constipation
pain during periods or sex
trouble conceiving or problems in pregnancy, in some women

Ovarian cysts may cause

no symptoms at all
a dull ache or heaviness in the lower tummy
bloating, or feeling full quickly
pain during periods or sex
irregular periods
sudden severe pain if a cyst bursts or twists (an emergency)

These symptoms can also have other causes, so please do not guess. An examination and a scan show what is going on.

How they are diagnosed

Diagnosis usually starts with a talk about your periods and symptoms, followed by an examination and an ultrasound scan, which shows the size, number and position of fibroids and the size and type of cysts. Blood tests may be advised, for example to check for anaemia or hormones, and in some cases further imaging is needed. Your doctor explains each test and why it is advised. Please bring any earlier scan reports and images.

Treatment options

Watching and waiting

Small fibroids or cysts that cause no symptoms are often simply monitored, with checkups and repeat scans.

Medicines

Medicines can ease heavy bleeding or pain and treat anaemia. They help with symptoms and do not remove a fibroid. Your doctor chooses what suits you.

Surgery, when it is needed

Surgery may be advised if a fibroid or cyst is large, growing, causing troublesome symptoms or affecting fertility, or if a scan shows a cyst that should be removed. The options include removing only the fibroid or the cyst and keeping the womb or, for some women, removing the womb. The choice depends on your age, your symptoms, the size and position of the growth, and whether you wish to have children.

Where it is suitable, keyhole (laparoscopic) surgery uses small cuts and usually means less pain and a quicker recovery than open surgery. Over 7,000 laparoscopic gynaecological surgeries have been performed at Abishek Hospital.

Fibroids, cysts and pregnancy

Many women with fibroids or cysts conceive and have healthy pregnancies. Some fibroids, especially those that press into the womb cavity, and some cysts can make it harder to conceive or can affect a pregnancy, so it is worth having them assessed if you are planning a baby. If you are already pregnant, tell your doctor: fibroids and cysts are usually watched with scans. If you are finding it hard to conceive, see fertility and IUI treatment.

Warning signs: when to come in immediately

Call 97505 11225 or come to the hospital straight away if you have:

sudden, severe pain in the lower tummy, especially with vomiting, fever or fainting
very heavy bleeding (soaking a pad every hour or two), or bleeding with dizziness
a racing heart, breathlessness or extreme weakness
in pregnancy: any bleeding, or severe tummy pain

Bleeding after menopause should always be checked by a doctor, even if it is light.

Emergency care is available 24 hours a day. In a life-threatening emergency, dial 108 or 112 for an ambulance.

When to see a gynaecologist

your periods are heavy, long or painful
you have lasting pelvic pain, pressure or a feeling of fullness
you feel a lump in the lower tummy, or your tummy is getting bigger
you are finding it hard to conceive
a scan has shown a fibroid or cyst and you would like advice

You do not need to wait for symptoms to get worse. See all gynaecology care at Abishek Hospital.

This page is general information and does not replace advice from your own doctor after an examination.

Questions answered

Frequently asked questions

Do fibroids turn into cancer?

Fibroids are almost always non-cancerous, and cancer in a fibroid is very rare. If a growth is getting bigger quickly or looks unusual on a scan, your doctor will advise further tests.

Do all fibroids need surgery?

No. Many are only watched, and some are treated with medicines. Surgery is advised when symptoms are troublesome, when the fibroid is large or growing, or when it affects fertility.

Can an ovarian cyst go away by itself?

Many cysts, especially the functional ones that form during the monthly cycle, settle on their own within a few cycles. Your doctor may repeat the scan to check. Other cysts need treatment.

Will fibroids or cysts stop me from getting pregnant?

Often they do not. But some can, depending on their size and position. It is best to have them assessed before you plan a pregnancy.

Is keyhole surgery possible for fibroids and cysts?

Often yes, depending on the size, number and position of the growth and on your health. Dr. Jayanthi Prabakaran will advise whether keyhole surgery is suitable for you. Read about laparoscopic surgery.

Will I need to have my womb removed?

Not always. In many cases the fibroid or cyst can be treated while the womb is kept. Removing the womb is considered mainly when other treatments are not suitable and your family is complete. Your doctor will explain all your options.

Related care

Book a consultation with Dr. Jayanthi Prabakaran

Message us on WhatsApp, call, or walk in during clinic hours. Emergency care is available 24/7.

WhatsApp us Call 97505 11225