www.womanthismonth.com November 2018 45 showcase BAHRAIN SPECIALIST HOSPITAL THE ISSUE OF FIBROIDS Dr Ripal Manish Madnani, obstetrics, gynaecology and IVF specialist explains myomectomy. The uterus, or womb, is an organ in women for childbearing, it has enormous capacity to expand during pregnancy. Its main bulk is due to the muscles in the middle layer which is known as the myometrium (other layers are inner endometrium and outer serosa). This layer has, again, further layers of smooth muscles, which help during childbirth to deliver the baby and prevent bleeding thereafter. Some women may develop benign masses in the myometrium, known as fibroids or leiomyoma, they can occur inside or on the surface of the uterus. Symptoms include: • Heavy or prolonged menstrual bleeding which can cause aneamia; • Low backache, pelvic heaviness or pain; • Frequent urination; • Problems in conceiving; • Acute pain due to twist and bleeding inside fibroid. Fibroids can be detected by your gynaecologist on clinical examination, ultrasound or MRI. Myomectomy is a surgical procedure to remove fibroids while preserving the uterus. It can be done by conventional open or by a minimally invasive laparoscopic or hysteroscopic approach depending on the location, under spinal or general anesthesia. The procedure is safe with a low complication rate. But, as it causes scarring in the uterus, you may be advised to delay conception afterwards and caesarian delivery may be recommended. Other options for treatment are hormonal medicines or hysterectomy. The decision on treatment should be decided jointly between patient and doctor. Sometimes, your doctor may leave the fibroids alone, as not all require treatment. However, since they do not always cause symptoms, it is best to see your gynaecologist if you are planning to conceive. Call 17 812-000 or 17 812-222 or email [email protected] Press Conference Bahrain Specialist Hospital held a press conference regarding its visiting surgeons from Apollo Health City, Hyderabad, India. Sunny, Lucy, Lolita, Rineesh & Nadim Subramanyam Dr Kasim & Dr Najah Dr Manish & Dr Bashar Dr KJ Reddy Dr Alok & Dr Abdul Kareem Shubhra & Dr Ardan
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