Uterine fibroids, also known as leiomyomas or myomas, are noncancerous growths of the uterus (womb) that often appear during childbearing years. They are made up of muscle cells and other tissues that grow within the wall of the uterus. Uterine fibroids are typically benign (noncancerous). Fibroids can range in size from small, barely visible nodules to large growths that can distort the shape of the uterus. A woman may have a single fibroid or multiple fibroids at the same time.
Prof Dr Rehana Aamer Khan stands as the premier gynecologist in Lahore for the treatment of uterine fibroids. With unmatched expertise, she has earned the trust of countless patients seeking relief from fibroid related issues in Lahore. Her extensive knowledge, coupled with years of experience, enables her to provide comprehensive and effective solutions tailored to each patient`s needs. Prof Dr. Rehana Aamer Khan`s compassionate and patient centric approach ensures that individuals not only receive top notch medical care but also emotional support throughout their journey. Her name shines brightly as the go to specialist for uterine fibroids in Lahore`s medical community, offering hope and improved quality of life to those in her care. She is the only gynecologist providing laparoscopic and robotic treatment for fibroids in Lahore
Uterine fibroids can be classified into several types based on their location within the uterus.
The main types of uterine fibroids are:
Subserosal Fibroids: These fibroids develop on the outer wall of the uterus, just beneath the serosa (the uterine covering). Subserosal fibroids can grow outward into the pelvic cavity and may press against other organs, potentially causing pelvic pain and pressure.
Intramural Fibroids: Intramural fibroids are the most common type and grow within the muscular wall of the uterus. They can cause the uterus to enlarge, leading to symptoms such as heavy menstrual bleeding, pelvic pain, and a feeling of fullness or pressure in the lower abdomen.
Submucosal Fibroids: Submucosal fibroids develop just beneath the inner lining of the uterus (endometrium). They can protrude into the uterine cavity and are more likely to cause symptoms like heavy menstrual bleeding and fertility problems.
Pedunculated Fibroids: Pedunculated fibroids are attached to the uterine wall by a stalk (peduncle). They can be subserosal or submucosal in nature. Pedunculated fibroids can sometimes twist on their stalk, causing severe pain.
Intracavitary Fibroids: These are a subtype of submucosal fibroids that grow within the uterine cavity. They have a greater potential to affect fertility and cause heavy menstrual bleeding.
Cervical Fibroids: These fibroids develop in the cervix, the lower part of the uterus that connects to the vagina. They may cause pelvic pain and discomfort and can affect fertility and menstruation.
Interstitial Fibroids: Interstitial fibroids are another term for intramural fibroids, referring to fibroids that grow within the uterine wall.
It is important to note that a woman may have multiple fibroids of different types and in different locations within the uterus. The specific type and location of fibroids can influence the symptoms they cause and the treatment options available. Treatment decisions are often based on factors such as the size, number, and location of the fibroids, as well as the individual`s symptoms and reproductive goals.
Uterine fibroids can vary widely in size and location, and not all women with fibroids will experience symptoms. However, when symptoms do occur, they can range from mild to severe. Common symptoms of uterine fibroids include:
Heavy Menstrual Bleeding (Menorrhagia): One of the most common symptoms is heavy menstrual bleeding, which can lead to prolonged periods and the need to change sanitary products frequently. Some women may also pass blood clots during their periods.
Pelvic Pain and Pressure: Fibroids can cause a feeling of fullness or pressure in the lower abdomen or pelvis. Some women experience pelvic pain, discomfort, or a dull ache.
Pelvic Pain during Intercourse: Fibroids can lead to pain or discomfort during sexual intercourse.
Frequent Urination or difficulty emptying the Bladder: Large fibroids can press against the bladder, leading to a frequent need to urinate or difficulty emptying the bladder completely.
Frequent Urinary Tract Infections (UTIs): Fibroids that obstruct the urinary tract can increase the risk of UTIs.
Constipation or Difficulty with Bowel Movements: In rare cases, fibroids pressing against the rectum may lead to constipation or difficulty with bowel movements.
Lower Backache or Leg Pains: Fibroids can sometimes press on nerves in the back, causing lower back pain or leg pains.
Enlarged Abdomen or Uterus: Large fibroids can cause the abdomen or uterus to become noticeably enlarged, which may be mistaken for weight gain or pregnancy.
Infertility or Recurrent Miscarriages: Submucosal or intracavitary fibroids that interfere with the uterine cavity can affect fertility and increase the risk of miscarriages.
Pelvic Pain Outside of Menstruation: Some women experience pelvic pain or discomfort outside the menstruation.
It`s important to note that not all women with uterine fibroids will have symptoms, and the severity of symptoms can vary widely. If you suspect you have uterine fibroids or are experiencing any of these symptoms, it is essential to consult your gynecologist for a proper diagnosis and discussion of treatment options. The choice of treatment will depend on the size, location, and severity of the fibroids.
Diagnosing uterine fibroids typically involves a combination of medical history, physical examination, and imaging tests.
Here are the steps involved in the diagnosis of uterine fibroids:
Medical History and Symptom Evaluation: Your doctor will start by asking you about your medical history and any symptoms you may be experiencing. Be prepared to discuss your menstrual history, the nature of your symptoms (such as heavy bleeding or pelvic pain), and any other relevant health information.
Physical Examination: Gynecologist will perform a pelvic examination to feel for any abnormalities in the size, shape, or consistency of your uterus. They may also check for tenderness or pain in the pelvic area.
Ultrasound: Transvaginal or abdominal ultrasound is often the first line imaging test used to diagnose uterine fibroids. Ultrasound can provide detailed images of the uterus and help determine the size, number, and location of fibroids.
MRI: In some cases, an MRI may be recommended, especially when a more detailed assessment of fibroid characteristics is needed or when planning for surgical removal (Laparoscopic myomectomy).
Hysterosonography or Saline Infusion Sonogram (SIS): This involves injecting sterile saline into the uterine cavity during ultrasound to obtain a clearer view of the inside of the uterus and identify submucosal fibroids.
Hysteroscopy: A hysteroscope, a thin, lighted tube, is inserted through the cervix and into the uterus to directly visualize the uterine cavity and detect submucosal fibroids.
Endometrial Biopsy: In cases of abnormal bleeding, an endometrial biopsy may be performed to rule out other causes of abnormal uterine bleeding, such as endometrial cancer.
Once uterine fibroids are diagnosed, your gynecologist will discuss treatment options with you based on the size, location, and severity of your fibroids, as well as your individual health goals. Treatment options can range from watchful waiting for asymptomatic fibroids to medications, minimally invasive procedures.
The treatment of uterine fibroids depends on several factors, including the size, location, and severity of the fibroids, as well as the individual`s symptoms and future reproductive goals. Here are some common treatment options for uterine fibroids:
Watchful Waiting (Observation): If fibroids are small, not causing symptoms, or if the symptoms are mild and not significantly affecting the quality of life, your gynecologist may recommend watchful waiting. This involves monitoring the fibroids over time to see if they grow or cause more severe symptoms. Lifestyle changes, such as managing stress and maintaining a healthy diet, may be suggested to alleviate mild symptoms.
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs like ibuprofen can help relieve pelvic pain and discomfort associated with fibroids.
Hormonal Therapy: Hormonal medications, such as birth control pills, hormonal IUDs, or hormone therapy, may be used to help manage heavy menstrual bleeding and reduce pain. GnRH agonists, which induce a temporary menopause-like state, can also shrink fibroids but are typically used short-term due to side effects.
Gonadotropin-Releasing Hormone (GnRH) Agonists: These medications can temporarily shrink fibroids by inducing a state similar to menopause, reducing symptoms. They are typically used for a limited duration due to side effects.
Uterine Artery Embolization (UAE): This procedure involves blocking the blood supply to the fibroids by injecting tiny particles into the uterine arteries. It can help shrink fibroids and alleviate symptoms like heavy bleeding and pelvic pain.
Laparoscopic Myomectomy: Myomectomy is a surgical procedure to remove fibroids while preserving the uterus. It can be performed laparoscopically (minimally invasive), hysteroscopically (for submucosal fibroids), or as an open abdominal surgery.
Radiofrequency Ablation: This minimally invasive procedure uses heat to destroy fibroid tissue, reducing symptoms.
Focused Ultrasound Surgery (FUS): FUS uses high intensity ultrasound waves to heat and destroy fibroid tissue. It is a non-invasive procedure and may be an option for some women with symptomatic fibroids.
Laparoscopic Hysterectomy: Hysterectomy is the surgical removal of the uterus and is a definitive treatment for fibroids. It is considered when other treatments have not been successful, or when fibroids are very large, cause severe symptoms, or when malignancy is suspected. After a hysterectomy, a woman can no longer become pregnant.
Endometrial Ablation: This procedure is specifically aimed at reducing heavy menstrual bleeding and may be considered in cases where fibroids are causing this symptom but fertility preservation is not a concern.
MRI-guided Focused Ultrasound: MRI-guided Focused Ultrasound combines MRI with high-intensity ultrasound to precisely target and destroy fibroids. It is a non-invasive option for some women with symptomatic fibroids.
The choice of treatment depends on individual factors, including the age of patient, desire for future pregnancies, the size and location of fibroids, and the severity of symptoms. It is important to discuss treatment options thoroughly with your doctor to make an informed decision that aligns with your specific circumstances and goals.
Laparoscopic treatment of fibroids, also known as laparoscopic myomectomy, offers several benefits compared to traditional open surgery. Here are the key advantages:
Minimally Invasive: Laparoscopic surgery involves making small incisions in the abdomen rather than a large, open incision. This minimizes trauma to the abdominal muscles and tissues, resulting in less postoperative pain and discomfort.
Reduced Scarring: The smaller incisions in laparoscopic surgery lead to smaller scars, which are less noticeable and cosmetically preferable to the larger incision scars associated with open surgery.
Faster Recovery: Patients typically experience a quicker recovery with laparoscopic surgery. They can return to their daily activities, including work, sooner than with open surgery, which often requires a more extended recovery period.
Less Blood Loss: Laparoscopic procedures generally result in less blood loss during surgery, reducing the need for blood transfusions and lowering the risk of complications related to blood loss.
Shorter Hospital Stay: Patients undergoing laparoscopic myomectomy usually have shorter hospital stays than those who undergo open surgery, often going home the same day or within a day or two.
Lower Infection Risk: Smaller incisions reduce the risk of postoperative infections compared to open surgery, where the larger incision creates a larger entry point for bacteria.
Preservation of Uterine Function: Laparoscopic myomectomy allows for the precise removal of fibroids while preserving the healthy tissue of the uterus. This is particularly important for women who wish to maintain their fertility or uterine function.
Improved Cosmetic Outcome: Laparoscopic surgery leaves smaller, more aesthetically pleasing scars, which can boost a patient`s confidence and body image.
Prof Dr Rehana stands as the foremost laparoscopic surgeon for treating fibroids in Lahore, earning unwavering trust and respect in the medical community. Her exceptional expertise and commitment to women`s health make her the go to specialist for fibroid management. Dr. Rehana conducts laparoscopic myomectomies in Lahore with precision, ensuring the meticulous removal of fibroids while preserving reproductive health with a wealth of experience. Her minimally invasive approach results in shorter recovery times and less discomfort for patients. Dr. Rehana`s compassionate care and dedication to advancing laparoscopic techniques solidify her reputation as the best gynecologist in Lahore for fibroid treatment.
Robotic assisted surgery has become an innovative and increasingly popular option for the treatment of fibroids in Lahore. This minimally invasive surgical approach combines the precision of robotics with the expertise of the surgeon, offering several advantages for patients with fibroids:
Enhanced Precision: Robotic systems provide surgeons with a high definition, 3D view of the surgical area, allowing for precise removal of fibroids while preserving healthy tissue.
Smaller Incisions: Robotic surgery typically involves smaller incisions compared to traditional open surgery, resulting in less scarring, reduced pain, and faster recovery times.
Fertility Sparing Options: Robotic surgery provides a minimally invasive way to perform fertility sparing procedures like myomectomy (removal of fibroids). These surgeries can help women retain their reproductive capacity.
Reduced Blood Loss: The precision of robotic instruments and improved visualization often leads to minimal blood loss during surgery.
Faster Recovery: Patients often experience shorter hospital stays and quicker recovery times, enabling them to return to their normal activities sooner.
Minimal Pain: Smaller incisions and less tissue disruption generally result in less postoperative pain.
Lower Risk of Complications: Robotic-assisted surgery has a lower risk of complications such as infection and hernias compared to open surgery.
Prof. Dr. Rehana Aamer Khan has emerged as the preeminent robotic surgeon in Lahore Pakistan, renowned for her expertise in treating uterine fibroids using advanced robotic assisted techniques. Her exceptional skills and dedication to women`s health make her a trusted and sought-after specialist in the field of fibroids treatment in Lahore.
Dr. Rehana Aamer Khan has mastered the art of robotic assisted surgery for uterine fibroids in Lahore with years of experience and a commitment to staying at the forefront of medical technology. Her patients benefit from the precision and minimally invasive nature of these procedures, which typically result in reduced pain, shorter hospital stays, and quicker recoveries. She takes the time to thoroughly educate her patients about their condition and treatment options, ensuring they feel empowered and informed throughout their medical journey.
Her dedication extends beyond the operating room; she actively engages in research and training to further refine her skills and advance the field of gynecological robotic surgery. Dr. Rehana Aamer Khan`s reputation for excellence in treating uterine fibroids in Lahore with robotic surgery has made her a trusted name in Lahore`s medical community, offering women a path to relief and improved quality of life through cutting-edge, compassionate care
Professor Dr. Rehana Aamer Khan is widely regarded as the foremost expert in the field of gynecology and is unequivocally the best doctor in Lahore for treating fibroids. Her stellar reputation is built on a foundation of unparalleled medical expertise, extensive experience, and a profound commitment to patient care.
Prof. Dr. Rehana Aamer Khan has consistently demonstrated her exceptional proficiency in diagnosing and treating uterine fibroids in Lahore with a distinguished career spanning two decades. Her dedication to staying at the forefront of medical advancements ensures that patients benefit from the most innovative and effective treatments available. She is pioneer of laparoscopic myomectomy in Lahore and is only robotic surgeon to treat fibroids in Lahore Pakistan.
Dr. Rehana`s compassionate approach to patient care is equally commendable. She takes the time to listen to her patients, addressing their concerns and fears with empathy and reassurance.
Furthermore, Dr. Rehana`s contributions to medical research and education have elevated her status as a true luminary in her field of treatment of fibroids in Lahore. She imparts her knowledge to the next generation of healthcare professionals, inspiring them to strive for excellence in women`s health. Prof Dr. Rehana Aamer Khan’s name is synonymous with expertise, trustworthiness, and compassion, making her the ultimate choice for those seeking the best care for fibroids in Lahore.
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