Uterine fibroids treatment Doctors in Jordan

Uterine fibroids are benign tumours arising from the smooth muscle of the uterine wall. They are among the commonest findings in the reproductive years, and many cause no symptoms at all and need no treatment. Treating fibroids therefore is not treating an ultrasound picture; it is treating symptoms: heavy or prolonged menstrual bleeding, the anaemia that follows it, heaviness and pressure in the lower abdomen, urinary frequency, pelvic pain or pain during intercourse, and in some cases difficulty conceiving or recurrent miscarriage. The position of a fibroid matters more than its size. A fibroid growing into the uterine cavity beneath the lining causes heavy bleeding and fertility problems even when small. A fibroid within the muscular wall enlarges the uterus and causes heaviness and pain. An outer fibroid presses on the bladder or bowel and, if it sits on a stalk, can twist and cause sudden pain. Treatment therefore begins with careful mapping of number, position and size using transvaginal or abdominal ultrasound, with magnetic resonance imaging when surgical planning requires it, plus a blood count for anaemia and assessment of the uterine lining when bleeding is abnormal. The goal is then agreed with the patient: controlling bleeding, relieving pressure and bulk, preserving the uterus and fertility, or a definitive solution after childbearing is complete. Simple surveillance is a legitimate option for silent fibroids without symptoms. For bleeding, medical options include non-hormonal medicines that reduce blood loss, hormonal options that regulate the lining including the hormonal intrauterine device, and hormonal medicines that temporarily shrink fibroids, usually for a limited period before surgery or to correct anaemia. Interventional and surgical options are selected according to position and pregnancy plans: hysteroscopic resection for fibroids inside the cavity, laparoscopic or open myomectomy for wall and outer fibroids while preserving the uterus, uterine artery embolisation to reduce the blood supply of the fibroids, and hysterectomy as a definitive answer for a woman who has completed her family and for whom other options have failed. The limits must be stated plainly. Medicines control symptoms rather than dissolving fibroids, and most fibroids resume growth once the medicine stops. Removing a fibroid does not prevent new fibroids from forming later. Uterine artery embolisation is generally not preferred for a woman planning pregnancy. Fibroids are not cancer and in the great majority do not turn into cancer, yet a mass that grows rapidly or appears after menopause needs serious evaluation. No herbal remedy or injection has been shown to dissolve fibroids. Which option suits you is decided by clinical examination and imaging, not by reading.