RG's Homoeopathy

Uterine Fibroid

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Uterine fibroids (leiomyomas or myomas) are benign (non-cancerous) smooth muscle tumors that develop in the uterus. They are common in women of reproductive age and can vary in size, number, and location within the uterus.

A case of multiple fibroids treated at RG’s Homoeopathy

A 36-year-old female presented with severe pelvic pain, heavy menstrual bleeding with clots. She had a constant heaviness in pelvic region since last 2 months associated with thick, white leucorrhea daily. Her Ultrasound report was as follows:

  1. Uterus: Shows multiple fibroids (largest 16 × 12 mm)
  2. Uterus: bulky, adenomyosis
  3. Cervix: bulky suggestive of cervicitis
  4. Bilateral PCOD (polycystic ovarian morphology)

After 6 months of Homoeopathic Treatment

  1. Normal-sized uterus with no fibroids observed.
  2. Normal cervix.
  3. Normal ovaries and adnexae.

Causes and Risk Factors:

  • Hormonal Imbalance: Estrogen and progesterone promote fibroid growth.
  • Genetics: Family history increases the risk.
  • Race: More common in African American women.
  • Obesity: Higher estrogen levels can contribute.
  • Diet & Lifestyle: High red meat intake and low vitamin D levels may be linked.

Types of Fibroids:

  1. Intramural: Within the uterine wall (most common).
  2. Subserosal: Grow on the outer surface of the uterus.
  3. Submucosal: Protrude into the uterine cavity (can cause heavy bleeding).
  4. Pedunculated: Attached to the uterus by a stalk.

Symptoms:

  • Heavy or prolonged menstrual bleeding
  • Pelvic pain or pressure
  • Frequent urination or difficulty emptying the bladder
  • Constipation
  • Backache or leg pain
  • Infertility or pregnancy complications in some cases

Diagnosis:

  • Ultrasound (USG): First-line imaging.
  • MRI: Provides more detailed imaging.
  • Hysteroscopy/Sonohysterography: Useful for submucosal fibroids.

Treatment Options:

  • Medical Management:
    • Hormonal therapy (e.g., birth control pills, GnRH agonists)
    • NSAIDs for pain relief
    • Tranexamic acid for heavy bleeding
  • Surgical Management:
    • Myomectomy: Removal of fibroids while preserving the uterus (for fertility preservation).
    • Hysterectomy: Complete removal of the uterus (definitive treatment for symptomatic cases).

Prognosis:

  • Fibroids may shrink after menopause.
  • Proper treatment can effectively manage symptoms.
  • Recurrence is possible, especially after myomectomy.

Lifestyle & Dietary Recommendations:

  • Diet: Increase iron-rich foods (beetroot, spinach, jaggery) to prevent anemia.
  • Hydration: Drink plenty of water to prevent estrogen dominance.
  • Exercise: Light yoga and walking help with circulation.
  • Stress Management: Meditation and relaxation techniques reduce hormonal imbalances.

Homeopathic Perspective:

Individualized treatment based on totality of symptoms.

Focus on constitutional remedy to prevent recurrence.

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