Fibroid (Myoma) Treatment

Fibroids, also called myomas, are benign muscle growths of the womb. They are very common and most need no treatment. Treatment is offered when they cause heavy periods, anaemia, pressure on the bladder or bowel, pain, or problems conceiving.

Options run from medication to removal of the fibroids alone (myomectomy), blocking their blood supply (embolisation) and hysterectomy. Only hysterectomy stops fibroids for good. After myomectomy new fibroids appear in a fair proportion of women over the following years.

What Fibroid (Myoma) Treatment involves

Ultrasound maps the number, size and position of the fibroids, classified by whether they bulge into the cavity, sit in the wall or hang from the outside. MRI is added when there are many or when embolisation is considered. Anaemia is treated first. For myomectomy, fibroids inside the cavity are shaved out through the cervix with a hysteroscope. Fibroids in the wall are removed by laparoscopy or an open bikini-line cut: the surgeon injects a drug to reduce bleeding, opens the womb over the fibroid, shells it out and closes the muscle in layers. In embolisation an interventional radiologist passes a catheter from the wrist or groin into both uterine arteries and injects tiny particles so the fibroids shrink over months.

Who is a good candidate for Fibroid (Myoma) Treatment?

The right choice depends on your symptoms, the fibroid map and whether you want a future pregnancy.

• Heavy menstrual bleeding with anaemia due to fibroids
• Pressure symptoms such as frequent urination, constipation or a visibly enlarged abdomen
• Fibroids distorting the womb cavity in women with infertility or recurrent miscarriage
• Rapidly enlarging fibroids that need a tissue diagnosis
• Women who have completed their family and prefer a definitive solution

It is usually not the right choice if:

• Fibroids found by chance that cause no symptoms
• Women close to menopause with tolerable symptoms, since fibroids shrink afterwards
• Embolisation in women actively planning pregnancy, because its effect on fertility is less certain than myomectomy
• Any suspicion of sarcoma on imaging, which calls for a different surgical plan
• Pregnancy, during which fibroids are observed and not removed

الخيارات التقنية

• Medical treatment: Tranexamic acid, a hormonal coil, the pill or GnRH antagonists with add-back therapy reduce bleeding. They do not remove fibroids.
• Hysteroscopic myomectomy: For fibroids inside the cavity. Day case with no abdominal cuts.
• Laparoscopic or robotic myomectomy: For a limited number of fibroids of moderate size.
• Open (abdominal) myomectomy: For many or very large fibroids.
• Uterine artery embolisation: Non-surgical shrinkage of 40 to 60 per cent with good relief of bleeding. About a fifth need another treatment later.
• Hysterectomy: Definitive treatment when fertility is not wanted.

ماذا يحدث خلال علاجك

Hysteroscopic removal takes 20 to 45 minutes. Laparoscopic or open myomectomy takes 1.5 to 3 hours under general anaesthesia. Embolisation takes about an hour under local anaesthetic and sedation, and is followed by 12 to 24 hours of strong cramping pain that is treated with a pain pump.

الإعداد لرحلتك

Plan for 7 to 14 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stop smoking and nicotine at least four weeks before and after surgery; it is the single biggest avoidable cause of wound problems
• Tell the team about every medicine and supplement you take; blood thinners, some herbal products and hormone treatment may need to be paused on your doctor's advice
• Arrange for someone to travel with you or to be reachable, and keep the first days at home free of work and lifting
• Book a changeable return flight; your surgeon confirms when you are fit to fly

التعافي والنتائج

After hysteroscopic surgery you return to normal in 1 to 2 days. After laparoscopic myomectomy expect 1 to 2 nights in hospital and 2 to 3 weeks off work. After open surgery, 2 to 4 nights and 4 to 6 weeks. After embolisation, tiredness, mild fever and discharge can last 1 to 2 weeks. Pregnancy is generally delayed for 3 to 6 months after myomectomy, and a caesarean may be advised if the womb wall was opened deeply.

• Back to everyday activity: 2 days to 6 weeks depending on method
• When results show: Bleeding improves from the next cycle; shrinkage after embolisation over 3 to 6 months
• How long they last: Years; new fibroids can form until menopause

سياسة السلامة والمخاطر والتنقيح

Bleeding is the main operative concern because fibroids have a rich blood supply.

• Heavy bleeding needing transfusion
• Conversion to hysterectomy if bleeding cannot be controlled, which is rare
• Scar tissue inside the cavity or pelvis affecting fertility
• Weakness of the womb wall with a small risk of rupture in a later pregnancy
• Growth of new fibroids
• Infection or expulsion of fibroid tissue after embolisation
• Early menopause after embolisation, mainly in women over 45
• Fluid overload during hysteroscopic surgery

Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.

Cost of Fibroid (Myoma) Treatment in Türkiye

Clinic-Y does not publish a single price for Fibroid (Myoma) Treatment, because the honest figure depends on your case. What moves it:

• Number, size and position of fibroids
• Hysteroscopic, laparoscopic, robotic or open approach
• Embolisation materials and the interventional radiology suite
• Pre-operative MRI and treatment of anaemia
• Length of hospital stay

Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.

الأسئلة المتكررة