Uterine fibroids are non-cancerous growths that develop in or around the uterus. They are common among women of reproductive age and may cause symptoms such as heavy menstrual bleeding, pelvic discomfort, abdominal pressure, frequent urination and difficulties with daily activities. While some women experience no symptoms, others may require medical treatment depending on the size, number and location of their fibroids.

With advancements in minimally invasive medical procedures, women now have different treatment options apart from conventional surgery. Uterine fibroid ablation treatment in Bengaluru is a search term commonly used by patients exploring minimally invasive approaches to fibroid management. Depending on the clinical situation, options may include radiofrequency ablation (RFA), uterine artery embolization (UAE), medication or surgery.

Understanding these procedures is important before choosing a treatment. Each approach works differently, and not every procedure is suitable for every patient.

Women seeking uterine fibroid treatment in Bengaluru can consult Dr. Dheeraj Tiwari – Interventional Radiologist in Bangalore at Mazumdar Shaw Medical Center, Bommasandra, for an evaluation of appropriate image-guided and minimally invasive treatment options.

What Are Uterine Fibroids? Symptoms, Causes and Diagnosis

What are uterine fibroids?

Uterine fibroids, medically known as leiomyomas, are benign growths that develop from the muscular tissue of the uterus. They can vary in size, number and location. Some may remain small, while others can grow large enough to cause abdominal swelling, pelvic pressure or menstrual problems.

Fibroids are generally classified into three main types:

  • Intramural fibroids: Develop within the muscular wall of the uterus.
  • Subserosal fibroids: Grow on the outer surface of the uterus and may cause pressure on nearby organs.
  • Submucosal fibroids: Develop beneath the inner lining of the uterus and may contribute to heavy menstrual bleeding or fertility-related concerns.

The location of a fibroid can be as important as its size when deciding on treatment.

Common symptoms of uterine fibroids

Symptoms depend on the size, number and position of the growths. Some women may not experience any noticeable symptoms, while others may develop:

  1. Heavy or prolonged menstrual bleeding.
  2. Severe menstrual cramps or pelvic pain.
  3. A feeling of heaviness or pressure in the lower abdomen.
  4. Frequent urination due to pressure on the bladder.
  5. Constipation or difficulty passing stools.
  6. Lower back pain or discomfort.
  7. Abdominal enlargement or bloating.
  8. Pain or discomfort during sexual intercourse.
  9. Difficulty becoming pregnant in certain cases.

Persistent heavy bleeding may also lead to iron-deficiency anaemia, causing fatigue, weakness and dizziness.

What causes uterine fibroids?

The exact cause of uterine fibroids is not fully understood. However, several biological and hormonal factors may contribute to their development.

Hormonal influence: Oestrogen and progesterone are involved in the growth of uterine fibroids. Changes in these hormone levels may influence fibroid development.

Genetic factors: Women with a family history of fibroids may have a higher likelihood of developing them.

Age and reproductive factors: Fibroids are more frequently diagnosed during the reproductive years.

Body weight and metabolic factors: Obesity and certain metabolic conditions may be associated with an increased risk.

Other factors: Individual biological differences and growth factors may also influence how fibroids develop.

How are uterine fibroids diagnosed?

Accurate diagnosis is essential before selecting uterine fibroid treatment in Bengaluru. A doctor evaluates the patient’s symptoms, medical history and imaging findings to understand the condition.

Common diagnostic investigations include:

  • Pelvic ultrasound: Identifies the location, number and approximate size of fibroids.
  • Transvaginal ultrasound: Provides detailed images of the uterus and helps assess smaller fibroids.
  • MRI pelvis: Offers detailed information about fibroid location, blood supply and surrounding structures.
  • Blood tests: A complete blood count may be recommended to identify anaemia caused by heavy menstrual bleeding.
  • Hysteroscopy: May be advised when the doctor needs to examine the uterine cavity, particularly for suspected submucosal fibroids.

The results help determine whether observation, medication, embolization, ablation or surgery is appropriate.

Uterine Fibroid Ablation Treatment in Bengaluru: Procedures and Treatment Options

The choice of treatment depends on the patient’s symptoms, fibroid characteristics, overall health and reproductive plans. Not every woman with fibroids requires an invasive procedure.

Uterine fibroid ablation treatment in Bengaluru may refer to different minimally invasive techniques. It is important to understand the difference between radiofrequency ablation and uterine artery embolization because they work through different mechanisms.

1. Radiofrequency ablation (RFA)

Radiofrequency ablation uses controlled heat energy to destroy targeted fibroid tissue. The heat causes tissue changes that gradually reduce the volume of the treated fibroid.

Depending on the technology and clinical suitability, RFA may be performed through different approaches:

  • Laparoscopic RFA: Small abdominal incisions are used to introduce instruments and an ultrasound probe.
  • Transcervical RFA: Specialised instruments are introduced through the cervix to reach suitable fibroids.
  • Transvaginal RFA: An ultrasound-guided approach may be used to access selected fibroids.

RFA is intended to preserve the uterus, but suitability depends on the fibroid’s location, size and accessibility. Its implications for future pregnancy should be discussed with the treating specialist.

2. Uterine artery embolization (UAE)

Uterine artery embolization, also known as uterine fibroid embolization (UFE), is an established minimally invasive procedure performed by an interventional radiologist.

Unlike RFA, UAE does not use heat to destroy the fibroid. Instead, it reduces the blood supply reaching the fibroids, allowing them to shrink gradually.

How is uterine artery embolization performed?

The procedure generally involves the following steps:

  1. Initial assessment: The specialist reviews ultrasound or MRI findings and evaluates the patient’s medical history.
  2. Access to the blood vessel: A small catheter is introduced through an artery, usually in the wrist or groin.
  3. Image-guided navigation: Using fluoroscopic imaging, the interventional radiologist guides the catheter towards the uterine arteries.
  4. Embolic material delivery: Tiny medical particles are released into the selected blood vessels supplying the fibroids.
  5. Reduced blood supply: The particles reduce blood flow to the fibroids, causing them to shrink over time.
  6. Post-procedure monitoring: The patient is monitored for pain, discomfort and other immediate recovery concerns.

The procedure is performed using image guidance and generally does not require a large abdominal incision.

Dr. Dheeraj Tiwari has a clinical focus in interventional and endovascular radiology, including uterine artery embolization. Women considering uterine fibroid ablation treatment in Bengaluru can discuss whether embolization or another treatment approach is suitable for their condition.

3. Medication-based management

Medication may help manage symptoms without removing or directly treating the fibroid.

Depending on the patient’s condition, a doctor may recommend:

  • Medicines to control heavy menstrual bleeding.
  • Hormonal treatments to manage menstrual symptoms.
  • Certain hormonal medications that temporarily reduce fibroid size.
  • Iron supplements when anaemia is present.

Medication may not provide a permanent solution, and symptoms can return after treatment is stopped.

4. Surgical treatment

Surgery may be appropriate when fibroids are large, cause significant symptoms or are unsuitable for minimally invasive treatment.

Two commonly performed procedures include:

  • Myomectomy: Removes fibroids while preserving the uterus. It may be considered for women who wish to retain the possibility of future pregnancy.
  • Hysterectomy: Removes the uterus and provides a definitive treatment for uterine fibroids. Pregnancy is no longer possible after this procedure.

The most appropriate option should be decided after discussing the advantages, limitations and risks of each approach.

Who may be suitable for minimally invasive treatment?

Women may be evaluated for minimally invasive treatment when they experience:

  • Persistent heavy menstrual bleeding.
  • Pelvic pressure or discomfort.
  • Fibroids affect their quality of life.
  • Fibroids that are suitable for image-guided intervention.
  • A preference to explore treatment options that do not involve major surgery.

However, not everyone is a suitable candidate. Fibroid location, size, blood supply, suspected diagnosis and pregnancy plans must be considered.

Benefits, Recovery and Comparison of Uterine Fibroid Treatments

Benefits of minimally invasive uterine fibroid treatment

Minimally invasive procedures have expanded the treatment choices available to women with symptomatic fibroids. Depending on the selected procedure and individual clinical condition, potential benefits may include:

  1. No large abdominal incision: UAE is performed through a small vascular access point rather than a large surgical incision.
  2. Uterus preservation: UAE and RFA are uterus-sparing procedures. However, their suitability for women planning pregnancy requires careful specialist assessment.
  3. Reduced hospital stay: Many patients undergoing UAE can return home relatively soon, depending on their recovery and medical condition.
  4. Symptom improvement: Treatment may reduce heavy menstrual bleeding, pelvic pressure and other fibroid-related symptoms.
  5. Image-guided precision: Interventional radiology procedures use medical imaging to guide instruments and treatment delivery.
  6. Alternative to major surgery: Selected patients may have a minimally invasive option instead of undergoing conventional open surgery.

It is important to understand that benefits and outcomes vary. No procedure guarantees complete symptom relief or eliminates the possibility of needing additional treatment.

Recovery after uterine fibroid treatment

Recovery depends on the type of procedure, the patient’s overall health and the characteristics of the fibroids.

Recovery after uterine artery embolization

After UAE, patients may experience temporary abdominal cramps, pelvic pain, nausea, tiredness or a mild fever. These symptoms are generally managed with prescribed medicines and supportive care.

The recovery process may involve:

  • First 24 hours: Medical monitoring and pain management.
  • First few days: Rest and gradual return to light daily activities.
  • First one to two weeks: Many patients resume routine activities as they feel comfortable, depending on recovery.
  • Following months: Fibroids gradually shrink, and improvements in symptoms may become noticeable over time.

Recovery after radiofrequency ablation

Recovery following RFA depends on whether the procedure is laparoscopic, transcervical or transvaginal.

Some patients may experience temporary pelvic discomfort, cramping, spotting or fatigue. The treating specialist provides instructions regarding physical activity, follow-up appointments and recovery expectations.

UAE vs RFA vs Myomectomy: Understanding the differences

Women researching uterine fibroid ablation treatment in Bengaluru often compare minimally invasive procedures with conventional surgical options. Understanding their differences can help patients prepare for an informed consultation.

Feature UAE RFA Myomectomy
Treatment method Reduces fibroid blood supply Uses heat energy Surgically removes fibroids
Large incision No large abdominal incision Depends on approach Depends on surgical approach
Uterus preserved Yes Yes Yes
Fibroid removal No direct removal No direct removal Yes
Recovery Generally shorter than open surgery Depends on technique Depends on technique
Future pregnancy Requires individual counselling Long-term reproductive evidence is evolving Often considered when pregnancy is desired

Which treatment is better?

There is no single treatment that is best for every patient. Myomectomy may be considered when removing specific fibroids is important, particularly in selected women planning pregnancy. UAE may be suitable for women seeking a minimally invasive approach to reduce fibroid-related symptoms. RFA may be an option for selected fibroids that can be safely accessed using the available technology.

Importantly, both UAE and RFA have specific considerations regarding future pregnancy. Women planning to conceive should discuss fertility goals with their gynaecologist and interventional radiologist before making a decision.

Factors affecting the cost of uterine fibroid treatment in Bengaluru

The cost of uterine fibroid treatment in Bengaluru varies from patient to patient. It is not possible to provide a reliable treatment estimate without reviewing the clinical findings and proposed procedure.

Factors that may influence the overall cost include:

  • Number and size of fibroids.
  • Location and complexity of the fibroids.
  • Type of procedure recommended.
  • Imaging investigations and laboratory tests.
  • Hospital admission and room requirements.
  • Anaesthesia and procedural requirements.
  • Medicines and post-treatment care.
  • Follow-up consultations and additional investigations.

Patients should request an individualised estimate after their medical evaluation. Choosing treatment based only on price may overlook important clinical factors.

Why consult Dr. Dheeraj Tiwari for uterine fibroid treatment?

Dr. Dheeraj Tiwari – Interventional Radiologist in Bangalore provides specialised interventional and endovascular radiology services, including uterine artery embolization.

His clinical experience in image-guided procedures is relevant for women exploring minimally invasive options for symptomatic uterine fibroids.

At Mazumdar Shaw Medical Center, patients can discuss their imaging reports, symptoms and treatment preferences to understand the available options.

During consultation, important considerations include:

  • Whether the fibroids are suitable for embolization or another treatment.
  • Whether additional investigations are required.
  • Potential benefits and complications of the proposed procedure.
  • The expected recovery period.
  • The implications of treatment for future pregnancy.
  • Long-term monitoring and follow-up requirements.

For women searching for uterine fibroid ablation treatment in Bengaluru or fibroid treatment near me, a specialist evaluation can help identify an appropriate treatment pathway rather than relying on a procedure name alone.

Frequently Asked Questions About Uterine Fibroid Treatment in Bengaluru

1. What is uterine fibroid ablation treatment?

Uterine fibroid ablation is a minimally invasive treatment approach that uses controlled energy, such as radiofrequency, to destroy fibroid tissue. The treated fibroids gradually shrink. The appropriate technique depends on the size, number and location of the fibroids.

2. Is uterine fibroid treatment possible without surgery?

Yes. Selected patients may be treated using minimally invasive procedures such as uterine artery embolization or radiofrequency ablation. Medication may also help control symptoms. The appropriate option depends on individual medical findings.

3. What is the difference between uterine artery embolization and RFA?

UAE reduces the blood supply to fibroids, causing them to shrink gradually. RFA uses controlled heat energy to destroy targeted fibroid tissue. Both are uterus-sparing approaches, but their techniques and suitability differ.

4. Is uterine fibroid ablation treatment painful?

The procedure is performed with appropriate pain management and anaesthesia or sedation, depending on the technique. Some patients may experience temporary cramps, pelvic discomfort or pain during recovery.

5. Can uterine fibroids return after treatment?

Fibroids may persist, new fibroids may develop, or symptoms may recur after treatment. The possibility of additional treatment depends on the original fibroid characteristics and the procedure performed.

6. Can I get pregnant after uterine fibroid treatment?

Pregnancy may be possible after certain uterus-preserving procedures. However, fertility outcomes differ between treatments. The effects of UAE and RFA on future pregnancy require careful counselling. Women planning pregnancy should discuss myomectomy and other suitable options with their specialists.

7. How long does recovery take after uterine artery embolization?

Many patients return to routine activities within approximately one to two weeks, although recovery varies. Fibroids generally take several months to shrink, and symptom improvement may occur gradually.

8. How much does uterine fibroid ablation treatment cost in Bengaluru?

The cost depends on the procedure, fibroid characteristics, hospital facilities, investigations and individual treatment requirements. An accurate estimate can be provided after reviewing the patient’s reports and clinical condition.

9. Where can I consult a specialist for uterine fibroid treatment near me in Bengaluru?

Women in Bengaluru can consult Dr. Dheeraj Tiwari, Interventional Radiologist, at Mazumdar Shaw Medical Center, Bommasandra. The consultation can help determine whether uterine artery embolization or another treatment approach is appropriate.

Conclusion: Explore Minimally Invasive Uterine Fibroid Treatment in Bengaluru

Uterine fibroids can affect menstrual health, physical comfort and everyday activities. However, treatment does not always require major surgery. Advances in interventional radiology and minimally invasive techniques have provided additional options for managing symptomatic fibroids.

Choosing the right uterine fibroid ablation treatment in Bengaluru requires a detailed evaluation of fibroid size, location, symptoms, reproductive plans and overall health. Radiofrequency ablation, uterine artery embolization, medication and surgery each have different indications and limitations.

Dr. Dheeraj Tiwari – Interventional Radiologist in Bangalore offers expertise in image-guided interventions, including uterine artery embolization. Patients can discuss their condition and understand the available treatment options before making a decision.

Book an Appointment with Dr. Dheeraj Tiwari

If you are experiencing heavy menstrual bleeding, pelvic discomfort or other symptoms associated with uterine fibroids, consider scheduling a specialist consultation.

Interventional Radiologist in Bangalore

Uterine Artery Embolization and Image-Guided Interventions

Hospital Address:

Mazumdar Shaw Medical Center,

258/A, Hosur Road, Bommasandra Industrial Area, Anekal, Bengaluru, Karnataka – 560099.

Appointment Contact: +91 96064 59782