Pilehvari, an obstetrician-gynecologist and faculty member at the university, provided explanations about the impact of uterine fibroids on women's fertility and health. She emphasized that depending on the location of the fibroids, these masses can affect fertility, the likelihood of miscarriage, and pregnancy outcomes. Additionally, abnormal bleeding caused by fibroids, if persistent and not properly addressed, may lead to anemia and its associated complications.
The Necessity of Medical Evaluation
Pilehvari pointed out the necessity of examining uterine fibroids in individuals with clinical symptoms, stating that the presence of fibroids, regardless of size or number, requires medical evaluation and the selection of an appropriate treatment method based on the patient's condition if symptoms arise. She added that in cases where fibroids are asymptomatic but significant changes in size are observed, further investigations and more detailed evaluations are necessary.
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Treatment Methods for Uterine Fibroids
Pilehvari explained the treatment methods for uterine fibroids: "The choice of treatment method depends on various factors including the size and location of the mass, the severity of symptoms, fertility status, and the general condition of the patient." Treatments may include medical, hormonal, and surgical interventions. Medical and hormonal treatments, especially in some individuals with abnormal uterine bleeding, are used to control symptoms.
She continued: In patients facing fertility-related health issues, including infertility or a history of recurrent miscarriage, surgical treatment may be considered based on clinical conditions. Additionally, uterine artery embolization is another treatment method that can help gradually reduce fibroids by decreasing blood supply to them. The choice of this method should also be made considering the patient's condition and her fertility goals.
Pilehvari also referred to factors influencing the development of uterine fibroids, stating: "The growth of these masses can be affected by sex hormones, but this does not mean that hormones alone have a direct and definitive role in the formation of fibroids. Genetic factors, family history, early onset of menstruation, obesity, lifestyle, certain dietary habits, diabetes, and high blood pressure have also been identified in studies as factors associated with the occurrence of uterine fibroids."
In conclusion, Pilehvari noted that since uterine fibroids are asymptomatic in some women, their diagnosis and follow-up should be based on individual conditions and medical evaluations. Consulting a gynecologist in cases of abnormal bleeding, pelvic pain or pressure, and fertility issues helps in timely diagnosis and the selection of appropriate treatment methods.
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