Fibroid Specialist in Singapore

• Women experiencing heavy or prolonged menstrual bleeding that affects daily activities
• Those with pelvic discomfort, pressure, or fullness not relieved by standard treatments
• Patients with frequent urination or difficulty emptying the bladder
• Women experiencing constipation or bloating potentially related to fibroid pressure
• Those with fertility concerns where fibroids may be a contributing factor
• Patients with rapidly growing fibroids identified during routine examinations
• Women seeking a second opinion about fibroid treatment options
• Those interested in fertility-preserving management approached

• Severe anaemia from heavy menstrual bleeding
• Acute pelvic pain suggesting possible fibroid degeneration
• Difficulty lying flat due to abdominal distension
• Significant impact on work or daily activities
• Planning pregnancy with known fibroids
• Fibroids detected during pregnancy that may require specialised care

Determining whether specialist care is appropriate requires professional evaluation. Our healthcare team can conduct thorough assessments to understand your individual situation and discuss suitable management options.

Medical therapy offers non-invasive symptom control for women with fibroids. Hormonal medications like GnRH agonists may temporarily reduce fibroid size and bleeding. Tranexamic acid can help manage heavy menstrual bleeding without affecting fibroid size. The levonorgestrel intrauterine system may provide bleeding control while offering contraception. Selective progesterone receptor modulators represent newer options that may help reduce fibroid size before surgery in some cases.

• Hysteroscopic Myomectomy: For fibroids protruding into the uterine cavity (submucosal fibroids), hysteroscopic removal is a uterus-preserving outpatient procedure. A thin telescope is inserted through the cervix to remove fibroids, with recovery and outcomes varying by individual.
• Laparoscopic Myomectomy: Intramural and subserosal fibroids can often be removed through small keyhole incisions. This approach may support shorter recovery times compared to open surgery while aiming to preserve fertility potential.
• Uterine Artery Embolisation (UAE): Performed in collaboration with interventional radiologists, this non-surgical option blocks blood flow to fibroids, which may cause them to shrink. The UAE may be suitable for women seeking uterus preservation without surgery.

• Abdominal Myomectomy: For large, multiple, or deeply embedded fibroids, open myomectomy may be considered. Despite requiring a larger incision, this approach allows comprehensive fibroid removal while preserving the uterus for future pregnancy.
• Hysterectomy: When fertility preservation isn’t needed, and symptoms are severe, a hysterectomy can provide definitive treatment. Options include total hysterectomy, subtotal hysterectomy, and various surgical approaches based on individual circumstances.

Treatment suitability and outcomes vary depending on fibroid characteristics, anatomy, and patient factors. Decisions regarding medical, minimally invasive, or surgical approaches are made as part of a personalised plan under the guidance of a healthcare professional.

Women receiving medical therapy require regular monitoring to assess treatment effectiveness and manage potential side effects. Symptom diaries help track changes, while blood tests monitor for improvement in anaemia in those with heavy bleeding. Ultrasound scans can assess changes in fibroid size when relevant.

• Hysteroscopic Procedures: Recovery is generally quick, with many women returning to routine activities within a few days. Light spotting and mild cramping are common. Sexual activity and tampon use may be restricted for a period, as advised by our healthcare provider.
• Laparoscopic Surgery: Recovery may take several weeks, with gradual resumption of activities. Initial days typically involve rest and pain management. Many women may return to work within a timeframe recommended by our healthcare provider.
• Open Surgery: Recovery may extend over several weeks, with the first week requiring significant rest. Gradual increases in mobility support healing. Driving and exercise should resume only when you are comfortable and have been cleared by your healthcare provider. Full recovery timelines vary depending on procedure type, personal health factors, and individual healing response.

Hormonal therapies may cause temporary menopausal-type symptoms like hot flashes and vaginal dryness. Some medications aren’t suitable for long-term use due to potential effects on bone density. Fibroids may regrow after stopping certain medications, necessitating ongoing management decisions.

All surgical procedures carry inherent risks, including bleeding, infection, and anaesthesia reactions. Myomectomy specifically may involve risks such as excessive bleeding (occasionally requiring further intervention), scar tissue formation affecting fertility, and fibroid recurrence. Pregnancy following myomectomy requires close monitoring due to considerations related to uterine scars.

Our Gynaecologist takes measures to minimise risks through careful patient selection, surgical planning, and post-operative care. Individual risk factors are discussed during consultation to support informed decision-making about treatment options.