Uterine Fibroids Treatment in Singapore

Dealing with uterine fibroids can significantly impact daily life, from heavy menstrual bleeding to pelvic discomfort and fertility concerns. At our gynaecology clinic in Singapore, we understand how these symptoms may affect quality of life and overall wellbeing. Uterine fibroids treatment encompasses various approaches, from conservative management to surgical intervention, each tailored to specific needs and reproductive goals. Our MOH-accredited gynaecologists provide comprehensive care, helping patients navigate treatment options with clarity and confidence.

Dr. Harvard Lin

Obstetrician & Gynaecologist

MBBS (SG) | MRCOG (UK) | MMed (OBGYN) (SG)

Overview Candidate Techniques Treatment Recovery Benefits Risks FAQ Conclusion

What is Uterine Fibroids Treatment?

Arrhythmias treatment refers to medical interventions designed to manage irregular heart rhythms (arrhythmias). These treatments aim to restore normal heart rhythm, control heart rate, prevent complications, and reduce symptoms that affect daily life. The heart’s electrical system controls its rhythm, and when this system malfunctions, it can cause the heart to beat too fast (tachycardia), too slow (bradycardia), or irregularly.

Treatment approaches vary depending on the type and severity of the arrhythmia. Options range from lifestyle modifications and medications to minimally invasive procedures and device implantation. Common arrhythmias requiring treatment include atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia, and bradyarrhythmias. The choice of treatment depends on factors such as the specific arrhythmia type, symptom severity, underlying heart conditions, and overall health status.

Modern arrhythmias treatment focuses on both immediate symptom relief and long-term management to prevent complications such as stroke, heart failure, or sudden cardiac arrest. Treatment success is measured by symptom improvement, reduced hospitalisations, and enhanced quality of life.

Who is a Suitable Candidate?

Potential Candidates

Women experiencing symptomatic fibroids affecting daily activities
Patients with heavy menstrual bleeding causing anaemia or lifestyle disruption
Those with pelvic pressure, pain, or urinary symptoms from fibroid mass effect
Women with fertility issues potentially related to fibroid location
Patients seeking alternatives to hysterectomy for fibroid management
Those with rapidly growing fibroids requiring intervention
Women who have completed childbearing and seek treatment options

Contraindications

Pregnancy (most treatments contraindicated during pregnancy)
Suspected malignancy requiring different management approach
Severe medical conditions making surgery high-risk
Active pelvic infection requiring treatment first
Certain bleeding disorders affecting surgical safety
Allergy to specific medications used in treatment

Suitability for specific fibroid treatments requires careful evaluation by a gynaecologist. Factors including fibroid characteristics, symptom severity, reproductive plans, and overall health influence treatment recommendations. A thorough assessment, including imaging studies and clinical examination, helps determine the most appropriate approach for each patient.

*Individual suitability and treatment outcomes may vary.*

Treatment Techniques & Approaches

Medical Management

Medical therapy is an approach for women with symptomatic fibroids. Hormonal medications, including GnRH agonists and selective progesterone receptor modulators, may temporarily shrink fibroids and reduce symptoms. These medications can provide relief while preserving fertility options and may prepare patients for surgical intervention.
Uterine Artery Embolisation (UAE)

This minimally invasive radiological procedure blocks blood flow to fibroids, which may cause them to shrink. Performed through a small groin incision, UAE preserves the uterus while treating multiple fibroids simultaneously. The procedure may suit women who wish to avoid surgery and have completed childbearing.
Myomectomy
Surgical removal of fibroids while preserving the uterus is a treatment option for women desiring future pregnancy. Approaches include:
- Hysteroscopic myomectomy: For submucosal fibroids accessible through the cervix
- Laparoscopic myomectomy: Minimally invasive removal through small abdominal incisions
- Open myomectomy: For large or numerous fibroids requiring direct surgical access
Hysterectomy

Complete removal of the uterus provides treatment for fibroids. Modern techniques include vaginal, laparoscopic, and robotic-assisted approaches, each offering specific advantages. This option may suit women who have completed childbearing and seek resolution of fibroid symptoms.
Technology & Equipment Used

Contemporary fibroid treatment utilises imaging guidance, including real-time ultrasound and MRI. Minimally invasive surgical equipment, energy devices for tissue sealing, and specialised hysteroscopic instruments enable treatment with reduced recovery time.

Wondering which approach might be suitable for you?

Our MOH-accredited gynaecologist will evaluate your specific needs and discuss available treatment options.

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The Treatment Process

Pre-Treatment Preparation

Before treatment, comprehensive evaluation includes pelvic examination, ultrasound imaging, and often MRI to map fibroid location and size. Blood tests assess anaemia and overall health status. For surgical procedures, pre-operative instructions cover fasting requirements, medication adjustments, and arrangements for post-procedure care. Medical therapy may be initiated to help optimise conditions before surgery.

During the Procedure

Treatment experiences vary by approach. Medical management involves regular medication administration with monitoring. Surgical procedures begin with appropriate anaesthesia – local for hysteroscopic procedures, general for laparoscopic or open surgery. The gynaecologist carefully executes the planned approach, whether removing fibroids, embolising vessels, or performing hysterectomy. Procedure duration may range from approximately 30 minutes for simple hysteroscopic myomectomy to several hours for complex cases.

*Individual treatment duration and approach may vary based on specific clinical factors.*

Immediate Post-Treatment

Following surgical intervention, recovery room monitoring aims to ensure stable vital signs and adequate pain control. Minimally invasive procedures may allow same-day discharge, whilst open surgery typically requires hospitalisation. Post-procedure care includes pain management, activity guidelines, and specific instructions based on the treatment performed. Medical therapy patients receive guidance on medication administration and symptom monitoring.

*Recovery timelines and experiences may vary by individual and treatment approach.*

Recovery & Aftercare

First 24-48 Hours: Initial recovery focuses on pain management and monitoring for complications. After surgical procedures, patients may experience moderate discomfort that can be managed with prescribed medications. Light activities like walking may help promote healing and prevent complications. Vaginal discharge or light bleeding is normal. Patients should watch for signs of infection, excessive bleeding, or severe pain requiring medical attention.
First Week: Gradual activity resumption occurs with restrictions on heavy lifting and strenuous exercise. Surgical patients attend follow-up appointments for wound checks and recovery assessment. Those on medical therapy may experience initial symptom changes as medications take effect. Dietary modifications can support healing and prevent constipation. Patients may return to desk work, though timing varies by individual and procedure type.
Long-term Recovery: Complete healing varies by treatment type. Recovery timelines differ based on the specific procedure and individual factors. Medical therapy effects may develop over time with regular monitoring. Long-term follow-up includes imaging studies to assess treatment effectiveness and monitor for fibroid recurrence. Fertility considerations guide timing for conception attempts after myomectomy.

*Individual results and timelines may vary.*

Our gynaecologist provides comprehensive post-procedure support.

Schedule your consultation to learn more about what to expect.

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Benefits of Uterine Fibroids Treatment

Fibroid treatment may help improve quality of life through symptom management. Heavy menstrual bleeding reduction can help prevent anaemia and may reduce lifestyle disruptions. Relief from pelvic pressure and pain aims to restore comfort and support normal activities. Urinary symptoms improvement may help reduce frequent bathroom visits and urgency.

For women seeking pregnancy, myomectomy may help enhance fertility by removing fibroids that distort the uterine cavity or block fallopian tubes. Treatment can help restore regular menstrual cycles and may reduce pregnancy complications associated with fibroids. Some patients report improved energy levels, better sleep quality, and enhanced intimate relationships following treatment.

*Individual results and timelines may vary.*

The psychological benefits may include reduced anxiety about symptoms and potential complications. Women may regain control over their schedules without planning around heavy bleeding episodes. Treatment success can motivate positive lifestyle changes and renewed focus on overall health.

*This treatment is administered as part of a comprehensive plan supervised by a healthcare professional.*

Risks & Potential Complications

Common Side Effects

Surgical procedures carry typical risks including temporary pain, fatigue, and minor wound healing issues. Medical therapy may cause menopausal symptoms like hot flashes, mood changes, and vaginal dryness during treatment. Post-embolisation syndrome after UAE includes cramping, low-grade fever, and nausea lasting several days. Side effects may resolve with supportive care and time.

Rare Complications

Serious complications remain uncommon. Surgical risks include bleeding requiring transfusion, organ injury, and infection. UAE rarely causes premature ovarian failure or uterine damage. Fibroid recurrence may affect patients over time, potentially requiring additional treatment. Adhesion formation after myomectomy may impact fertility.

Risk minimisation occurs through careful patient selection, meticulous surgical technique, and appropriate post-operative care. MOH-accredited gynaecologists discuss individual risk factors and prevention strategies during consultation.

*Individual results and timelines may vary.*

Cost Considerations

Uterine fibroid treatment costs vary significantly based on the chosen approach and case complexity. Factors influencing pricing include procedure type, surgical time, hospitalisation duration, and anaesthesia requirements. Medical therapy costs accumulate over treatment duration, while surgical options represent single interventions with defined expenses.

Treatment packages typically include surgeon fees, facility charges, anaesthesia services, and basic follow-up care. Additional costs may include pre-operative imaging, specialised equipment use, and extended hospitalisation for complex cases. Care from MOH-accredited gynaecologists may represent greater initial investment, though professional treatment aims to reduce long-term costs through appropriate care and management.

*Individual treatment plans and associated costs vary based on medical assessment and patient needs.*

Frequently Asked Questions (FAQ)

How do I choose between different fibroid treatment options?

Treatment selection depends on fibroid size, location, symptom severity, and fertility desires. Your age, overall health, and personal preferences also guide decisions. During consultation, your gynaecologist reviews all suitable options, explaining advantages and limitations of each approach. Medical management may be tried first, with procedural interventions considered if needed. The decision balances symptom relief goals with preservation of reproductive options.

*Individual results and treatment outcomes may vary.*

Can fibroids return after treatment?

Fibroid recurrence remains possible after any uterus-preserving treatment. Recurrence varies by treatment type, with medical therapy showing symptom return after discontinuation and surgical removal demonstrating the possibility of recurrence over time. Younger women may face higher recurrence risk due to continued oestrogen exposure. Regular monitoring helps detect new fibroid growth early. Hysterectomy eliminates recurrence risk but removes fertility options.

*Individual outcomes may vary.*

How long before I can try to conceive after myomectomy?

Conception timing after myomectomy depends on surgical approach and healing progress. Hysteroscopic myomectomy for small submucosal fibroids may allow conception attempts after a healing period. Laparoscopic or open myomectomy typically requires adequate healing time before pregnancy attempts. Your surgeon provides specific guidance based on surgical findings and recovery. Pre-conception counselling helps address timing and any fertility concerns.

*Healing timelines may vary by individual.*

Will fibroid treatment affect my hormones or cause early menopause?

Most fibroid treatments aim to preserve normal hormonal function. Myomectomy removes only fibroids, leaving ovaries intact. UAE may have varying effects on ovarian function depending on individual factors. Certain medications temporarily suppress hormones but normal function may return after discontinuation. Only hysterectomy with ovary removal causes surgical menopause. Your gynaecologist discusses hormonal implications of each treatment option during consultation.

*Individual responses to treatment may vary.*

What size fibroid requires treatment?

Fibroid size alone doesn’t determine treatment necessity. Small fibroids causing symptoms may warrant intervention, while large asymptomatic fibroids may only require monitoring. Location proves equally important – small submucosal fibroids often cause heavy bleeding, while large subserosal fibroids may remain asymptomatic. Treatment decisions consider symptom impact, growth rate, and effect on surrounding organs rather than size measurements alone.

How effective is non-surgical fibroid treatment?

Non-surgical approaches can provide symptom relief for appropriate candidates. Medical therapy may help control symptoms in suitable women during treatment. UAE can provide symptom improvement for selected patients. Effectiveness depends on careful patient selection, realistic expectations, and ongoing monitoring. While non-surgical options may not eliminate fibroids completely, they may provide symptom relief while preserving the uterus.

*Individual results and treatment outcomes may vary.*

Conclusion

Uterine fibroids treatment in Singapore offers multiple pathways to symptom management and may help improve quality of life. Whether through medical management, minimally invasive procedures, or surgical intervention, various treatment options exist for women at every life stage. The approach involves personalised treatment planning that considers your unique circumstances, symptoms, and future goals. With proper evaluation and experienced care, many women may find relief from fibroid-related symptoms and regain control over their health and daily activities.

*Individual results and treatment outcomes may vary.*

Ready to Take
the Next Step?

If you’re considering uterine fibroids treatment, our MOH-accredited gynaecologist can help you understand if it’s a suitable option for your needs. With experience in fibroid management, we provide personalised care throughout your journey.

Book Your Consultation Today

Dr. Harvard Lin

Obstetrician & Gynaecologist

MBBS (SG)|MRCOG (UK)|MMed (OBGYN) (SG)

Dr. Lin has a clinical focus on female pelvic medicine and reconstructive surgery, encompassing the management of urinary incontinence, overactive bladder, and prolapse.

Dr. Lin completed his medical training at the National University of Singapore and obtained advanced certifications in Obstetrics and Gynaecology. He is a Member of the Royal College of Obstetricians and Gynaecologists in the UK.
Dr. Lin serves as a clinical tutor at NUS and contributes to laparoscopic and pelvic floor workshops. His research includes stem cell therapy, synthetic meshes, and translational medicine, with publications in peer-reviewed journals and textbooks.

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