Doctors at Paras Bliss Hospital, Panchkula- Specialised Mother & Child Care Centre – successfully treated a woman for infertility by performing a surgery to remove her fibroids hampering her pregnancy. The cutting-edge surgery – Hysterscopy Myomectomy – included the removal of the diseased tissues in the uterus only and did not hamper the fertility or ability of the patient to conceive in the future. Usha Devi, a resident of Panchkula was successfully treated by Dr. Shilva, Sr Consultant Obstetrics and Gynecology at Paras Bliss Panchkula.
Usha came to consult Dr. Shilva complaining about infertility – inability to conceive. She also reported excessive bleeding during her periods and bleeding in between her cycles. She shared excessive pain during her menses. Dr. Shilva after accessing the patient requested for an ultrasound, which revealed a 3.8mm X 2.4m submucosal fibroid in her uterus. Further tests and diagnosis confirmed that the fibroid was the real cause of infertility.
According to Dr. Shilva, Sr Consultant Obstetrics and Gynecology at Paras Bliss Panchkula, “Uterine Fibroids is quite common today and is detected in more than 1 million women in India annually. The real cause of fibroid is still unknown however it can be treated through medication or surgical intervention. Fibroids can develop in women at any age and can be responsible for infertility and other health issues such as – heavy menstrual bleeding, prolonged periods and pelvic pain. Fibroids are basically benign (that is, non-cancerous) tumors of the uterus and fibroids that grow just under the uterine lining are in majority cases responsible for infertility. However, the right medical treatment can treat the patients.”
Dr. Shilva also states, “In majority cases when women are detected with fibroids at a later age, post-menopause, we can opt for hysterectomy or removal of the uterus to relieve the symptoms. However, if the patients want to bear children, opt for further pregnancy, the uterus needs to be retained. In such cases, a Hysteroscopic Myomectomy is suggested.”
Usha Devi wanted to get pregnant and Dr. Shilva and her team decided to opt for Hysteroscopic Myomectomy. This is a surgical technique used to remove fibroids without taking out healthy tissue of the uterus. It is best for females who wish to have children after surgery or who wish to keep their uterus for other reasons. Myomectomy has traditionally been performed through abdominal incision however with advances in technology, it is now possible through less invasive alternatives such as hysteroscopic and laparoscopic myomectomy. In Hysteroscopic Myomectomy –a long thin scope with light is passed through the vagina and cervix into the uterus. Submucosal fibroids are easily visualized and they can be resected using a wire loop or resectoscope.
Usha was prepped for the laparoscopic surgery and was counseled on the fact that the treatment would not just help in relieving the pain and improving her quality of life, but would also help her fertility issues.
Dr. Shilva shares, “Submucosal fibroids that change the shape of the uterine cavity and decrease pregnancy rates by 70% and after removal of these fibroids patients have shown an increase in pregnancy rates by 70%. Selection of patients for whom hysteroscopic removal of fibroids is appropriate is very important in obtaining good results. Factors to consider are size, a number of fibroids, location and percentage of fibroids in the wall or uterus. Usha’s case was absolutely appropriate for Hysteroscopic Myomectomy and benefitted her greatly.”
Usha was discharged from the hospital after 4 days of surgery and today she is fit and ready for her life ahead. She shares, “After 7 yrs of marriage, I have got closure. The treatment has given me the confidence to move ahead and plan my life. It is not a second chance but the best chance that I have got. Despite consulting numerous doctors and fertility experts, I could not get answers. Dr. Shilva diagnosed my issue, treated me with care and gave me the compassion that I needed. I shall forever be indebted to her and the team at Paras Bliss.”