Dr Mohamed Otify, Consultant Gynaecologist and Gynaecological Oncologist, provides expert assessment and minimally invasive surgical treatment for fibroids and other uterine conditions.
 

Whether you are experiencing heavy bleeding, pelvic pressure, or fertility concerns, tailored treatment can restore your comfort and quality of life.

Uterine fibroids are non-cancerous growths that develop within or on the wall of the womb (uterus).
They vary in size and number — from small, symptom-free nodules to large fibroids that cause significant discomfort.

Fibroids are very common, affecting up to 80% of women during their lifetime. Many are harmless and require only observation, but others can cause symptoms that interfere with daily life.

While some fibroids cause no symptoms, others may lead to:

• Heavy or prolonged periods
   
• Bleeding between periods
   
• Pelvic pain or pressure
   
• Abdominal bloating or swelling
   
• Frequent urination or difficulty emptying the bladder
   
• Pain during intercourse
   
• Constipation or back pain
   

Symptoms often improve naturally after menopause, but if they impact your quality of life, assessment is recommended.

Fibroids are almost always benign.
Cancerous transformation is very rare — occurring in fewer than 1 in 350 cases.
Rapid growth, especially after menopause, should be evaluated promptly, but most fibroids remain noncancerous throughout life.

Fibroids are often detected during routine pelvic exams or investigations for heavy bleeding.
To confirm their presence, size, and position, the following tests may be used:

• Ultrasound scan (transvaginal or abdominal)
   
• MRI for detailed imaging and surgical planning
   
• Hysteroscopy (camera inside the womb)
   
• Laparoscopy (keyhole view of the pelvis)
   

These investigations help guide the most appropriate management plan for you.

Treatment depends on fibroid size, location, and symptoms — and whether you wish to preserve fertility.

• Pain relief and iron supplements for anaemia
   
• Hormonal therapy (pills, injections, or intrauterine devices) to control bleeding
   
• GnRH analogues to temporarily shrink fibroids before surgery
   
• New oral therapies for heavy bleeding in premenopausal women
   

These treatments can relieve symptoms but do not permanently remove fibroids.

For symptomatic or large fibroids, surgery may be advised. Options include:

• Myomectomy – Removal of fibroids while preserving the uterus.
  This can be performed via hysteroscopic, laparoscopic, or robotic-assisted approaches depending on fibroid location and size.
   
• Hysterectomy – Complete removal of the uterus for definitive treatment, recommended for severe or recurrent cases in women who have completed their family.
  Whenever appropriate, this is performed minimally invasively (laparoscopic or robotic) to ensure faster recovery and minimal scarring.
   
• Uterine Artery Embolisation (UAE) – A procedure performed by an interventional radiologist, where small particles are injected into the uterine arteries to block blood flow to the fibroids, causing them to shrink.
   

Each approach is tailored to your individual needs, comfort, and fertility plans.

Most women experience substantial relief from symptoms after treatment.
With minimally invasive surgery and careful follow-up, recovery is quick and recurrence risk is low.

If you are experiencing heavy bleeding, pelvic discomfort, or fertility problems related to fibroids, book a private consultation with Dr Mohamed Otify for advanced diagnosis and treatment options.