Basic women's health check-up where complaints are listened to, examination is performed, and evaluation with ultrasound is done if necessary.
General Gynecology About 30 minutes
Fibroid Treatment and Follow-up
Monitoring of benign muscle masses in the uterus, planning medication or surgical treatment according to symptoms.
About Fibroid Treatment and Follow-up
Fibroids are masses originating from the uterine muscle, commonly seen and mostly benign. In many women, they cause no symptoms and can be monitored with regular ultrasound examinations alone. Treatment is considered if there is heavy menstrual bleeding, anemia, pelvic pain, frequent urination, or difficulty conceiving. The approach depends on the number, size, and location of the fibroids within the uterus, as well as the patient's age and desire for fertility, ranging from medication to hysteroscopic or laparoscopic surgery. The decision is made together, taking into account how much the symptoms affect daily life.
What is a Fibroid?
Fibroids are masses that develop in the uterine wall and are mostly benign. They are common in women of reproductive age and are influenced by hormones, especially estrogen. Whether a fibroid causes symptoms depends on its size, number, and location within the uterus. Some women may have small fibroids that go unnoticed for years, while others may experience large fibroids that cause symptoms interfering with daily life.
What Are the Symptoms of Fibroids?
Symptoms vary depending on the size, number, and location of the mass. The most common symptoms include:
- Painful and heavy menstrual bleeding: fibroids pressing on the inner surface of the uterus can increase pain and bleeding during menstruation.
- Pressure and fullness in the lower abdomen: growing fibroids can create pressure in the abdominal area, sometimes turning into prolonged abdominal pain.
- Frequent urination: fibroids located near the bladder can increase the need to urinate.
- Constipation: fibroids pressing on the intestines can cause digestive complaints.
- Difficulty conceiving: depending on their location and size, some fibroids may contribute to infertility issues.
How is a Fibroid Diagnosed?
Evaluation begins with a gynecological examination; during the exam, the size of the uterus and any abnormalities are assessed. Imaging methods are used to clarify the location and size of the fibroid:
- Ultrasound: the most commonly used method to show the presence, size, and location of fibroids.
- Magnetic Resonance Imaging (MRI): provides more detailed images and helps clearly identify the fibroid's position within the uterus.
- Hysteroscopy: allows direct visualization of the inside of the uterus and is usually planned alongside other examinations.
Why Do Fibroids Develop?
The exact mechanism by which fibroids develop is not fully known. However, some factors thought to play a role include:
- Hormone-containing medications such as birth control pills used irregularly without medical supervision,
- Excess weight and obesity,
- Hormonal imbalances that may occur during menopause.
Understanding the extent to which these factors affect your situation is only possible through a detailed examination.
Monitoring and Treatment Approach
Not all fibroids follow the same course; therefore, decisions are made by looking at the overall picture rather than a single criterion. The size, number, and location of the fibroid, how much the symptoms affect daily life, your age, and pregnancy plans are all evaluated together. For fibroids that do not cause symptoms, regular monitoring with ultrasound at intervals may be sufficient; when bleeding and pressure symptoms become significant, treatment options are considered. During the examination, the recommended option, its expected benefits, and possible risks are explained in simple terms, and the decision is made together.
When Should You Seek Medical Attention?
A significant increase in menstrual bleeding, progressively worsening pain during periods, a feeling of fullness or pressure in the abdomen, frequent urination, and persistent constipation are sufficient reasons for evaluation. Since prolonged heavy bleeding can lead to anemia, this condition should not be considered normal or something to get used to. It is also beneficial for individuals who have been diagnosed with fibroids and are planning pregnancy to review their current condition before attempting to conceive. Bringing your previous ultrasound reports, a list of medications you are taking, and your last menstrual period date to the examination will facilitate the evaluation.
The information on this page is prepared for general informational purposes and does not replace a medical examination. Please consult a physician for your complaints.
How It Works
The Process
The steps below describe how things generally work at the clinic. Which tests are needed and how the plan is set varies from person to person.
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Step 1
Initial consultation and assessment
We review your complaints, medical history and any previous tests together. The examination is planned after this conversation.
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Step 2
Necessary tests
If an ultrasound, lab work or other examination is needed, we clearly explain which one and why.
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Step 3
Personalized plan
Findings are interpreted together; options, expected duration and any alternatives are shared with you. The decision is made jointly.
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Step 4
Follow-up
A check-up is scheduled to see how things are progressing. If you have questions in between, you can reach the clinic.
General Gynecology
Related services
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Investigation of the causes of delayed, frequent, prolonged, or mid-cycle bleeding.
Diagnosis and follow-up for PCOS, which may present with menstrual irregularity, hirsutism, and difficulty conceiving.
Determining the cause and planning appropriate treatment for complaints of discharge, itching, bad odor, and burning.
A consultation in which the most suitable contraception method is determined together with the patient, and the benefits and limitations of the methods are explained.
Insertion, monitoring, and removal when necessary of copper or hormonal intrauterine devices (IUDs) in suitable patients.
Your Doctor
Op. Dr. Abdulkadir Güllüce
Obstetrics and Gynecology Specialist
Op. Dr. Abdulkadir Güllüce has been practicing medicine since 2013 and has specialized in Obstetrics and Gynecology since 2022. He bases his practice on current scientific guidelines in areas ranging from pregnancy follow-up to gynecological surgery, tailoring the treatment plan according to each patient's individual history. He sees his patients at his clinic in Yakuplu, Beylikdüzü, and makes a point of explaining every step of the process in clear, understandable language.
Book Fibroid Treatment and Follow-up
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The information on this page is for general purposes; it does not replace an examination, diagnosis or treatment and does not promise any outcome. Whether it applies to you is assessed together with your history and examination findings. If you experience severe pain, heavy bleeding, fever or fainting, go to the nearest healthcare facility without delay.