Gynecological Conditions

Uterine Fibroids

Uterine fibroids (leiomyomas) are non-cancerous growths in the uterus that commonly occur during childbearing years. Dr. Rashmi Bastakoti, Nepal's most experienced gynecologist with 25+ years of expertise, specializes in advanced fibroid treatment at GyneNepal, Kathmandu. Affecting 70-80% of women by age 50, fibroids vary in size from seedlings to large masses that can distort the uterus. Dr. Rashmi has successfully treated over 2,500 fibroid cases using both medical management and minimally invasive laparoscopic surgery. Her expertise includes myomectomy (fibroid removal preserving fertility), hysterectomy, and uterine artery embolization. Comprehensive ultrasound assessment and personalized treatment plans ensure optimal outcomes. Serving Kathmandu, Lalitpur, Bhaktapur with international-standard fibroid care.

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AI Executive Summary

Quick Overview: Uterine Fibroids

Uterine Fibroids is a gynecological conditions that affects many patients in Kathmandu. Uterine fibroids (leiomyomas) are non-cancerous growths in the uterus that commonly occur during childbearing years. Dr. Rashmi Bastakoti, Nepal's most experienced gynecologist with 25+ years of expertise, specializes in advanced fibroid treatment at GyneNepal, Kathmandu. Affecting 70-80% of women by age 50, fibroids vary in size from seedlings to large masses that can distort the uterus. Dr. Rashmi has successfully treated over 2,500 fibroid cases using both medical management and minimally invasive laparoscopic surgery. Her expertise includes myomectomy (fibroid removal preserving fertility), hysterectomy, and uterine artery embolization. Comprehensive ultrasound assessment and personalized treatment plans ensure optimal outcomes. Serving Kathmandu, Lalitpur, Bhaktapur with international-standard fibroid care. At GyneNepal, Dr. Rashmi Bastakoti provides expert diagnosis and treatment for Uterine Fibroids using evidence-based approaches and modern medical technology.

•Expert treatment for Uterine Fibroids by Dr. Rashmi Bastakoti in Kathmandu

•Comprehensive gynecological conditions care with modern facilities

•Common symptoms include Heavy menstrual bleeding (menorrhagia) with clots, Prolonged periods lasting >7 days, Pelvic pressure and fullness

•Treatment options include Watchful waiting for small, asymptomatic fibroids, Medications: GnRH agonists (Lupron) to shrink fibroids, Tranexamic acid for heavy bleeding

•Book a consultation at GyneNepal for personalized uterine fibroids treatment

Warning Signs & Symptoms

⚠️Heavy menstrual bleeding (menorrhagia) with clots

⚠️Prolonged periods lasting >7 days

⚠️Pelvic pressure and fullness

⚠️Frequent urination and bladder pressure

⚠️Difficulty emptying bladder

⚠️Constipation and rectal pressure

⚠️Backache and leg pains

⚠️Pain during intercourse (dyspareunia)

⚠️Abdominal swelling and bloating

⚠️Infertility and recurrent miscarriage

⚠️Anemia from blood loss

Common Causes

🔍Genetic mutations in uterine muscle cells

🔍Hormonal factors (estrogen and progesterone)

🔍Growth factors (insulin-like growth factor)

🔍Extracellular matrix changes

🔍Family history and genetic predisposition

🔍Obesity and high BMI

🔍Early menarche

🔍Nulliparity (never pregnant)

🔍African ancestry (higher risk)

🔍Diet high in red meat

Diagnostic Tests

✓Pelvic examination (enlarged, irregular uterus)

✓Transvaginal ultrasound (gold standard imaging)

✓Abdominal ultrasound for large fibroids

✓MRI for detailed mapping before surgery

✓Hysteroscopy (visualize inside uterus)

✓Sonohysterography (saline-infused ultrasound)

✓Complete blood count (check for anemia)

✓Endometrial biopsy (rule out cancer)

Treatment Options

💊Watchful waiting for small, asymptomatic fibroids

💊Medications: GnRH agonists (Lupron) to shrink fibroids

💊Tranexamic acid for heavy bleeding

💊Hormonal IUD (Mirena) to reduce bleeding

💊Laparoscopic myomectomy (minimally invasive fibroid removal)

💊Hysteroscopic myomectomy for submucosal fibroids

💊Uterine artery embolization (UAE)

💊MRI-guided focused ultrasound surgery

💊Hysterectomy for severe cases

💊Iron supplementation for anemia

Recommended Specialist

Dr Rashmi Bastakoti

MBBS, MD (Obs & Gyne), Fellowship in Reproductive Medicine (Nepal)

25 years

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Contact Information

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Location

Dillibazar Pipalbot, Kathmandu

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Hours

Mon-Sat: 8 AM - 6 PM

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