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Pelvic Pain & Fibroids

Advanced diagnostic imaging and minimally invasive treatment for chronic pelvic pain and fibroids.

Same Day

Appointments

GMC

Registered

Expert

Consultants

5000+

Patients Treated

Overview

Chronic pelvic pain and fibroids can significantly impact your quality of life. Our team of specialists uses state-of-the-art diagnostic technology to identify the root cause of your pain and develop personalized treatment plans. We offer both conservative and surgical management options, with a focus on minimally invasive techniques that reduce recovery time and preserve fertility when desired.

When to Seek Help

You should consider consulting us if you experience any of these symptoms:

Chronic or intermittent pelvic pain lasting more than 6 months

Heavy or prolonged menstrual bleeding

Pressure or fullness in the lower abdomen

Frequent urination or difficulty emptying bladder

Pain during intercourse (dyspareunia)

Lower back pain or leg pain

Constipation or painful bowel movements

Enlarged abdomen or visible mass

Comprehensive Investigation

1

Detailed clinical history and pain mapping

2

Physical examination including bimanual pelvic exam

3

Transvaginal and transabdominal ultrasound

4

3D/4D ultrasound for detailed fibroid assessment

5

MRI scanning for complex cases or surgical planning

6

Diagnostic laparoscopy if endometriosis suspected

7

Blood tests including CA125 if indicated

Treatment Pathways

We provide individualized treatment plans based on your symptoms, fibroid characteristics, and fertility wishes:

1

Medication Therapy

GnRH analogues, ulipristal acetate, hormonal contraceptives, pain management medications

2

Uterine Artery Embolization (UAE)

Non-surgical procedure that blocks blood supply to fibroids, causing them to shrink

3

Radiofrequency Ablation (RFA)

Minimally invasive procedure using heat energy to destroy fibroid tissue while preserving healthy uterine tissue

4

HIFU (High-Intensity Focused Ultrasound)

Non-invasive treatment using focused ultrasound waves to heat and destroy fibroid tissue without incisions

5

Myomectomy

Surgical removal of fibroids while preserving the uterus - ideal for women wanting to maintain fertility

6

Endometrial Ablation

Minimally invasive procedure to reduce heavy bleeding for those who've completed their family

7

Hysterectomy

Definitive treatment via laparoscopic or vaginal approach with faster recovery than traditional surgery

8

Pain Management

Multidisciplinary approach including physiotherapy, acupuncture, and psychological support

Why Choose GyneClinics?

Subspecialist expertise in advanced laparoscopic and hysteroscopic surgery

Access to latest imaging technology for accurate diagnosis

Fertility-sparing surgery options with expert reproductive medicine colleagues

Multidisciplinary pain management team

Clinical trials access for novel treatments

Quick diagnosis in our one-stop clinic

Frequently Asked Questions

Common questions about pelvic pain & fibroids

Q:What causes fibroids?

The exact cause of fibroids is unknown, but they're influenced by hormones (particularly estrogen and progesterone) and genetics. They're very common, affecting up to 70% of women by age 50, and are more prevalent in women of African-Caribbean descent.

Q:Do all fibroids need treatment?

No, many fibroids are small and cause no symptoms. Treatment is only necessary when fibroids cause problems such as heavy bleeding, pain, pressure symptoms, or fertility issues. We'll help you decide if and when treatment is needed.

Q:Can fibroids come back after treatment?

After myomectomy (fibroid removal), new fibroids can develop in about 15-30% of women over 5 years. Uterine artery embolization and medical treatments can also see recurrence. Hysterectomy is the only definitive cure as it removes the uterus entirely.

Q:Will fibroids affect my ability to get pregnant?

Most fibroids don't affect fertility, but those that distort the uterine cavity (submucosal fibroids) can interfere with implantation or increase miscarriage risk. We can assess this with specialized scans and discuss fertility-preserving treatment options if needed.

Ready to Address Your Pelvic Pain & Fibroids Concerns?

Book a confidential consultation with our expert gynaecology specialists today. We're here to support you every step of the way.