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Fibroids- Is there a cure?

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Q. My friend was diagnosed with fibroids. Are they treatable and will it have to involve surgery?

Expert answer by Dr Kigondu Simon. Dr Kigondu has practiced medicine for 20 years, 13 of which he has been an Obstetrician -Gynaecologist. He currently practices at Excella Healthcare, Upperhill Mara, Nairobi.

Uterine fibroids (leiomyomas or myomas) are muscular tumors that can grow on a uterus. Fibroids can vary in size, shape and location. They can be on the uterine wall or on its surface or can attach to the uterus by a stalk.

There’s no single best approach to uterine fibroid treatment — many treatment options exist. The treatment approaches to fibroids are determined by symptoms and availability of the treatment modalities.

If the fibroids are just incidental findings on ultrasound and are not causing problems, then no treatment is needed. The approach is a wait and see. The options of treatment are treatment of symptoms (symptom relief) or definitive treatment of the fibroids by removal of the fibroids or of the uterus. It is reported that they may shrink once menopause sets in due to decrease in reproductive hormones.

Source: Daye

Medications
Gonadotropin-releasing hormone (GnRH) agonists
Medications do not eliminate fibroids. The medicines target hormones that regulate the menstrual cycle and therefore treat fibroid symptoms like heavy menstrual bleeding and pelvic pressure. Gonadotropin-releasing hormone (GnRH) agonists block the production of estrogen and progesterone. They give a temporary menopause-like state. The fibroids may shrink, and anemia often improves. GnRH agonists include leuprolide, goserelin and triptorelin. Significant hot flashes are a side effect. GnRH agonists are used normally used for a short time. The symptoms return when the medication is stopped. Over the long-term they can cause loss of bone. GnRH agonist are used to shrink the size of your fibroids before a planned surgery or to help transition to menopause.

Progestin-releasing intrauterine device (IUD)
A progestin-releasing IUD can relieve heavy bleeding caused by fibroids.  It  does not shrink fibroids or make them disappear, but it will also serve to prevent pregnancy.

Tranexamic acid
This is taken to ease heavy menstrual periods. It is taken only on heavy bleeding days.

Other medications
Oral contraceptives don’t reduce fibroid size but can help control menstrual bleeding.
Nonsteroidal anti-inflammatory drugs (NSAIDs) don’t reduce bleeding caused by fibroids but may relieve pain related to fibroids.

Vitamins and iron can also be used as supplement due to heavy menstrual bleeding and anemia.

Noninvasive procedure
Focused ultrasound surgery
MRI-guided focused ultrasound surgery (FUS) is a noninvasive treatment option that preserves your uterus. It requires no incision and is done on an outpatient basis.

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Minimally invasive procedures
Uterine artery embolization

Laparoscopic radiofrequency ablation

Certain procedures can destroy uterine fibroids without actually removing them through surgery. They include:

Uterine artery embolization.

Small particles (embolic agents) are injected into the uterine arteries supplying the uterus, cutting off blood flow to fibroids, causing them to shrink and die. Embolization is effective in shrinking fibroids and relieving the symptoms they cause. Complications may occur if the blood supply to your ovaries or other organs is compromised.

Radiofrequency ablation

Radiofrequency energy destroys uterine fibroids and shrinks the blood vessels that feed them. This can be done during a laparoscopic or transcervical procedure. A similar procedure called cryomyolysis freezes the fibroids.

Laparoscopic or robotic myomectomy. In a myomectomy, your surgeon removes the fibroids, leaving the uterus in place.

Hysteroscopic myomectomy. This is used for fibroids are contained inside the uterus (submucosal). Accesses and removal of fibroids is done using instruments inserted through the vagina and cervix into the uterus.

Endometrial ablation. A specialized instrument inserted into the uterus, uses heat, microwave energy, hot water or electric current to destroy the lining of your uterus, either ending menstruation or reducing menstrual flow.

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Traditional surgical procedures
Surgical procedures include:
Abdominal myomectomy.  An open abdominal surgical procedure is used to remove the fibroids. It is used where there are multiple fibroids, very large fibroids or very deep fibroids and where the lady has not reached desired family size.

Hysterectomy  The removal of the uterus — remains the only proven permanent solution for uterine fibroids. But hysterectomy is major surgery. Hysterectomy ends ability to bear children.

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

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