Fibroids are benign tumors that grow in the uterus and are quite common among women of reproductive age. Although non-cancerous, fibroids can still cause various symptoms that interfere with daily activities, such as severe menstrual pain, excessive menstrual bleeding, a feeling of fullness or enlargement in the abdomen, frequent urination, and pelvic pain. In some cases, fibroids may also lead to complications such as anemia due to excessive bleeding, fertility problems, and pregnancy complications if the fibroids continue to grow larger.
However, many women still wonder whether fibroids can disappear on their own without treatment. This is because many patients only become aware of fibroids after they have enlarged or started causing more severe symptoms.
For women who feel afraid or hesitant about surgery for fibroid treatment, Mandaya Royal Hospital Puri offers High Intensity Focused Ultrasound (HIFU) as a non-surgical and incision-free treatment alternative for fibroids. This technology uses high-intensity ultrasound waves to precisely target fibroid tissue with a relatively faster recovery time compared to open surgery.
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Can Fibroids Disappear on Their Own?
The answer to whether fibroids can disappear on their own is actually quite complex. In some cases, small fibroids may shrink or even disappear without specific treatment. This is believed to be related to decreased estrogen hormone levels, such as when women enter menopause.
However, this condition does not occur in all women. In fact, only around 10% of fibroids can shrink or disappear naturally. Meanwhile, most fibroids either remain the same size or continue to grow over time.
The possibility of fibroids shrinking naturally is also influenced by various factors, such as the size of the fibroid, its location, and each patient’s condition. Therefore, medical consultation remains important so the condition can be thoroughly evaluated and the most appropriate treatment can be determined early.
Are Fibroids Dangerous If Left Untreated?
Most fibroids do not cause serious complications. However, if they continue to grow larger or are not properly treated, fibroids can still cause various problems that affect a patient’s quality of life.
Some complications that may occur due to fibroids include:
- Increasingly severe and difficult-to-control pain
- Swelling or a feeling of fullness in the abdomen and pelvic area
- Excessive menstrual bleeding
- Anemia due to significant blood loss
- Fertility problems or difficulty getting pregnant, although this is relatively rare
When Should You Consult an OBGYN?
Fibroids are conditions treated by obstetricians and gynecologists (OBGYNs). Although some small fibroids may not cause symptoms and only require regular monitoring, larger fibroids can lead to various complaints that interfere with daily activities.
Therefore, it is important to immediately consult an OBGYN if you experience symptoms associated with fibroids, such as:
- Excessive menstrual bleeding or severe menstrual pain
- Bleeding outside the menstrual cycle
- A feeling of fullness, bloating, or heaviness in the lower abdomen
- Frequent urination due to fibroids pressing on the bladder
- Pain during intercourse
- Lower back pain
- Constipation or pressure in the rectal area
- Prolonged vaginal discharge
- Difficulty urinating or feeling that the bladder is not completely empty
- An enlarged abdomen that may resemble pregnancy
In some women, fibroid symptoms may improve after menopause because hormone levels decrease naturally. However, medical evaluation is still important so the condition can be monitored and treated appropriately according to the patient’s needs.
Non-Surgical Fibroid Treatment with HIFU Technology at Mandaya Royal Hospital Puri
In some cases, conventional fibroid treatment still requires open surgery to remove the fibroid tissue. In certain conditions, the procedure may even involve a hysterectomy or removal of the uterus. This often becomes a concern for many women, especially those who still wish to preserve their uterus or plan for future pregnancy.
In addition, open surgery also carries several risks and challenges, ranging from bleeding, post-operative pain, longer recovery time, to the possibility of scar tissue formation. As a result, many patients feel afraid or delay treatment even though fibroid symptoms have significantly disrupted their daily activities.
As a more minimally invasive alternative, Mandaya Royal Hospital Puri offers HIFU technology to help treat fibroids without open surgery or incisions. HIFU works by using high-intensity ultrasound waves directed precisely at fibroid tissue to generate focused heat. This heat helps destroy fibroid cells so the fibroids can gradually shrink.
During the procedure, doctors utilize real-time imaging technology to clearly visualize the location of the fibroids. With this technology, the treatment can be performed precisely while minimizing disruption to surrounding healthy tissue.
In general, the HIFU procedure for fibroid treatment involves the following stages:
- High-intensity ultrasound waves are focused directly on the fibroid area
- The ultrasound energy is converted into high heat of approximately 60–90 degrees Celsius
- The heat damages fibroid tissue through protein coagulation and necrosis, causing fibroid cells to die
- The damaged fibroid tissue is then naturally absorbed by the body over several weeks to months
HIFU Has Been Used Globally in Many Countries
Although still relatively new to some people in Indonesia, HIFU technology has actually been widely used internationally as a non-surgical fibroid treatment method.
Several facts about HIFU technology include:
- Already used in more than 37 countries worldwide
- Utilized to treat more than 500,000 patients globally
- Recognized by the United States Food and Drug Administration (FDA)
- Holds European CE certification as an international standard for medical device safety and quality
Advantages of HIFU for Fibroid Treatment
HIFU has become one of the modern treatment options for fibroids because it offers a more comfortable and minimally invasive procedure compared to open surgery. This technology also provides several advantages that may be considered by patients.
Some advantages of HIFU for fibroid treatment include:
- No incisions or stitches are needed because the procedure is performed without open surgery
- Post-procedure pain is generally milder compared to conventional surgery
- Uses high-intensity ultrasound waves without radiation exposure
- Ultrasound waves can target fibroid tissue more accurately and precisely
- Helps preserve the uterus, maintaining the possibility of future fertility
- Lower risk of bleeding because it does not involve open surgery
- Relatively shorter recovery time, and patients usually do not require prolonged hospitalization
- Patients can generally return to daily activities more quickly after the procedure
HIFU Expert OBGYN Team at Mandaya Royal Hospital Puri
For those who wish to consult about fibroids or HIFU treatment, Mandaya Royal Hospital Puri has a team of obstetricians and gynecologists (OBGYNs) who have undergone intensive HIFU training at a HIFU Center in China. This team has experience in treating various women’s reproductive health conditions, including fibroids and other gynecological disorders.
1. dr. Gracia Merryane R.G Rauw, Sp.OG
dr. Gracia Merryane R.G Rauw, Sp.OG is an obstetrician and gynecologist who treats various women’s health conditions, ranging from pregnancy care to gynecological disorders. She completed both her medical degree and specialist training at the Faculty of Medicine, Sam Ratulangi University and has also undergone HIFU training in China.
Her services include pregnancy consultations, fertility programs, contraception, lactation consultations, ovulation induction, vaginal delivery, cesarean section, and various gynecological procedures such as laparoscopy, hysterectomy, Pap smear, SIS, and LEEP.
dr. Gracia Merryane R.G Rauw, Sp.OG practices at Mandaya Royal Hospital Puri on:
- Monday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Tuesday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Wednesday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Thursday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Friday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Saturday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
2. dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes is a consultant obstetrician and gynecologist experienced in women’s reproductive health and gynecological disorders. He completed medical school at Trisakti University, specialist training at Hasanuddin University, and consultant education at the University of Indonesia.
His services include preconception consultations, pregnancy examinations, fetal imaging, contraception consultations, pregnancy complication management, benign gynecological disorder treatment, and minimally invasive procedures.
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes practices at Mandaya Royal Hospital Puri on:
- Tuesday: 05.00 PM – 08.00 PM
- Thursday: 01.00 PM – 04.00 PM
- Saturday: 08.00 AM – 12.00 PM
3. Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk is an obstetrician and gynecologist with a subspecialty in oncology experienced in handling various gynecological cancer cases. He studied at Sriwijaya University, Sebelas Maret University, and completed doctoral and consultant programs at the University of Indonesia.
He treats cases such as cervical cancer, uterine cancer, ovarian cancer, vulvar cancer, vaginal cancer, as well as benign uterine tumors and abnormalities.
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk practices at Mandaya Royal Hospital Puri on:
- Tuesday: 04.00 PM – 08.00 PM
- Thursday: 04.00 PM – 08.00 PM
- Saturday: 01.00 PM – 04.00 PM
4. dr. Edward Tony Ngantung, Sp.OG
dr. Edward Tony Ngantung, Sp.OG is an obstetrician and gynecologist providing women’s healthcare services ranging from pregnancy preparation to gynecological disorder management. He completed his medical degree at Sam Ratulangi University, specialist training at San Juan de Dios Educational Foundation, and adaptation program at Udayana University.
His services include preconception consultations, advanced pregnancy examinations, fetal imaging, contraception consultations, pregnancy complication management, and minimally invasive procedures for benign gynecological disorders.
dr. Edward Tony Ngantung, Sp.OG practices at Mandaya Royal Hospital Puri on:
- Monday: 02.00 PM – 04.30 PM
- Tuesday: 11.00 AM – 02.00 PM
- Wednesday: 05.00 PM – 08.00 PM
- Thursday: 05.00 PM – 08.00 PM
- Friday: 10.00 AM – 02.00 PM
- Saturday: 09.00 AM – 01.00 PM
5. dr. Erik Sutandi, Sp.OG
dr. Erik Sutandi, Sp.OG is an obstetrician and gynecologist experienced in pregnancy care, childbirth, hormonal disorders, and fertility programs. He studied at Maranatha Christian University and San Juan De Dios Hospital Manila and also completed a gynecological endoscopy fellowship.
His services include pregnancy consultations, fertility programs, fertility examinations, labor induction, vaginal delivery and cesarean section, ultrasound, contraception, Pap smear, and HPV vaccination.
dr. Erik Sutandi, Sp.OG practices at Mandaya Royal Hospital Puri on:
- Monday: 05.00 PM – 08.00 PM
- Wednesday: 02.00 PM – 04.00 PM
- Friday: 05.00 PM – 08.00 PM
- Saturday: 02.00 PM – 04.00 PM
6. dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS is a consultant obstetrician and gynecologist specializing in fertility treatment and pregnancy programs. He completed medical school at Padjadjaran University, specialist and Master of Health education at Hasanuddin University, and a Master of Hospital Management at the University of Indonesia.
In his practice, he provides fertility consultations, hormonal and fertility examinations, ovulation induction, hydrotubation, IVF programs, pregnancy care, and ultrasound services.
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS practices at Mandaya Royal Hospital Puri on:
- Monday: 01.00 PM – 04.00 PM
- Tuesday: 01.00 PM – 04.00 PM
- Wednesday: 01.00 PM – 04.00 PM
- Thursday: 01.00 PM – 04.00 PM
- Friday: 01.00 PM – 04.00 PM
- Saturday: 01.00 PM – 04.00 PM
7. dr. Sigit Pradono Diptoadi, Sp.OG
dr. Sigit Pradono Diptoadi, Sp.OG is an obstetrician and gynecologist who completed his medical education at the Faculty of Medicine, Atma Jaya Catholic University and continued his obstetrics and gynecology residency at Ramon Magsaysay Memorial Medical Center, University of the East.
He has expertise in fertility consultations, ovulation induction, pregnancy examinations, labor induction, 4D ultrasound, and treatment for various gynecological conditions in women.
dr. Sigit Pradono Diptoadi, Sp.OG practices at Mandaya Royal Hospital Puri on:
- Monday: 05.00 PM – 08.00 PM
- Friday: 05.00 PM – 08.00 PM
- Saturday: 05.00 PM – 08.00 PM
To make your visit to Mandaya Royal Hospital Puri more convenient, use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to simplify appointments, check queue numbers, and access complete information.
The information provided on this page is intended for educational and general informational purposes only and does not represent all types of medical services that may be performed by each doctor. To ensure treatment that suits your health condition, direct consultation with the relevant doctor is recommended.
If you have questions, suggestions, or require further information, please contact our call center at 0811-1900-2000.
