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. 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 with extensive experience in women’s reproductive health, pregnancy care, and complex gynecological conditions. He earned his medical degree from Trisakti University, completed his specialist training at Hasanuddin University, and obtained his consultant qualification from the University of Indonesia.
His services include preconception counseling, fetal assessment during pregnancy, contraceptive consultations, and management of pregnancy-related complications. dr. Doddy is also experienced in treating various benign gynecological disorders and performing minimally invasive procedures that help promote faster recovery.
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes can be found at Mandaya Royal Hospital Puri on:
- Tuesday: 17.00 – 20.00 WIB
- Thursday: 13.00 – 16.00 WIB
- Saturday: 08.00 – 12.00 WIB
2. dr. Edward Tony Ngantung, Sp.OG
dr. Edward Tony Ngantung, Sp.OG is an Obstetrician and Gynecologist who provides comprehensive reproductive healthcare services for women. His practice covers fertility planning, pregnancy monitoring, and the management of a wide range of gynecological conditions.
His expertise includes ultrasound examinations, prenatal diagnosis, contraceptive counseling, and the management of pregnancy-related complications. He completed his medical education at Sam Ratulangi University, followed by specialist training at San Juan de Dios Educational Foundation and an Obstetrics and Gynecology adaptation program at Udayana University.
dr. Edward Tony Ngantung, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 14.00 – 16.30 WIB
- Tuesday: 11.00 – 14.00 WIB
- Wednesday: 17.00 – 20.00 WIB
- Thursday: 17.00 – 20.00 WIB
- Friday: 10.00 – 14.00 WIB
- Saturday: 09.00 – 13.00 WIB
3. dr. Erik Sutandi, Sp.OG
dr. Erik Sutandi, Sp.OG is an Obstetrician and Gynecologist with expertise in women’s reproductive health, fertility care, pregnancy management, and gynecological disorders. He has extensive experience in helping patients with fertility concerns, hormonal imbalances, pregnancy care, and childbirth.
He earned his medical degree from Maranatha Christian University in Bandung and completed his Obstetrics and Gynecology specialty training at San Juan De Dios Hospital in Manila, Philippines. He further enhanced his expertise through a residency adaptation program at Sanglah General Hospital and a fellowship in reproductive gynecologic endoscopy and fertility.
dr. Erik Sutandi, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 17.00 – 20.00 WIB
- Wednesday: 14.00 – 16.00 WIB
- Friday: 17.00 – 20.00 WIB
- Saturday: 14.00 – 16.00 WIB
4. dr. Gracia Merryane R.G. Rauw, Sp.OG
dr. Gracia Merryane R.G. Rauw, Sp.OG is an Obstetrician and Gynecologist with expertise in women’s reproductive health, pregnancy care, and the management of various reproductive system disorders. She completed both her medical degree and Obstetrics & Gynecology specialist training at the Faculty of Medicine, Sam Ratulangi University.
In her clinical practice, dr. Gracia provides a wide range of women’s health services, including routine gynecological examinations, fertility planning, and obstetric and gynecological procedures. Her services include lactation consultations, family planning consultations, ovulation induction, labor induction, cesarean delivery, hysterectomy, laparoscopy, sterilization procedures, Pap smears, Saline Infusion Sonohysterography (SIS), and LEEP procedures for cervical abnormalities.
dr. Gracia Merryane R.G. Rauw, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Tuesday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Wednesday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Thursday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Friday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Saturday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
5. 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 and Reproductive Endocrinology. His practice focuses on fertility evaluations, pregnancy programs, and assisted reproductive technologies to help couples achieve pregnancy.
He completed his medical education at Padjadjaran University, followed by specialist training and a Master of Health degree at Hasanuddin University. He later earned a Master of Hospital Administration from the University of Indonesia.
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS can be found at Mandaya Royal Hospital Puri on:
- Monday: 13.00 – 16.00 WIB
- Tuesday: 13.00 – 16.00 WIB
- Wednesday: 13.00 – 16.00 WIB
- Thursday: 13.00 – 16.00 WIB
- Friday: 13.00 – 16.00 WIB
- Saturday: 13.00 – 16.00 WIB
6. dr. Sigit Pradono Diptoadi, Sp.OG
dr. Sigit Pradono Diptoadi, Sp.OG is an Obstetrician and Gynecologist experienced in supporting patients throughout their fertility journey, pregnancy, and childbirth. He also treats a variety of gynecological conditions with personalized treatment plans tailored to each patient’s needs.
He completed his medical education at Atma Jaya Catholic University of Indonesia and pursued his Obstetrics and Gynecology specialty training at Ramon Magsaysay Memorial Medical Center, University of the East.
dr. Sigit Pradono Diptoadi, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 17.00 – 20.00 WIB
- Friday: 17.00 – 20.00 WIB
- Saturday: 17.00 – 20.00 WIB
7. 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 Gynecologic Oncology. He specializes in diagnosing and treating cancers affecting the female reproductive system, including cervical cancer, ovarian cancer, uterine cancer, vulvar cancer, and vaginal cancer.
In addition to treating gynecologic cancers, Dr. Unedo is experienced in managing benign gynecological conditions such as uterine polyps and tumors. He completed his medical education at Sriwijaya University and Sebelas Maret University before pursuing subspecialty training in Gynecologic Oncology and earning a doctoral degree from the University of Indonesia. His approach focuses on comprehensive, well-planned, and patient-centered care.
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk can be found at Mandaya Royal Hospital Puri on:
- Tuesday: 16.00 – 20.00 WIB
- Thursday: 16.00 – 20.00 WIB
- Saturday: 13.00 – 16.00 WIB
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.
