Heavy menstrual bleeding accompanied by pain is often considered normal. However, this condition can be an early sign of uterine fibroids. Fibroids are benign tumors that develop in the uterus and may affect the menstrual cycle, causing excessive bleeding, severe pain, and discomfort that can interfere with daily activities.
As a modern and minimally invasive treatment option, Mandaya Royal Puri Hospital offers HIFU (High-Intensity Focused Ultrasound) technology to treat uterine fibroids without surgery. This method works by precisely destroying fibroid tissue without incisions, helping to relieve symptoms, preserve the uterus, and support faster recovery.
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Heavy and Painful Menstruation: Watch Out for Uterine Fibroids
Uterine fibroids (also known as leiomyomas) are growths made of muscle and connective tissue that develop in or on the wall of the uterus. These growths are generally benign (non-cancerous) and are the most common type of noncancerous tumor found in women.
In addition to heavy menstrual bleeding or painful periods, uterine fibroids may cause various other symptoms, including:
- Menstrual periods that last longer or occur more frequently than usual
- Pelvic pressure or pain
- Frequent urination or difficulty urinating
- An enlarged abdomen
- Constipation
- Pain in the abdomen or lower back, as well as pain during sexual intercourse
What Are the Complications of Uterine Fibroids?
Most uterine fibroids do not cause serious complications. However, some of the most common complications include:
- Pain that becomes more severe and difficult to manage
- Swelling of the abdomen or pelvic area
- Excessive bleeding
- Anemia
- Infertility (rare).
Understanding HIFU Technology for Treating Fibroids Without Surgery
HIFU is a non-invasive technology used to treat uterine fibroids without surgical procedures or incisions. This method works by focusing high-intensity ultrasound waves from outside the body directly onto fibroid tissue within the uterus. At the targeted point, ultrasound energy generates high heat that selectively destroys fibroid cells without damaging the surrounding healthy tissue.
Mechanistically, HIFU produces heat in the fibroid area that has been precisely mapped using ultrasound imaging. The high temperature causes coagulative necrosis, a controlled form of tissue death within the fibroid. Thanks to its high level of precision, HIFU is considered an effective and safe option for treating benign uterine fibroids while preserving normal surrounding tissue.
How HIFU Technology Works to Treat Fibroids
- Focused ultrasound targeting: High-energy ultrasound waves are precisely directed at the fibroid tissue
- Controlled heat generation: Ultrasound energy is converted into heat upon reaching the target tissue, creating high temperatures within the fibroid
- Fibroid tissue destruction: The heat damages fibroid cells and triggers coagulative necrosis, effectively destroying the fibroid tissue
- Protection of healthy tissue: The HIFU system allows highly precise control of the treatment area, keeping surrounding healthy tissue safe
- Natural fibroid shrinkage: Damaged fibroid tissue is gradually absorbed by the body, causing the fibroid to shrink over time.
Advantages of HIFU for Treating Uterine Fibroids
Some of the key benefits of HIFU technology for fibroid treatment include:
- Non-invasive, with no incisions, resulting in a lower risk of infection
- Radiation-free, as it uses ultrasound waves rather than electromagnetic radiation
- No general anesthesia required, only mild sedation or analgesia
- Fertility preservation, as the structure and function of the uterus remain protected
- Faster recovery, allowing patients to return to daily activities sooner
Uterine Fibroid Specialists at Mandaya Royal Puri Hospital
In addition to advanced medical technology for uterine fibroid treatment, Mandaya Royal Puri Hospital is supported by a team of experienced obstetricians, gynecologists, and subspecialists who provide comprehensive care. Some of the uterine fibroid specialists practicing at Mandaya Royal Puri Hospital include:
1. dr. Gracia Merryane R.G. Rauw, Sp.OG
dr. Gracia Merryane R.G. Rauw, Sp.OG is an Obstetrics and Gynecology specialist focusing on women’s reproductive health, pregnancy, and various gynecological disorders. She completed her medical and specialist education at the Faculty of Medicine, Sam Ratulangi University.
Her services include routine gynecological examinations, pregnancy planning programs, lactation and family planning consultations, ovulation induction, normal delivery and cesarean section, as well as gynecological procedures such as hysterectomy, sterilization, laparoscopy, Pap smear, SIS, and LEEP.
Practice schedule at Mandaya Royal Puri Hospital:
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Monday–Saturday: 08.00–11.00 WIB & 13.00–18.00 WIB
2. dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes is a consultant obstetrics and gynecology specialist with extensive experience in reproductive health and gynecology. He graduated from the Faculty of Medicine, Trisakti University, completed specialist training at Hasanuddin University, and earned his consultant degree at the University of Indonesia.
His services include preconception care, prenatal diagnosis, fetal imaging, contraceptive selection, management of pregnancy complications, benign gynecological disorders, and minimally invasive procedures.
Practice schedule at Mandaya Royal Puri Hospital:
- Tuesday: 17.00–20.00 WIB
- Thursday: 13.00–16.00 WIB
- Saturday: 08.00–12.00 WIB
3. dr. Ong Tjandra, M.Kes, Sp.OG, Subsp. Onk
dr. Ong Tjandra is a gynecologic oncology subspecialist with extensive experience in treating cervical cancer, ovarian cancer, vaginal cancer, and other gynecological disorders. He is also skilled in performing fibroid and cyst surgeries using laparoscopic techniques as well as hysterectomy.
With a comprehensive approach, dr. Ong Tjandra is known for providing thorough care for complex gynecological and oncological cases.
Practice schedule at Mandaya Royal Puri Hospital:
- Monday: 10.00–17.00 WIB
- Thursday: 16.00–20.00 WIB
4. Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk
Dr. dr. Unedo Hence Markus Sihombing is an Obstetrics and Gynecology specialist with a subspecialty in oncology. He completed his education at Sriwijaya University and Sebelas Maret University, and earned both Consultant and Doctoral degrees at the University of Indonesia.
He treats various gynecologic cancers, including cervical cancer, uterine cancer, ovarian cancer, vulvar cancer, and vaginal cancer, as well as benign conditions such as uterine polyps and tumors. His meticulous and empathetic approach provides added comfort for patients throughout their treatment journey.
Practice schedule at Mandaya Royal Puri Hospital:
- Tuesday: 16.00–20.00 WIB
- Thursday: 16.00–20.00 WIB
- Saturday: 13.00–16.00 WIB
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