Uterine fibroids are growths made of muscle and tissue that develop inside or on the wall of the uterus. These growths are generally benign (non-cancerous) and are among the most common non-cancerous tumors experienced by women. Although they are often not dangerous, fibroids can still cause various symptoms that interfere with daily activities.
Therefore, it is important to recognize the signs of uterine fibroids in women as early as possible. Fibroids may cause symptoms such as pelvic pain, excessive menstrual bleeding, and irregular bleeding. However, in some cases, fibroids may not cause any symptoms at all, which is why many women are unaware they have fibroids until they undergo a medical examination.
Some women may feel afraid or delay fibroid treatment because they worry about having to undergo open surgery with large incisions and a long recovery period. However, fibroid treatment can now be performed using minimally invasive technology through the High Intensity Focused Ultrasound (HIFU) service at RS Mandaya Royal Puri. This technology uses high-intensity ultrasound waves focused directly on fibroid tissue to destroy it without requiring incisions or open surgery. With this method, fibroid treatment can be performed more comfortably while also helping speed up the patient’s recovery process.
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Recognizing the signs of uterine fibroids in women
Most small fibroids usually do not cause symptoms and only need regular monitoring by a doctor. However, larger fibroids can cause a variety of symptoms that interfere with daily life, including:
- Very heavy menstrual bleeding or periods that are more painful than usual
- Bleeding between menstrual periods
- A feeling of fullness, bloating, or pressure in the lower abdomen
- Frequent urination because the fibroid presses against the bladder
- Pain during sexual intercourse
- Lower back pain
- Constipation or pressure in the rectal area
- Vaginal discharge that lasts for a long time
- Difficulty urinating or feeling unable to completely empty the bladder
- An enlarged abdomen that may resemble pregnancy due to the growing size of the fibroid
Complications if fibroids are left untreated
Most uterine fibroids do not cause serious complications. However, in some cases, fibroids may lead to health problems such as:
- Pain that becomes more severe and difficult to control
- Swelling in the abdominal or pelvic area
- Excessive bleeding
- Anemia caused by excessive blood loss
- Fertility problems or infertility, although this is relatively rare
That is why it is important for women to recognize the signs of fibroids early and seek proper treatment before the condition worsens and affects daily quality of life.
Have fibroids but afraid of surgery? HIFU at RS Mandaya Royal Puri may be the solution
Conventional fibroid treatment sometimes requires open surgery to remove the fibroids, and in some cases may even lead to hysterectomy or removal of the uterus. This can become a major concern, especially for women who still want to have children or preserve their reproductive function. In addition, open surgery carries risks such as bleeding, postoperative pain, longer recovery time, and scar formation. As a result, many women feel afraid or postpone fibroid treatment even when symptoms have already started affecting their daily activities.
To address these concerns, RS Mandaya Royal Puri offers fibroid treatment using HIFU technology. HIFU is a minimally invasive medical technology that uses high-intensity ultrasound waves to target uterine fibroid tissue without requiring incisions or open surgery. The ultrasound waves are precisely focused on the fibroid area, generating heat that destroys fibroid cells so they gradually shrink over time.
During the procedure, doctors use imaging technology to clearly visualize the fibroid location in real time. This allows the treatment to be performed with high precision while minimizing damage to surrounding healthy tissue.
In simple terms, here is how HIFU works as a non-surgical fibroid treatment:
- High-intensity ultrasound waves are focused on a specific point within the fibroid area
- The energy from these waves is converted into high heat, reaching temperatures of around 60–90°C
- The heat destroys fibroid tissue through protein coagulation and necrosis, causing the fibroid cells to die
- The damaged fibroid tissue is then naturally absorbed by the body over several weeks to months, usually within about 90 days
HIFU has been used in 37 countries and treated hundreds of thousands of patients
Although HIFU may still sound new to some people, it has actually been widely used in many countries as a non-surgical treatment option for fibroids. Its popularity continues to grow because the procedure is minimally invasive, requires no incisions, and generally offers a faster recovery period.
Some facts about HIFU technology include:
- Used in more than 37 countries
- Has treated more than 500,000 patients worldwide
- Recognized by the United States Food and Drug Administration (FDA)
- Certified with the European CE mark 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 minimally invasive procedure compared to conventional surgery.
Some of the advantages of HIFU include:
- No incisions or stitches are required because the procedure is performed without open surgery
- Post-procedure pain is generally milder compared to conventional surgery
- Uses high-intensity ultrasound waves instead of radiation
- Ultrasound waves can target fibroid tissue more precisely
- Helps preserve the uterus, allowing reproductive function to be maintained
- Lower risk of bleeding because no open surgical procedure is involved
- Recovery time is usually shorter and patients often do not require prolonged hospitalization
- Patients are generally able to return to daily activities more quickly after the procedure
Consult your fibroid condition with the HIFU obgyn team at RS Mandaya Royal Puri
If you would like to consult about fibroids and HIFU treatment, you can meet directly with the obstetrics and gynecology (obgyn) team at RS Mandaya Royal Puri, who have received HIFU training at HIFU Centers in China.
Below is the HIFU obgyn specialist team at RS Mandaya Royal Puri:
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 easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to simplify appointments, view queue numbers, and access other information.
*The information provided on this page is intended for educational and general informational purposes only and may not reflect the full range of medical services that may be performed by each doctor. To ensure treatment that is appropriate for your condition, direct consultation with the relevant doctor is recommended.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
