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. 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 reproductive health conditions, ranging from pregnancy care to gynecological disorders. She completed both her medical and specialist education at the Faculty of Medicine, Sam Ratulangi University.
In her practice, dr. Gracia provides pregnancy consultations, fertility programs, contraception and lactation services, ovulation induction, normal delivery and cesarean section, as well as gynecological procedures such as laparoscopy, hysterectomy, Pap smear, SIS, and LEEP.
dr. Gracia Merryane R.G Rauw, Sp.OG practices at RS Mandaya Royal Puri on:
- Monday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM WIB
- Tuesday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM WIB
- Wednesday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM WIB
- Thursday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM WIB
- Friday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM WIB
- Saturday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM 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 obstetrician and gynecologist with experience in women’s reproductive health and the management of various gynecological disorders. He completed his medical education at Trisakti University, specialist training at Hasanuddin University, and consultant training at the University of Indonesia.
His services include preconception consultation, pregnancy examinations, fetal imaging, contraception consultation, management of pregnancy complications, benign gynecological disorders, and minimally invasive procedures.
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes practices at RS Mandaya Royal Puri on:
- Tuesday: 5:00 PM – 8:00 PM WIB
- Thursday: 1:00 PM – 4:00 PM WIB
- Saturday: 8:00 AM – 12:00 PM WIB
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 who has extensive experience treating gynecologic cancers. He completed his education at Sriwijaya University, Sebelas Maret University, and later earned his doctoral and consultant degrees at the University of Indonesia.
He treats cases such as cervical cancer, uterine cancer, ovarian cancer, vulvar cancer, and vaginal cancer, as well as benign conditions such as polyps and uterine tumors. His communicative and attentive approach helps patients feel more comfortable throughout treatment.
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk practices at RS Mandaya Royal Puri on:
- Tuesday: 4:00 PM – 8:00 PM WIB
- Thursday: 4:00 PM – 8:00 PM WIB
- Saturday: 1:00 PM – 4:00 PM WIB
4. dr. Edward Tony Ngantung, Sp.OG
dr. Edward Tony Ngantung, Sp.OG is an obstetrician and gynecologist who provides comprehensive women’s healthcare services, from pregnancy preparation to the treatment of gynecological disorders. He completed his medical degree at Sam Ratulangi University, specialist training at San Juan de Dios Educational Foundation, and adaptation training at Udayana University.
His practice includes preconception consultations, advanced pregnancy examinations, fetal imaging, contraception consultations, management of pregnancy complications, and minimally invasive treatment for benign gynecological conditions.
dr. Edward Tony Ngantung, Sp.OG practices at RS Mandaya Royal Puri on:
- Monday: 2:00 PM – 4:30 PM WIB
- Tuesday: 11:00 AM – 2:00 PM WIB
- Wednesday: 5:00 PM – 8:00 PM WIB
- Thursday: 5:00 PM – 8:00 PM WIB
- Friday: 10:00 AM – 2:00 PM WIB
- Saturday: 9:00 AM – 1:00 PM WIB
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 fellowship in gynecologic endoscopy.
His services include pregnancy consultations, fertility programs, fertility examinations, labor induction, normal delivery and cesarean section, ultrasound, contraception, Pap smears, and HPV vaccination.
dr. Erik Sutandi, Sp.OG practices at RS Mandaya Royal Puri on:
- Monday: 5:00 PM – 8:00 PM WIB
- Wednesday: 2:00 PM – 4:00 PM WIB
- Friday: 5:00 PM – 8:00 PM WIB
- Saturday: 2:00 PM – 4:00 PM WIB
6. dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS is a fertility consultant obstetrician and gynecologist focusing on infertility management and pregnancy programs. He completed his medical education at Padjadjaran University, specialist and Master of Health education at Hasanuddin University, and a Master of Hospital Management at the University of Indonesia.
In daily practice, he handles fertility consultations, hormonal and fertility examinations, ovulation induction, hydrotubation, and IVF programs. In addition, he also provides pregnancy consultations, delivery services, contraception, Pap smears, HPV vaccination, and ultrasound examinations.
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS practices at RS Mandaya Royal Puri on:
- Monday: 1:00 PM – 4:00 PM WIB
- Tuesday: 1:00 PM – 4:00 PM WIB
- Wednesday: 1:00 PM – 4:00 PM WIB
- Thursday: 1:00 PM – 4:00 PM WIB
- Friday: 1:00 PM – 4:00 PM WIB
- Saturday: 1:00 PM – 4:00 PM WIB
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 is experienced in fertility consultations, ovulation induction, pregnancy examinations, labor induction, 4D ultrasound, and the management of various gynecological conditions in women.
dr. Sigit Pradono Diptoadi, Sp.OG practices at RS Mandaya Royal Puri on:
- Monday: 5:00 PM – 8:00 PM WIB
- Friday: 5:00 PM – 8:00 PM WIB
- Saturday: 5:00 PM – 8:00 PM 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.
