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In this episode of The Gynarchy Podcast, we talk with board-certified OB/GYN and minimally invasive gynecologic surgeon Dr. Cheruba Prabhakar about fibroids, one of the most common conditions affecting women. We cover what fibroids are, how they present, and why so many women go undiagnosed for years despite significant symptoms.

Dr. Prabhakar shares her expertise in fertility-sparing fibroid surgery and explains how fibroids can impact bleeding, pain, and reproductive health. We discuss how fibroids are diagnosed, when treatment is necessary, and the full range of options—from watchful waiting and medical management to minimally invasive surgical approaches. She also breaks down the differences between hysteroscopic, laparoscopic, and open procedures, including recovery times and risks.

Topics we cover in this episode:

• What fibroids are and how common they are
• Why many women normalize heavy or painful periods
• Common symptoms of fibroids, including heavy bleeding, bulk symptoms, and infertility
• How fibroids are diagnosed with pelvic exams and ultrasound
• When MRI is used for further evaluation and surgical planning
• How fibroids can impact fertility and pregnancy outcomes
• The relationship between fibroids and endometriosis
• When it is appropriate to monitor fibroids without treatment
• Medical management options, including hormonal therapies and newer medications
• Minimally invasive gynecologic surgery: what it is and how it differs from open surgery
• Robotic and laparoscopic myomectomy and hysterectomy
• Hysteroscopic fibroid removal for intracavitary fibroids
• Uterine artery embolization: what it is and when it may be appropriate
• Risks and benefits of different surgical approaches
• Recovery timelines for hysteroscopic, laparoscopic, and open procedures
• Fibroid recurrence rates and the role of genetics
• Lifestyle factors that may help reduce fibroid growth, including diet and vitamin D
• Adenomyosis: what it is and how it differs from fibroids
• Why many women feel dismissed and the importance of self-advocacy in care

Tune in on Monday, April 20, and make sure to subscribe and stay updated on all of o

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Disclaimer: This podcast and related content are for informational and educational purposes only and do not constitute medical, financial, legal, psychological, or other professional advice. Views expressed are those of the hosts and guests, not their employers, and are not tailored to individual circumstances. Always consult a qualified professional before making decisions. By using this content, you agree the creators are not liable for any outcomes or damages resulting from reliance on it.

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