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Category: Fibroids

which size of fibroid is dangerous
23Jan

Fibroids are noncancerous growths that develop in the uterus, affecting millions of women worldwide. While most fibroids are benign and don’t cause noticeable symptoms, some can lead to complications, prompting the need for medical intervention. One crucial factor in assessing the risk associated with fibroids is their size.

Understanding Fibroids:

Fibroids are abnormal growths of muscle tissue in the uterus. They can vary in size, ranging from as small as a seed to as large as a grapefruit or more. Fibroids can develop inside the uterus, on its outer surface, or within the uterine wall. Although the exact cause of fibroids remains unclear, factors such as genetics, hormonal fluctuations, and pregnancy can contribute to their formation.

After diagnosing fibroids, the first thing a doctor discusses is the size of the fibroids. Why is the size of fibroids important to know? There are multiple reasons for it.

  • The course of treatment for fibroids depends on their size.
  • The location and size of fibroids are also crucial in predicting potential complications. For instance, there has been a reported case where emergency surgery was required for a woman with a large fibroid causing respiratory problems.
  • Additionally, the size of the fibroid can serve as an alarm for determining when treatment should be initiated. It plays a significant role in guiding healthcare professionals toward the most appropriate and timely interventions.

Assessing Fibroid Size:

The fibroid size chart varies globally, with different centers employing diverse methods to characterize uterine size. Physicians may measure fibroids in centimeters, categorizing them as small, medium, or large.

  • Small fibroid: Less than 3 cm in length (Comparable to the size of a pea or cherry)
  • Medium fibroid: 3 to 6 cm (Similar in size to a plum or large orange)
  • Large fibroid: 6 cm or more (Resembling the size of a grapefruit and beyond)

Some physicians define fibroid size based on obstetric weeks, where a small fibroid corresponds to the 4th obstetric week, a medium fibroid to weeks 10 to 11, and a large fibroid to weeks 12 to 16.

Which size of fibroid is dangerous in mm?

A common misconception is that the larger the fibroids, the more serious complications they will cause. However, it’s important to note that while larger fibroids can cause discomfort, they are not always guaranteed to pose problems. Similarly, a smaller fibroid doesn’t automatically signify any cause for concern. So, there is no straight forward answer to this question: which size of fibroid is dangerous.

How much does a 7 cm fibroid weigh?

While fibroids don’t directly cause weight gain, they contribute to overall body weight due to their mass. The weight of a 7 cm fibroid can vary, but generally, larger fibroids, including those over 6 cm, can weigh up to 25 pounds. Consequently, women with larger fibroids may experience heaviness in the lower abdomen and a protruding belly due to the presence of a substantial fibroid in the uterus.

When should you be concerned about fibroid size?

While many women with fibroids never experience any symptoms, the size of a fibroid can become a concern when it leads to the following issues:

Symptoms: Larger fibroids can cause symptoms such as heavy menstrual bleeding, pelvic pain or pressure, frequent urination, and backache. The size and location of the fibroid play a role in the severity of these symptoms.

Complications during Pregnancy: Depending on their size and location, fibroids can lead to complications during pregnancy and childbirth. Larger fibroids may obstruct the birth canal or interfere with the optimal positioning of the baby.

Impact on Fertility: In some cases, larger fibroids can affect fertility. They may block the fallopian tubes, interfere with the implantation of the embryo, or disrupt the blood flow to the uterus.

Degeneration: Larger fibroids are more prone to degeneration, a process in which the central part of the fibroid outgrows its blood supply, causing pain and sometimes requiring medical attention.

Rapid Growth: If a fibroid undergoes rapid growth, it may indicate malignancy, although fibroids are overwhelmingly benign. Any sudden increase in size should be thoroughly evaluated by a healthcare professional.

What is the solution?

The treatment of fibroids depends on the location and size of fibroids. Doctor can recommend one of the following:

Watchful Waiting:

Small, asymptomatic fibroids may not require immediate treatment. Regular monitoring through pelvic exams or imaging studies (ultrasound, MRI) can be done to track any changes.

Surgery:

For larger and heavier fibroids causing significant symptoms, surgery is often recommended. The two primary surgical options are myomectomy and hysterectomy.

Myomectomy is a uterus-saving procedure in which only the diseased part, typically the fibroids, is removed, leaving the rest of the uterus intact. On the other hand, hysterectomy involves the complete removal of the uterus. This procedure is considered more extensive, as it eliminates the entire uterus, preventing the possibility of future pregnancies.

The choice between myomectomy and hysterectomy depends on various factors, including the severity of symptoms, the desire for future fertility, and the overall health of the patient. This decision is typically made in consultation with the patient and their healthcare provider.

Uterine Artery Embolization:

This is a minimally invasive procedure initially used for the smaller fibroids but now also for the large ones. During the procedure, a catheter is guided through blood vessels to the uterine arteries, where small particles are injected to block blood flow to the fibroids. This process aims to reduce the size of the fibroids and alleviate associated symptoms, offering an alternative to surgical options.

Dr. Imtiaz Ahmed is the pioneer of this procedure in Pakistan. Email now at info@drimtiazahmad.com. Follow us on Instagram @Profdr_imtiaz_ahmad for daily updates.

signs of fibroids breaking down
7Dec

A 35-year-old female, pregnant for the first time and in her last trimester, was rushed to the emergency room with complaints of severe pain and heavy vaginal bleeding. This woman has struggled with both a hanging belly and infertility issues. The family was extremely anxious and worried about the health of the mother and the baby, assuming that the baby may have died inside the womb, leading to these symptoms. This assumption was made because most people are not aware of the symptoms of fibroids and what happens when a fibroid bursts.These symptoms are not uncommon is patients who are in menopause and have fibroids, these can also start bleeding abruptly without any notice creating a life threatening situation.

Fibroids, non-cancerous growths in the uterus, are a common health concern for many women. While they often remain asymptomatic, some women may experience symptoms when they start to break down. Identifying the signs of fibroids breaking down is crucial for timely intervention and management.

Understanding Fibroids:

Before exploring the signs of fibroids breaking down, it’s essential to understand what fibroids are and why they might break down. Fibroids, also known as leiomyomas, are benign tumors that develop in the uterine walls. They can vary in size and number and are influenced by factors such as genetics and hormones.

Breakdown of Fibroids:

The breakdown or degeneration of fibroids occurs when the blood supply to them is compromised, leading to a process akin to cell death. This can happen for various reasons, including rapid growth, pregnancy, or a decline in blood supply to the fibroid.

Identifying the Signs of Fibroids Breaking Down:

The symptoms of shrinking fibroids vary and can present as:

Sharp or Stabbing Pain: Breakdown of fibroids can cause intense, stabbing pain in the pelvic region. This pain may be localized or radiate to the lower back.

Increased Menstrual Cramps: Women with fibroids may experience heightened menstrual cramps during the breakdown phase.

Heavy Menstrual Bleeding: Fibroid breakdown can lead to increased bleeding during menstruation. Women may notice heavier periods or prolonged bleeding.

Irregular Menstrual Cycles: Breakdown can disrupt the normal hormonal balance, causing irregular menstrual cycles.

Enlargement of the Abdomen: In some cases, degeneration can cause the fibroid to swell, leading to an enlargement of the lower abdomen. This can be palpable during self-examination.

Frequent Urination: Fibroids can exert pressure on the bladder, causing an increased urge to urinate.

Difficulty Emptying the Bladder: Large fibroids may obstruct the normal flow of urine, leading to difficulties in emptying the bladder completely.

Lower Back Pain: Another symptom is lower back pain due to the pressure exerted on surrounding tissues and organs.

Low-Grade Fever: In some cases, fibroid breakdown can be associated with a low-grade fever. This may indicate an inflammatory response.

Do fibroids cause cramps?

The size and location of fibroids can vary, and not all of them cause symptoms. However, when fibroids are large or positioned in certain areas of the uterus, they may lead to symptoms such as pelvic pain or cramping. The cramps associated with fibroids are often menstrual-like cramps and may be more noticeable during the menstrual period. The exact cause of the pain is not fully understood. It may be related to the pressure exerted by the fibroids on surrounding tissues or the release of certain substances that trigger pain and inflammation.

This explains why most of the fibroids go unnoticed and present with complications like infertility, anemia due to heavy menstrual bleeding and bursting fibroids.

Treating the degenerative (breaking down) fibroids:

The symptoms of degenerating fibroids can be excruciating and significantly disturb daily life activities. Treatment is directed towards minimizing the symptoms and removing the cause. Based on the severity and the individual circumstances here are some approaches that healthcare professionals may consider

Pain Management:

Over-the-counter pain relievers like ibuprofen or paracetamol are helpful in managing pain. Prescription pain medications are usedfor more severe pain.

Many people in our part of the world often avoid the medicine and seek options on how to relieve fibroid pain with alternate remedies. Here are some general tips that can help with the fibroids pain

Heat Therapy: Applying a heating pad or hot water bottle to the lower abdomen may help relax muscles and ease pain.

Warm Baths: Soaking in a warm bath may provide relief.

Hydration: Staying well-hydrated is essential for overall health and may help with discomfort. Drinking plenty of water throughout the day is beneficial.

Regular Exercise: Engaging in regular, moderate exercise can help improve circulation and reduce pain. However, it is best to consult with a healthcare provider before starting any new exercise regimen.

Dietary Changes: Some women find relief by making dietary changes. A diet rich in fruits, vegetables, and whole grains, and limiting the intake of caffeine and processed foods can be helpful.

Stress Management: Practices such as yoga, meditation, or deep breathing exercises may help manage stress, which can contribute to pain.

Hormonal Therapy: Hormonal medications, such as birth control pills or hormonal IUDs, may be prescribed to help control bleeding and reduce pain.

Gonadotropin-Releasing Hormone (GnRH) Agonists: These medications can induce a temporary menopausal state, reducing the size of fibroids and relieving symptoms. However, this is generally a short-term solution due to potential side effects and the temporary nature of the treatment.

Uterine Artery Embolization (UAE): This is a non-surgical procedure where the blood supply to the fibroids is cut off, causing them to shrink. It can be effective in relieving symptoms.

Myomectomy: Myomectomy is a surgical procedure to remove fibroids while preserving the uterus. It may be considered if fertility preservation is a concern.

Hysterectomy: In severe cases or when fertility is not a concern, a hysterectomy (removal of the uterus) may be recommended.

It is always necessary to consult a doctor before attempting to self-diagnose a condition. While the symptoms of degenerative fibroids may seem straightforward when reading about them, making a definitive clinical diagnosis can be challenging.

Dr Imtiaz Ahmed, an expert Endovascular surgeon and an interventional radiologist specializes in the treatment of fibroids and their complications. He works on the principles of minimally invasive surgery and always prefers to save the uterus. If you’re experiencing symptoms of fibroids consult him now for the early diagnosis and treatment to avoid complications.

Email us your queries at info@drimtiazahmad.com. Follow us on Instagram @Profdr_imtiaz_ahmad for daily updates.

For further information,please feel free to email us at info@drimtiazahmad.com. Follow us on Instagram @Profdr_imtiaz_ahmad for more details and daily updates
Youtube:https://www.youtube.com/c/DrImtiazAhmad
Whatsapp:03302963300,03312597322

exophytic fibroid
6Dec

While many women are familiar with the term fibroids, they often lack a clear understanding of the different types and how they manifest. Broadly, all symptomatic fibroids usually cause heavy bleeding and pain. Other symptoms depend on the location within the uterus. Fibroids can either present within the wall of the uterus or protrude outward from the wall.

Exophytic fibroids, as the name indicates, are a type of uterine fibroid that grows outward from the uterine wall. Fibroids that grow within the wall are called intramural fibroids. They can further be classified based on their location.

If an exophytic lesion is present outside the uterine wall, protruding into the pelvic cavity, it is termed as subserosal fibroids. An exophytic nodule growing within the cavity of the uterus from the uterine wall is called submucosal fibroids.

Causes of Exophytic Fibroids:

The exact cause of uterine exophytic fibroids is unknown. Many factors can contribute to its development.

Genetics: A family history of fibroids increases the likelihood of developing them. Genetic factors may play a role in the susceptibility to their growth.

Hormones: Estrogen and progesterone are the hormones that regulate the menstrual cycle. They have a great influence on fibroid growth. They tend to grow during reproductive years when hormone levels are higher.

Pregnancy: Pregnancy hormones can stimulate the growth of fibroids. However, some women may experience a reduction in fibroid size after giving birth.

Race and Ethnicity: Studies suggest that African-American women are more likely to develop fibroids and may experience them at a younger age. The reasons for this racial disparity are not entirely clear.

Symptoms of Exophytic Fibroids:

Menstrual Changes: Exophytic fibroids, like other types of fibroids, can lead to heavier or prolonged menstrual periods. This can result in anemia and fatigue.

Pelvic Pain and Pressure: Fibroids can cause pelvic pain and pressure, especially if they become large or press against other organs. This can lead to discomfort and a feeling of fullness in the lower abdomen.

Backache or Leg Pains: In some cases, fibroids can press on nerves, causing back pain or leg pains.

Urinary Symptoms: Fibroids can put pressure on the bladder, leading to increased frequency of urination or difficulty emptying the bladder.

Constipation or Rectal Pressure: Fibroids that press on the rectum may cause constipation or a feeling of rectal pressure.

Infertility or Pregnancy Complications: Most women with fibroids can conceive and carry a pregnancy to term, but sometimes exophytic fibroids can cause fertility issues in some cases. Additionally, they may contribute to complications during pregnancy, such as a higher likelihood of requiring a cesarean section.

Impact on Quality of Life: The symptoms associated with exophytic fibroids can significantly affect a woman’s quality of life. She may have issues with performing daily activities and engaging in regular social and work-related functions.

It’s important to note that not all fibroids cause symptoms, and their impact can vary widely from person to person. Treatment options may range from medications to surgical procedures, depending on the severity of symptoms and the individual’s reproductive goals.

The conventional method of treating fibroids commonly used here is myomectomy or hysterectomy. Hysterectomy is a procedure in which the uterus is removed from the body. While in some conditions it may be necessary, this should not become the standard treatment option. The uterus should be saved regardless of the family status.

For this purpose, Dr. Imtiaz Ahmed introduced an advanced technology called uterine artery embolization in Pakistan. This procedure is based on the principles of minimally invasive technology. Dr. Imtiaz Ahmed is an expert interventional radiologist and an endovascular surgeon with extensive experience in treating fibroids via uterine artery embolization.

The procedure is typically performed under local anesthesia. The patient remains awake but may be sedated to relax. The doctor inserts a thin tube (catheter) through a small incision, usually in the groin area, and thread it up to the uterine arteries. Small particles, often made of plastic or gelatin, are then injected through the catheter into the uterine arteries. These particles block the blood flow to the fibroids, causing them to shrink.

The entire procedure takes less than an hour in expert hands. The additional benefits of this procedure, other than saving the uterus, include quick recovery, significant symptom improvement, and an escape from the hassles of major surgery.

For more information on uterine artery embolization email us at at info@drimtiazahmad.com. Follow us on Instagram @Profdr_imtiaz_ahmad for daily updates.

13Oct

Fibroids, noncancerous growths of the uterus, are a very common issue among women of reproductive age and are a treatable condition. The problem is that women often don’t receive the best treatment due to misconceptions and rumors. These myths lead to confusion and anxiety for women facing fibroid-related issues.

In our part of the world, women with little knowledge about the most effective treatment for fibroids often seek various setups that further misguide them and often do not provide quality treatment. Some opt for alternative and complementary medicine, while others consult religious scholars practicing hakeemi medicine and dam durood. All of this can lead to mental turmoil and a lot of wasted money. In the end, women become tired, and frustrated, and leave their condition untreated.

At times, women are also told that if they get treatment for fibroids done, they’ll either lose their uterus or it’ll get burnt. Which isn’t the case. Yes, there are some very serious conditions where the patient is duly informed that their uterus might get removed as a result of treatment, but that’s very rare, and not necessary either. And, at the end of the day, fibroid treatment is done to ensure a woman’s uterus health is maintained.

Here, we explore some common myths that prevail in our society and reveal the truth behind them.

Myth 1: Surgery is the only treatment option

One of the most pervasive myths about fibroid treatment is that surgery is the only solution. While surgical procedures like myomectomy (removal of fibroids) or hysterectomy (removal of the uterus) are effective options, they are not the only ones. Many non-surgical treatments are available, including medication, uterine artery embolization, and focused ultrasound therapy. The choice of treatment depends on factors such as the size and location of the fibroids, as well as the patient’s preferences and future family plans.

Women who opt for surgical treatment often wonder, “Is fibroid surgery high risk?” Well, like any other surgery, fibroid surgery carries its own risks. The safest option for fibroids is a minimally invasive procedure like uterine artery embolization.

Myth 2: All fibroids require treatment

Not all fibroids require immediate treatment. In fact, many women have small fibroids that cause no symptoms and do not affect their quality of life. After considering factors such as size, location, and symptoms associated with fibroids, the doctor develops an individualized treatment plan. In some cases, a “watch and wait” approach may be recommended, allowing the patient to monitor the fibroids’ progression without intervention.

Myth 3: Fibroids always recur after treatment

While fibroids can sometimes regrow after treatment, the idea that they always do is a myth. The recurrence of fibroids depends on several factors, including the type of treatment received and individual patient characteristics.
Uterine artery embolization is a minimally invasive technique recently introduced in Pakistan by Dr. Imtiaz Ahmed. This procedure has a very low recurrence rate and is also the best treatment for large fibroids. According to a study, women who get fibroids treated in the UAE require fewer days off work, have shorter hospital stays, and experience fewer side effects.

Myth 4: Pregnancy is impossible after fibroid treatment

Another common misconception is that fibroid treatment, particularly hysterectomy or myomectomy, makes it impossible for women to conceive and have a successful pregnancy. While these surgical procedures can affect fertility in some cases, many women can still have children after fibroid treatment. In this regard, UAE is a lifesaver technique. This minimally invasive procedure preserves fertility and allows women to conceive in the future.

Myth 5: Natural remedies alone can cure fibroids

There is a growing interest in natural remedies for various health conditions, including fibroids. While some dietary and lifestyle changes may help manage fibroid symptoms, they are unlikely to cure the condition entirely, especially for women with larger or more symptomatic fibroids. It’s crucial to consult with a healthcare provider to determine the most appropriate treatment plan, which may include a combination of medical, surgical, and lifestyle interventions.

Myth 6: Fibroids are always painful

Not all fibroids cause pain or discomfort. In fact, many women with fibroids do not experience any symptoms. Fibroid symptoms can vary widely from person to person and can include heavy menstrual bleeding, pelvic pain or pressure, and frequent urination. The absence of symptoms does not mean that fibroids should be left untreated, but it highlights the importance of individualized care and consultation with a healthcare provider.

Fibroids are a benign condition, but the myths related to them make treatment difficult. It’s essential to rely on accurate information and consult with a healthcare provider to make informed decisions about fibroid treatment. Remember that there are various treatment options available, and the best approach will depend on your unique circumstances and preferences.

Dr. Imtiaz Ahmed, an interventional radiologist and endovascular surgeon, is a specialist who has helped many women get rid of this disease, preserve their uterus, and live a peaceful life. He works on the principles of minimally invasive surgery and introduced new medical treatments for fibroids in Pakistan. He believes in empowering women so that they can take control of their health and make choices that are right for them.

To clear your concepts and learn more authentic information about fibroids and their treatment, contact us at info@drimtiazahmad.com. Follow us on Instagram @Profdr_imtiaz_ahmad for daily updates.

For further information,please feel free to email us at info@drimtiazahmad.com. Follow us on Instagram @Profdr_imtiaz_ahmad for more details and daily updates
Youtube:https://www.youtube.com/c/DrImtiazAhmad
Whatsapp:03302963300,03312597322

29Aug

Fibroids, also known as uterine leiomyomas or myomas, are noncancerous growths of the uterus that often appear during childbearing years. Anatomically, fibroids are divided into submucosal fibroids, myometrial fibroids, also known as intramural fibroids, and subserosal fibroids. They can cause various symptoms and discomfort, prompting many women to seek treatment.

What are Submucosal Fibroids?

Submucosal fibroids are benign tumors that grow underneath the uterine lining (endometrium). Unlike other types of fibroids that can develop in different parts of the uterine wall, submucosal fibroids protrude into the uterine cavity. This positioning can lead to distinctive symptoms and complications.

Causes of submucosal fibroids:

The exact cause of submucosal fibroids is not fully understood. However, several factors may contribute to their development:

Genetics:

A family history of fibroids can increase the risk. Genetics may make some women more predisposed to fibroid growth.

Hormones:

Hormonal fluctuations, particularly high levels of estrogen and progesterone, are believed to play a role in the growth of fibroids, including submucosal ones.

Pregnancy:

Pregnancy hormones can sometimes stimulate the growth of submucosal fibroids, although these usually shrink after childbirth.

Common symptoms:

The presence of submucosal fibroids can lead to a range of symptoms, which can vary in severity. Common signs and symptoms include:

Heavy menstrual bleeding:

Excessive menstrual bleeding, known as menorrhagia, is a hallmark symptom of submucosal fibroids. This can lead to anemia over time due to blood loss.

Pelvic pain and pressure:

A bulky uterus with fibroids can cause a feeling of fullness or pressure in the lower abdomen, sometimes leading to discomfort and pain.

Frequent need to pee:

If a submucosal fibroid presses against the bladder, it can cause a frequent need to urinate.

Pain during intercourse:

Submucosal fibroids can sometimes interfere with sexual intercourse and cause pain or discomfort.

Infertility:

In severe cases, these fibroids can interfere with fertility and may lead to difficulty conceiving or maintaining a pregnancy.

Treatment options:

The choice of treatment for submucosal fibroids depends on the severity of symptoms, the patient’s age, and their desire for future fertility. Here are some common treatment options:

Watchful waiting:

If the fibroids are small and not causing significant symptoms, a doctor may recommend a “watch and wait” approach, monitoring their growth over time.

Medications:

Hormonal medications, such as birth control pills or intrauterine devices (IUDs) with hormones, can help manage heavy menstrual bleeding and reduce pain.

Hysteroscopic resection:

For small submucosal fibroids that are causing severe symptoms, a hysteroscopic resection can be performed. This involves removing the fibroids through the cervix using a thin, lighted instrument called a hysteroscope.

Myomectomy:

In cases where fertility preservation is important, a myomectomy can be performed to remove the fibroids while leaving the uterus intact. This can be done through minimally invasive techniques or open surgery, depending on the size and location of the fibroids.

Hysterectomy:

If other treatments are not effective or if the fibroids are causing severe symptoms and there’s no desire for future pregnancies, a hysterectomy (removal of the uterus) may be recommended.

3-D Precision Guided Uterine Artery Embolization UAE):

This is a minimally invasive technique in which the blood supply to the uterine fibroids is blocked with a highly advanced 3-D precision guided endovascular procedure. It involves the insertion of a catheter into a blood vessel, typically in the groin area, which is then guided to the uterine arteries supplying blood to the fibroids. Small embolic agents are injected through the catheter to block these arteries, essentially starving the fibroids of their nutrient supply. Over time, the fibroids shrink.

This is a state-of-the-art technique performed by highly skilled radiologists who use real-time 3-D imaging for accuracy. In Pakistan, this technique has been introduced by Dr. Imtiaz Ahmed, who himself is an expert endovascular surgeon and an interventional radiologist. He has years of experience in treating fibroids via minimally invasive techniques.

The major advantages of 2-D image guided UAE over other invasive modalities are that it is minimally invasive, which means there will be no cuts, stitches, risk of infection, and surgery-related morbidity. The recovery time is quick, and patients can return to normal activities the same day. The results are promising, with researchers reporting up to a 90-95% successful resolution in pain, bleeding, and discomfort after undergoing UAE.

Consult Dr. Imtiaz Ahmad now for an expert opinion. He also specializes in the minimally invasive treatment of other types of fibroids, adenomyosis, and polyps. For more information regarding submucosal fibroids treatment, contact us. Email us at info@drimtiazahmad.com. Follow us on Instagram @Profdr_imtiaz_ahmad for more information and daily updates.

During the procedure, a skilled endovascular surgeon or an interventional radiologist uses image guidance to navigate catheters through the blood vessels to the site of the venous leak in 3-D imaging.. Once the problematic veins are located, the radiologist will use FDA-approved embolic agents to block or seal off these veins.

The benefits of this procedure are its minimally invasive nature, meaning there will be no cuts, sutures, or related complications. Recovery is quick, and the patient is usually discharged home on the same day or the following morning.

While many men can face problems maintaining an erection, not everyone can be labeled as having erectile dysfunction. So the question arises, how long does temporary erectile dysfunction last? Usually, a person should experience symptoms of ED consistently for more than 6 months before being diagnosed as having ED. It is also very important to consult an expert for the correct diagnosis of venous leak as a cause of ED.

Dr. Imtiaz Ahmed, an interventional radiologist and endovascular surgeon, is the best doctor to visit for venous leak issues. He has been practicing for years in his field and is an expert in diagnosing and treating venous leak. He also specializes in other causes of erectile dysfunction.

For more information email us at info@drimtiazahmad.com. Follow us on Instagram @Varicocele_and_venous_leak for more information and daily updates.