It is always so sad to read newspaper articles about denizen spouse who are mistreated and unloved by their husbands. My heart bleeds for the loss of innocence and crushed dreams of these women who most probably agreed to such marriages only for a chance for a better life.


The number of these cases ending in abuse only makes the following story all the more poignant and touching for its almost happy ending. When we first met our denizen spouse patient during her next menstrual cycle, we all mistook her to be of aboriginal descent for her stature and coloring was so different from her husband. It turned out she was an arranged bride who have been married to her doting husband for the past number of years. I say ‘almost’ happy ending because their family is still missing one vital element – a child.

Despite achieving pregnancy a few years ago, the couple was forced to make the difficult decision of undergoing surgical removal of uterine fibroid in an attempt to lessen the risk of it affecting her baby’s development. But the intrusive procedure caused complications and their baby passed away. Although they still wanted a child, they were unsure of the alternatives since they were both already of advanced ages.

Then, one day, they accidentally saw the commercial of our center and it gave them hope again. They immediately rushing to our facility to inquire about the programs we offer. During our consultations, we can see how patiently her husband translates and explains to her all the procedures and medications needed. The visible love between these two people who have such different physical appearances touched our hearts. We hope that their story will not end here and will indeed have a ‘very happy ending’ soon.

Brief information about Myomata Uteri (Uterine fibroid)

Myomata Uteri may either be malignant or benign. Depending on the location, it is divided into three categories, namely – 1. Intramural fibroids 2. Subserosal fibroids 3. Submucosal fibroids

The cause of uterine fibroid in women is still unknown. It is thought to be related to a woman’s hormonal imbalance and menstrual cycle. Based on the location, size and the pregnancy conditions of the female, it can lead to abnormal uterine bleeding, painful pressure, infertility or increased chances of miscarriages. Sometimes, if a woman is pregnant, and the fibroid cause little or no impact, it is also possible for the doctors to treat the fibroid after childbirth.

Insights from Dr. Lai

1. Is there a need to operate in cases of Myomata uteri ? Is there an adverse effect on pregnancy? These are some of the most frequently asked questions we encounter in the clinic. We usually need 15-30 minutes in order to answer these queries fully and to the satisfaction of patients. In order to maximize a client’s consultation time, I feel it is more efficient to relate hopeful stories of other patients’ similar experiences – such as the one above.

2. One must consider the following questions carefully prior to making a decision on whether to operate or not – First, what is the probability that within a short period of time, the fibroid will grow back? Second, will it cause the patient to become anemic? Will it have any effect on the pelvic area and decrease quality of life?

3. I suggest the patient undergo hysteroscopy in order to ensure whether the fibroid is causing any pressure on the pelvic area and deformity of the uterus. If the fibroid is not removed, will it increase the chance of miscarriage? Different studies have different perspectives on this matter but personally, I suggest that it is a better option to try non-surgical alternatives for 6-12 months before opting for operation.

4. If a patient finally decides to operate, one must also consider the potential risk of recurring if there is a strong family history. One must consider the repercussions of multiple surgeries.