Uterine Fibroids: Essential Information for Every Woman

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Did you know that many women have uterine fibroids without even realizing it? These common, non-cancerous growths can often go unnoticed, lurking silently. When you go for a routine pelvic exam or pregnancy ultrasound you get the shock. While fibroids arrives unexpectedly, heavier than usual, and accompanied by nagging pelvic cramps.  This is a common experience for many women with uterine fibroids. 

Fibroid disease involves non-cancerous uterine growths that may cause symptoms, impacting women’s health and daily life. While they can cause disruptions to daily life and anxieties about reproductive health. But do no panic, the good news is that uterine fibroids are manageable. 

symptoms of fibroids

Uterine fibroid management provides effective options—ranging from lifestyle adjustments to advanced medical treatments. As an experienced healthcare provider, I’m here to guide you through evidence-based solutions. Empowering you with trusted, reliable knowledge for informed decision-making on your health journey.

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What are Uterine Fibroids?

In uterus fibroids are common, non-cancerous growths that develop within the uterus and may lead to various symptoms. These growths, also known by their medical names – myomas or leiomyomas.

Fibroids are one of the most common types of benign (not cancerous) uterine growths. An estimated 40% to 80% of women with a uterus will experience fibroids at some point in their lives. These growths are most frequently found in those aged 30 to 50. They’re uncommon in younger individuals who haven’t begun menstruating and tend to decrease in frequency after menopause.

uterine fibroids

Uterine fibroids vary greatly in size. Some may remain very small and cause no problems, while others can grow quite large. 

Types of Fibroids

Uterine fibroids are classified into different types based on their location within the uterus:

  1. Intramural Fibroids: This being the most common type of fibroids. They grow within the muscular wall of the uterus itself.  
  2. Subserosal Fibroids: These fibroids grow on the outside of the uterine wall. Sometimes they can develop a stalk, and these are called pedunculated fibroids. 
  3. Submucosal Fibroids: These fibroids grow into the uterine cavity, which is the space inside the uterus. 

Understanding the different types of fibroids is important. Their location can influence the symptoms you experience and uterine fibroids managemente options most suitable for you.

Why Do Uterine Fibroids Develop?

If you’ve been diagnosed with uterine fibroids, you might be wondering, “Why me?” It’s a common question, and unfortunately, there’s no single, straightforward answer. While researchers continue to explore the exact causes of uterine fibroids, we do know several factors play a role. 

Hormonal Influence

Hormones appear to be a significant factor in the development of uterine fibroids. Estrogen and progesterone, two hormones produced by the ovaries, seem to stimulate the growth of these fibroids. This link is supported by the observation that fibroids tend to shrink after menopause when estrogen and progesterone levels decline. 

Genetic Factors

Family history also appears to play a role. If your mother, sister, or other close female relatives have had fibroids, you may be more likely to develop them as well. 

Age and Race

Uterine fibroids are most common in women of reproductive age, with their incidence decreasing after menopause. Additionally, African American women have a higher risk of developing fibroids compared to other ethnicities. 

If you have any concerns about the causes of uterine fibroids or are experiencing symptoms, it’s best to consult with your healthcare provider for personalized advice and management strategies.

Recognizing the Symptoms of Uterine Fibroids

It’s important to know that many women with uterine fibroids don’t experience any symptoms at all.  However, when symptoms do occur, they can vary greatly from person to person. The size, number, and location of the fibroids all play a role in the type and severity of symptoms you might experience. 

Common Symptoms

Here are some of the most common symptoms associated with uterine fibroids: 

  • Heavy Menstrual Bleeding (Menorrhagia): This is often the most noticeable symptom. You might find yourself soaking through pads or tampons every hour, or needing to change them during the night.  
  • Prolonged Menstrual Periods: Your period might last longer than seven days.
  • Pelvic Pain and Pressure: You might feel a sense of fullness, heaviness, or pain in your lower abdomen or pelvis. This can be due to the fibroids pressing on other organs. 
  • Frequent Urination: If a fibroid presses against your bladder, you might feel the need to urinate more often than usual. 
  • Constipation: If a fibroid presses against the rectum, it may lead to constipation.
  • Changes in Abdominal Size: In some cases, uterine fibroids can cause your abdomen to feel distended or appear larger. 

Early diagnosis is key to effective uterine fibroids management. With the right treatment plan, you can find relief from bothersome symptoms and improve your quality of life.

Diagnosing Uterine Fibroids

Suspecting you might have uterine fibroids? Don’t worry, diagnosis is often straightforward. It usually involves a combination of a pelvic exam and imaging tests to get a clear picture of what’s going on.

How Fibroids Are Diagnosed

  • Pelvic Exam: Your doctor will physically examine your uterus to check for any enlargements, lumps, or irregularities that might suggest fibroids. [cite: 8]
  • Ultrasound: This is a common and painless imaging test that uses sound waves to create pictures of your uterus and identify any fibroids present. [cite: 8]
  • Other Imaging: In some cases, your doctor might recommend additional imaging tests, such as an MRI (magnetic resonance imaging), to get a more detailed view of the fibroids and their location. [cite: 8]
  • Blood Tests: Blood tests may be done to check for anemia (low red blood cell count), which can be caused by heavy bleeding due to fibroids. [cite: 8]

With these diagnostic tools, your doctor can accurately assess the presence, size, and location of uterine fibroids, which is essential for determining the most appropriate management plan for you.

When to See a Doctor

If you notice any of these symptoms, scheduling a visit with your doctor is essential. They can perform a physical exam and order imaging tests, to confirm the presence of fibroids and determine their size and location. 

  • Persistent pelvic pain can be a symptom of uterine fibroids, especially if the fibroids are large or pressing on other organs.  The pain might be dull, achy, or sharp, and it may worsen during your period. 
  • Fibroids can cause heavier than normal menstrual bleeding (menorrhagia) and more painful periods (dysmenorrhea).  This can disrupt your daily activities and even lead to anemia due to blood loss. 
  • Bleeding or spotting between periods (metrorrhagia) can also be a sign of uterine fibroids, particularly submucosal fibroids.
  • When a fibroid presses against the bladder, it may lead to urinary symptoms.

Early diagnosis is key to effective uterine fibroids management. Get the right treatment plan, recommended diet and lifestyle changes as suggested by healthcare provider. You can find relief from bothersome symptoms and improve your quality of life.

Also Read:

FAQ’s: Debunking Myths- Uterine Fibroids

Q: Do fibroids always lead to cancer?

A: No, fibroids are benign (non-cancerous) growths. They don’t increase the risk of uterine cancer or other cancers.

Q: Can fibroids be prevented with diet alone?

A: Diet alone can’t prevent fibroids, but a healthy lifestyle may help manage symptoms. Genetics and hormones are major factors in fibroid development.

Q: Do all fibroids need to be removed?

A: Not all fibroids require treatment. Many are asymptomatic and can be monitored without intervention unless symptoms affect daily life.

Conclusion

Understanding uterine fibroids is the first step towards taking control of your reproductive health. Remember, these common growths are benign and often asymptomatic. However, if you experience symptoms such as heavy bleeding, prolonged periods, or pelvic pain, it’s crucial to seek advice from your gynecologist.

Early diagnosis allows for personalized uterine fibroid management, tailored to your specific needs and goals. Whether through watchful waiting, medication, or other treatment options, there are solutions to help you manage symptoms and improve your quality of life.

Don’t let uterine fibroids hold you back. Schedule an appointment to discuss your personalized treatment plan. In the meantime, connect with us for helpful tips and ongoing support.

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Dr. Madhu Goel
Senior Consultant Obstetrician and Gynaecologist
Director, Fortis La Femme

I am passionate about women’s health. With expertise in managing high-risk pregnancies, infertility, and various gynaecological issues, I strive to provide compassionate care. I am committed to ensuring the well-being of my patients. Follow me for insights and updates on women’s health.

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