Uterine Fibroids
Uterine fibroids are very common non-cancerous growths. They usually grow within the muscle wall of the uterus, or on the outer surface of the uterus. They can grow alone or in clusters. They can vary in size from a pea to a grapefruit or even larger.
Causes and triggers
The exact cause is unknown. Uterine fibroids sometimes grow in response to elevated female hormone levels, but they generally reduce after menopause as hormone levels drop.
Other risk factors have been identified, such as:
- Having experienced your first period at a young age
- Being of African descent
- Having a family history of uterine fibroids
- Being overweight
Symptoms
Symptoms associated with fibroids depend on their size, their number and their location. The most common symptoms include:
- Increasingly heavy menstrual bleeding
- Bleeding between periods
- Pain in the lower abdomen
- Pain during intercourse
- Feeling of fullness in the lower abdomen
- Increased abdominal volume causing bloating
- Constipation
- Increase in urinary frequency or difficulty to urinate
Most women who have fibroids do not experience any complications. However, some may develop anemia.
Uterine fibroids usually do not prevent pregnancy. However, when fibroids develop inside the uterus, they may interfere with the pregnancy and cause miscarriage.
Treatment
Women with no symptoms do not generally require treatment. A follow-up is recommended to observe the fibroids evolution. In some cases, medication can be used to reduce the symptoms (bleeding, anemia, pain), or reduce hormone levels. Procedures are available to remove fibroids without opening the abdominal wall. Surgery is generally considered in case of major complications or severe symptoms.
Women with one or several of the above-mentioned symptoms should consult with their health care professional so that the necessary examinations can be performed, and to ensure that the appropriate follow-up is carried out.