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Uterine Fibroid Symptoms



Depending on the size, location and number of fibroids, they may cause:

Heavy menstrual bleeding which can lead to anemia.
Pelvic pain Pressure symptoms such as frequent need to urinate and back pain.
Pain during sexual intercourse.
Bladder pressure leading to a frequent urge to urinate.
Enlarged abdomen.
They can cause pain, heavy bleeding and pressure symptoms such as back pain and frequent urination.

Uterine fibroids are the most common tumors in women. They may be referred to as leiomyoma, leiomyomata, myoma and fibromyoma.

The number and position of the fibroids is important in determining treatment options.

Subserosal Fibroids
These may have a neck and extend outside the uterus. These are called pedunculated fibroids and may be a contraindication to embolization.

Intramural Fibroids
These are in the muscular wall of the uterus and are safe to embolize. This is the most common location for fibroids.

Submucosal Fibroids
These pushing into the lining of the uterus and can cause very severe bleeding.

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9 Facts About Fibroid Tumors Every Woman Should Know.

While uterine fibroids aren’t standard info covered in Women’s Bodies 101, they should be: Up to 70 percent of all women are likely to get them in their lifetime. Here are all the nitty-gritty details you need to know:

1. Uterine Fibroids Are Super-Common
Also known as leiomyomas or myomas, these are the most common uterine tumors. One study found that between 70 to 80 percent of all women will get them by the age of 50. You’re most likely to see them in you


2. Fibroids Aren’t Cancer
Fibroids are benign, non-cancerous tumors—but uterine fibroids can have similar symptoms to a rare form of cancer called uterine sarcoma. Unfortunately, scientists don’t have a reliable way to detect sarcoma—except when they are doing surgery to remove fibroids. If you’ve got fibroids, you’ll want to discuss the risk of uterine sarcoma with your doc.

3. African-American Women Are More Likely to Get Fibroids
They’re two to three times more likely, in fact. These fibroids also typically develop at a younger age, grow larger, and cause more severe symptoms. You may also have an increased risk of fibroids if you have never been
pregnant , are severely overweight, or have a family member who has fibroids.

4. Many Women Have No Symptoms and Require No Treatment
Good news! Fibroids only require treatment if they are causing you
symptoms —and most women with fibroids are symptom-free. “If a woman with fibroids has no related symptoms, it may be unnecessary to recommend treatment beyond clinical observation over time, as long as the small risk of hidden sarcoma is discussed,” says Antonio Pizarro, M.D., board-certified doctor in obstetrics and gynecology, female pelvic medicine, and reconstructive surgery.

5. They Are the Leading Cause of Hysterectomies
More than 200,000
hysterectomies —the surgical removal of the uterus—are performed each year for uterine fibroids in the United States. Along with making you infertile, the procedure also carries its own risks, so doctors only recommend it when the fibroids are extremely painful or have not responded to other methods.

6. But a Hysterectomy Isn’t the Only Option Anymore
There are now a number of medical therapies that can be used to shrink or slow the growth of fibroids, including hormone treatments, ultrasound therapy, or a myomectomy, which removes the fibroids while leaving the uterus in tact. If the fibroids don’t require removal, there are other treatments that can help you deal with symptoms such as ibuprofen, birth control pills, or ablation (a procedure using radiofrequency energy to destroy tissue).

7. The Most Common Symptom Is a Heavy Menstrual Flow
Like, really heavy—maybe even with blood clots. Fibroids can also cause bleeding between periods, the need to pee, pelvic cramping , a bloated abdomen, or
painful sex .

8. You Can Still Get Pregnant—but May Have Difficulties
Most women with fibroids have issue-free pregnancies, but they can cause some complications. Some research suggests that certain types of uterine fibroids can change the size and shape of the uterus, which can impact a woman’s ability to get pregnant—though experts estimate fibroids cause only one to two percent of infertility cases . Fibroids are also linked to a six-time greater risk of needing to deliver via cesarean section and a risk of heavier bleeding after delivery.

9. Scientists Still Don’t Know What Causes Them
“The precise cause of the mutations that cause fibroids is unsettled, despite their very high prevalence and clinical impact,” says Pizarro. Current research leans towards the impact of hormones such as estrogen and progesterone, since tumors rarely appear before a women’s first period and decrease after menopause. Stress , diet, and environmental factors may also play a role in fibroid development.

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Symptoms

Symptoms of fibroids range from none at all to heavy and prolonged menstrual cycles, backache, urinary frequency and/or incontinence, a sensation of pelvic heaviness, or pain with sexual intercourse. In some cases, fibroids are responsible for recurrent miscarriages. In rare cases, they've also been linked to infertility.
Fibroids can form inside or outside the uterus, or within the uterine wall. They can grow larger than a grapefruit or remain as tiny as a pea. "We grade fibroids in the same manner as you would grade gestational age of a fetus. Any gynecologist in the world understands when I say that "my patient's fibroids are about 16 weeks in size", says Maxwell. "I've had women walk into my office who look seven months pregnant [from a fibroid]" she adds.

Estrogen affects the growth of fibroids. Many fibroids are discovered during pregnancy, because they tend to become larger as pregnancy causes an increase in estrogen. Conversely, as estrogen production tapers off during menopause, fibroids may shrink or even disappear.

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