What are uterine fibroids?
Fibroids are benign tumors made of smooth muscle cells and fibrous connective tissue. They develop in the uterus. It is estimated that 70-80% of women will develop fibroids in their lifetime—however, not everyone will develop symptoms or require treatment. The most important characteristic of fibroids is that they are not cancer, and they do not have the potential to become cancer. Because of that, it is reasonable for women without symptoms to opt for observation rather than treatment. Studies show us that fibroids grow at different rates, even in the same woman, and can range from the size of a pea to the size of a watermelon.

What causes uterine fibroid tumors?

The cause of uterine fibroids is not known, although studies demonstrate there may be a genetic component. There is no food or external exposure that a woman can have that can cause her to develop fibroids.
Who is at risk for uterine fibroids?

As women age their likelihood for developing fibroids increases. Studies have demonstrated that women with a family history are more likely to develop fibroids. Fibroids are also more common in African American women. Obesity has also been linked to an increase risk of fibroids. There are no foods or diets that are known to increase a woman’s risk of developing fibroids.
What are the symptoms of uterine fibroids?

Most women with fibroids will experience no symptoms at all. However, for many women large or numerous fibroids can cause the following symptoms:

Heavy or prolonged periods
Bleeding between periods
Pelvic pain and pressure
Frequent urination
Low back pain
Pain during intercourse
Difficulty getting pregnant

Fibroid Patients, UCLA
How are uterine fibroids diagnosed?

Fibroids are most often found during the physical exam. Your healthcare provider may feel a firm, irregular pelvic mass during an abdominal or pelvic exam.

Transvaginal ultrasound. This is an ultrasound performed inside the vagina to better assess if you have fibroids. It can help establish the diagnosis as the first imaging test.
MRI. This imaging test does not use radiation, and allows your provider to gain a road map as to the size, number, and location of each of your fibroids. It is often recommended before proceeding with some surgical options.
Saline Sonohysteragram. This is a vaginal ultrasound performed in the office while putting fluid (saline) into the uterus. By expanding the uterine cavity with this fluid your provider may be able to see if you have fibroids growing within the uterine cavity.
Hysteroscopy. This is a surgical procedure performed to gain direct visualization of the uterine cavity. It does not visualize or treat fibroids outside the cavity.
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