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Uterine Fibroids

Uterine fibroids are muscular growths that develop in the wall of the uterus (womb). These growths are almost always benign (they are not cancerous). Fibroids can range in size from very small, to too large. You can have a single fibroid or multiple fibroids. They are very common, affecting many women during their childbearing years.

Uterine fibroids are the most common benign tumors of the female reproductive system, occurring in 20–30% of females, most often in women aged 30–50. While many women with fibroids have no symptoms and experience no issues with fertility, for some, the size and location of fibroids can interfere with their ability to conceive or carry a pregnancy to term.

what are uterine fibroids

Types of Uterine Fibroids

Intramural Fibroids

These are the most common type and grow within the muscular wall of the uterus.

Subserosal Fibroids

These fibroids grow on the outside of the uterus. They are less likely to affect your menstrual flow but can cause pressure on surrounding organs like the bladder or bowel.

Submucosal Fibroids

These fibroids grow just underneath the lining of the uterine cavity. Even small submucosal fibroids can cause heavy menstrual bleeding and may impact fertility by interfering with the implantation of an embryo.

Pedunculated Fibroids

These fibroids are attached to the uterus by a stalk-like stem. They can grow either outside the uterus or within the uterine cavity.

What Are the Risk Factors for Uterine Fibroids?

Certain factors can increase a woman’s risk of developing uterine fibroids. These include:

Age

Fibroids are most common in women in their 30s and 40s.

Family History

If your mother or sister had fibroids, you have a higher chance of developing them.

Ethnic Origin

Women of African-Caribbean descent are more likely to develop fibroids.

Lifestyle

Being overweight or obese can increase your risk.

Diet

A diet high in red meat and low in green vegetables may be a contributing factor.

What Are the Risk Factors for Uterine Fibroids

What Are the Symptoms of Uterine Fibroids?

Many women with fibroids have no symptoms. However, when symptoms do occur, they can include:

  • Heavy or prolonged menstrual bleeding
  • Painful periods
  • Bleeding between periods
  • A feeling of fullness or pressure in the lower abdomen
  • Frequent urination or difficulty emptying your bladder
  • Constipation
  • Backache or leg pains
  • Pain during intercourse

For those trying to conceive, fibroids can sometimes lead to:

  • Difficulty getting pregnant (infertility)
  • An increased risk of miscarriage

How Are Uterine Fibroids Diagnosed?

If you are experiencing symptoms that suggest you may have uterine fibroids, our specialists at FERTY9 will conduct a thorough evaluation. The most common and effective ways to diagnose fibroids include:

Pelvic Exam

Your doctor may be able to feel the fibroids during a routine pelvic exam.

Ultrasound Scan

This is the most common imaging test used to confirm the presence of fibroids. It uses sound waves to create a picture of your uterus and can show the size and location of any fibroids.

Other Imaging Tests

In some cases, a more detailed imaging test like a Magnetic Resonance Imaging (MRI) scan may be used to get a clearer picture of the fibroids.

How Are Uterine Fibroids Diagnosed

Uterine Fibroids Treatment

At our fertility centre, our primary goal is to help you build your family. The treatment for uterine fibroids depends on several factors, including your age, the size and location of your fibroids, and your desire for future pregnancies.

  • Watchful Waiting: If your fibroids are small and not causing issues, we may recommend monitoring them.
  • Medications: Some medications help manage symptoms, but are often not suitable for women trying to conceive.
  • Myomectomy: Surgical removal of fibroids while leaving the uterus intact.
    • Hysteroscopic Myomectomy: Removed through the vagina (no incisions).
    • Laparoscopic Myomectomy: Small incisions in the abdomen.
    • Abdominal Myomectomy: Open surgery for large/multiple fibroids.

Our experienced team at FERTY9 will discuss all suitable options with you to help you on your path to parenthood.

Patient Stories

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