Understanding Uterine Fibroids

A Comprehensive Guide to Symptoms, Diagnosis, and Treatment Options

Family Medicine

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Last updated: Mar 24, 2025

What Are Fibroids?

Fibroids (myomas) are non-cancerous growths that develop in or around the uterus. They're composed of muscle and fibrous tissue and can vary in size from tiny seedlings to large masses.

Common Symptoms

  • Heavy or prolonged menstrual bleeding
  • Pelvic pressure and pain
  • Frequent urination
  • Constipation
  • Backache or leg pains
  • Difficulty getting pregnant

Risk Factors

  • Age (most common during reproductive years)
  • Family history
  • African American heritage
  • Obesity
  • High blood pressure
  • Vitamin D deficiency

Diagnosis

Your healthcare provider may use several methods to diagnose fibroids:

  • Pelvic examination
  • Ultrasound
  • MRI
  • Hysteroscopy

Treatment Options

Medication

  • Hormonal birth control
  • GnRH agonists
  • Non-steroidal anti-inflammatory drugs (NSAIDs)

Minimally Invasive Procedures

  • Uterine artery embolization
  • Myomectomy
  • Radiofrequency ablation

Surgery

  • Hysterectomy (if other treatments aren't suitable)

Living with Fibroids

  • Monitor symptoms
  • Regular check-ups
  • Maintain healthy weight
  • Exercise regularly
  • Consider iron supplements if experiencing heavy bleeding

When to Seek Medical Care

Consult your healthcare provider if you experience:

  • Heavy or prolonged menstrual bleeding
  • Severe pelvic pain
  • Difficulty urinating
  • Rapid fibroid growth

Complications

  • Anemia from heavy bleeding
  • Pregnancy complications
  • Infertility (rarely)
  • Kidney problems (in severe cases)

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