Fibroids

What causes uterine fibroids?

Uterine fibroids are incredibly common in women of childbearing age but often cause no symptoms, so women don’t even realize they have them. They may be as small as a seed but can grow large – to the size of a grapefruit – and stretch out your uterus, causing serious discomfort.

In the vast majority of cases, cancer does not cause uterine fibroids. They are likely a result of hormonal activity.

What symptoms suggest I have uterine fibroids?

If you have symptomatic fibroids, you might experience:

• Heavy and long-lasting menstrual periods
• Frequent urination
• Pelvic pain and discomfort
• Constipation and bloating

Fibroid pain is usually dull and aching. However, if a fibroid outgrows its blood supply and starts to die, you may experience acute, intense pain and need to contact Lucina Women's Health right away.

How are fibroids diagnosed?

The team at Lucina Women's Health review your symptoms and perform a pelvic exam, during which they may detect fibroids.

They may also order an in-office ultrasound to get a sense of the size, location, and the number of fibroids.

What is the treatment for fibroids?

Fibroids that present with no symptoms require no special treatment. You may be scheduled for regular ultrasounds to monitor their growth. Often, asymptomatic fibroids resolve on their own, especially as you reach menopause, and your hormone levels change.

Your doctor may recommend specific hormonal medications if you have painful fibroid symptoms. These medications can address pelvic pressure and heavy bleeding by possibly causing the fibroids to shrink or stop growing. Gonadotropin-releasing hormone agonists are a common prescription. These medications halt the production of estrogen and progesterone. Oral contraceptives or a hormonal intrauterine device are other possible treatment options.

Some women may require surgery for large, symptomatic fibroids. Minimally invasive options include a myomectomy, which removes offending fibroids but leaves your uterus intact, performed via MyoSure® tissue removal. In some cases, you may require a full hysterectomy. Your doctor makes recommendations according to your fertility goals, your level of discomfort, and your age.

If you suspect you have uterine fibroids, contact Lucina Women's Health for evaluation. Call today to make an appointment or book online.