Learn how to recognize the symptoms of uterine fibroids and explore available treatment options.
Uterine fibroids are more common than you might think. These noncancerous growths can appear during a woman’s childbearing years and often go unnoticed. But for some, they can cause significant discomfort and disrupt daily life. If you’re trying to understand the symptoms of uterine fibroids and treatment options, you’re in the right place.
At Lona Sasser Obstetrics & Gynecology, we care about helping you feel informed and supported. If you’re experiencing symptoms that concern you, schedule an appointment online or call us at 954-340-1050 to speak with a provider: Book here.
What Are Uterine Fibroids?
Uterine fibroids are muscular tumors that grow in the wall of the uterus. Also called leiomyomas or myomas, these growths are usually benign. They can vary in size, from tiny seedlings to bulky masses that can enlarge and distort the uterus.
Many women have uterine fibroids at some point, though not all will experience symptoms. They’re most common in women between the ages of 30 and 50 and tend to occur more frequently in women of African-American descent. Hormonal factors, especially estrogen and progesterone, can influence their growth.
Common Symptoms of Uterine Fibroids
Some women have fibroids without any symptoms at all, while others experience symptoms that affect their daily life. The size, number, and location of fibroids can influence the types and severity of symptoms.
Here are the most common symptoms of uterine fibroids:
- Heavy menstrual bleeding
Fibroids can cause periods that are longer and heavier than normal, sometimes with clotting. - Pelvic pain or pressure
A feeling of fullness or pressure in the lower abdomen is a common complaint. - Frequent urination
Larger fibroids can press against the bladder, causing a frequent need to urinate. - Constipation
Pressure from fibroids on the rectum may result in difficulty with bowel movements. - Pain during intercourse
Depending on their location, fibroids can cause discomfort during intimacy. - Lower back pain
When fibroids press on spinal nerves, they may lead to persistent backaches. - Reproductive issues
In some cases, fibroids can interfere with fertility, pregnancy, or cause complications during labor.
If any of these symptoms are disrupting your life, it’s important to talk with a gynecologist.
Diagnosing Uterine Fibroids
A diagnosis usually begins with a pelvic exam and is often confirmed with imaging tests:
- Ultrasound: This non-invasive imaging technique allows your provider to see the size and shape of your uterus.
- MRI: Sometimes used to get a more detailed look at fibroids, especially before surgery.
- Hysterosonography or hysteroscopy: Techniques that use fluid or a small camera to better view fibroids inside the uterus.
Treatment Options for Uterine Fibroids
The good news is that there are many treatment options available. The best choice depends on your symptoms, fibroid size and location, age, and whether you hope to become pregnant in the future.
Here are the most common treatment options for uterine fibroids:
1. Watchful Waiting
If your fibroids aren’t causing symptoms, your doctor may recommend regular monitoring without immediate treatment.
2. Medications
Several medications can help control fibroid symptoms, including:
- Hormonal birth control to regulate periods
- GnRH agonists to shrink fibroids temporarily
- NSAIDs to reduce pain
These medications don’t eliminate fibroids, but can manage symptoms effectively for many women.
3. Non-invasive Procedures
- MRI-guided focused ultrasound surgery (FUS): This outpatient procedure uses high-frequency sound waves to destroy fibroid tissue.
4. Minimally Invasive Procedures
- Uterine artery embolization (UAE): Blocks blood flow to fibroids, causing them to shrink.
- Laparoscopic or robotic myomectomy: Removes fibroids while leaving the uterus intact.
- Endometrial ablation: Destroys the lining of the uterus to reduce bleeding.
5. Traditional Surgical Options
- Abdominal myomectomy: Open surgery to remove larger or numerous fibroids.
- Hysterectomy: Complete removal of the uterus. This is the only permanent solution for fibroids and is generally recommended only when other options have failed or are not suitable.
When to See a Doctor
If you’re experiencing heavy bleeding, severe pain, or fertility concerns, don’t wait to speak to a provider. Fibroids can worsen over time, and early intervention can offer more treatment options and better outcomes.
It’s also important to note that while fibroids are almost always benign, they can mimic the symptoms of more serious conditions like endometrial cancer. That’s why it’s critical to seek medical attention for any unusual symptoms.
Living with Uterine Fibroids
Living with uterine fibroids can feel overwhelming, especially if your symptoms are frequent or severe. But many women find relief through proper diagnosis and a tailored treatment plan. Whether your focus is managing symptoms, preserving fertility, or seeking permanent relief, your gynecologist can help guide you to the right option.
If you live in Coral Springs or the surrounding areas and are experiencing symptoms of uterine fibroids, compassionate care is just a phone call away. Contact Lona Sasser Obstetrics & Gynecology to schedule your appointment at 954-340-1050 or book online here.
Photo by Andrea Piacquadio