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Understanding Fibroids: What are they & how to know if you have them

Updated: Aug 24, 2023

Understanding Fibroids: A Guide for Women Recently Diagnosed or Seeking More Information about Fibroid Tumors


Receiving a fibroid diagnosis can be overwhelming, but knowledge is power. If you or someone you know has been diagnosed with fibroids or wants to learn more about this condition, you've come to the right place. In this guide, we will explore what fibroids are, their symptoms, causes, and available treatment options, empowering you to make informed decisions regarding your health.


What are Fibroids?

Fibroids, also known as uterine fibroids or leiomyomas, are non-cancerous growths that develop in the uterus. They are incredibly common and can vary in size, ranging from small and unnoticeable to large and causing discomfort. While fibroids are generally benign, their presence can lead to various symptoms and complications that affect a woman's quality of life.


Common Symptoms

The symptoms of fibroids can vary depending on their size, number, and location within the uterus. Some women may experience no symptoms at all, while others may encounter:

  1. Heavy or Prolonged Menstrual Bleeding: Fibroids can cause heavy periods that last longer than usual, leading to anemia in some cases.

  2. Pelvic Pain and Pressure: Large fibroids can create pressure on the pelvic region, causing discomfort, a feeling of fullness, or pain.

  3. Frequent Urination: If fibroids put pressure on the bladder, it may lead to increased urgency and frequency of urination.

  4. Difficulty Emptying the Bladder: In some instances, fibroids can obstruct the normal flow of urine.

  5. Pain during Intercourse: Fibroids located near the cervix can lead to painful sexual intercourse.

  6. Abdominal Swelling: Large fibroids can cause the abdomen to swell, resembling pregnancy.

  7. Infertility or Pregnancy Complications: Depending on their location, fibroids can interfere with conception or cause complications during pregnancy.

Causes of Fibroids

The exact cause of fibroids is still not fully understood. However, various factors can contribute to their development, including:

  1. Hormones: Estrogen and progesterone, two hormones that regulate the menstrual cycle, can promote the growth of fibroids. That's why fibroids often shrink after menopause when hormone levels decrease.

  2. Genetics: If your mother or sister has a history of fibroids, you might be at a higher risk of developing them too.

  3. Ethnicity: Studies suggest that women of African descent may have a higher predisposition to fibroids.


Diagnosing Fibroids

If you suspect you have fibroids or experience any of the symptoms mentioned, it's essential to consult with a healthcare professional. After discussing your medical history and symptoms, your doctor may conduct one or more of the following tests to diagnose fibroids:

  1. Pelvic Exam: Your doctor will manually examine your pelvic region to feel for any irregularities.

  2. Ultrasound: This non-invasive imaging test uses sound waves to visualize the uterus and detect fibroids.

  3. MRI (Magnetic Resonance Imaging): An MRI provides detailed images of the uterus and fibroids, helping determine their size and location.

  4. Hysteroscopy: In this procedure, a thin, lighted tube is inserted through the cervix to examine the inside of the uterus.

Treatment Options

The appropriate treatment for fibroids depends on the severity of symptoms, the size and location of the fibroids, your age, and your desire for future pregnancies. Treatment options include:

  1. Watchful Waiting: If fibroids are small and not causing significant symptoms, your doctor may recommend monitoring their growth and opting for conservative management.

  2. Medications: Hormonal medications, such as birth control pills or gonadotropin-releasing hormone agonists, can help manage symptoms and shrink fibroids.

  3. Minimally Invasive Procedures: Procedures like uterine artery embolization (UAE), myomectomy, and laparoscopic or robotic-assisted surgeries can remove or shrink fibroids while preserving the uterus.

  4. Hysterectomy: In severe cases or if you no longer desire to have children, a hysterectomy may be recommended to remove the uterus entirely.


Lifestyle Changes

In addition to medical treatments, certain lifestyle changes may help alleviate fibroid symptoms and promote overall well-being:

  1. Healthy Diet: Incorporate a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.

  2. Regular Exercise: Engage in regular physical activity to help manage weight and reduce symptoms.

  3. Stress Management: Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises.


Conclusion

If you've been diagnosed with fibroids or want to learn more about this condition, remember that you are not alone. Armed with knowledge about fibroids, their symptoms, and available treatment options, you can take control of your health and work with your healthcare provider to develop a personalized treatment plan. Don't hesitate to reach out to a medical professional to discuss your concerns and explore the best course of action for your unique situation.

Remember, each individual's experience with fibroids may differ, so it's essential to consult with a healthcare professional for personalized advice and guidance.

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