Noncancerous in most cases, fibroids are incredibly common, with as many as 80 percent of women developing them by age 50. Uterine fibroids are typically diagnosed during routine gynecological check ups or secondary visits investigating symptoms.
Read on to learn the warning signs and symptoms of uterine fibroids as well as the current treatment options available.
Transcript
What Are Uterine Fibroids?
Also called leiomyomas or myomas, uterine fibroids are growths made of smooth muscle cells and fibrous connective tissue. They may manifest alone or in clusters, ranging in size from as small as a grain of rice to as big as a watermelon, expanding the uterus to the rib cage.
Fibroids can grow on the outside of the uterus (subserosal fibroids), inside the muscle of the uterus (intramural fibroids), or into the uterine cavity (submucosal fibroids, the most rare type). They can also be pedunculated, or attached to the uterine wall by a stalk.
It’s not known what causes fibroids, although there are noted connections to ethnicity–African American women are diagnosed with fibroids at a higher rate than any other race–and estrogen production–fibroids contain more estrogen than typical uterine muscle cells and they typically shrink after menopause.
Learn more: What are uterine fibroids?
Signs and Symptoms of Fibroids
Heavy Periods
Pelvic and/or Abdominal Pain or Pressure
Painful Sex
Low Back Pain
Constipation, Difficulty with Bowel Movements, and Rectal Pressure
Similarly, fibroids that press against the rectum can cause a feeling of rectal fullness, pain during bowel movements, or difficulty having a bowel movement. Chronic constipation can also lead to hemorrhoids: painful, inflamed veins located in and near the rectum that can cause bleeding during bowel movements.
Emergency Fibroid Symptoms
This is why receiving care from fibroid experts can be crucial to avoiding the pain and stress of symptomatic fibroids.
How Are Fibroids Diagnosed?
- Fibroids are often discovered during pelvic exams as the doctor manually checks the uterus and other internal reproductive organs for abnormalities. This may happen during a routine gynecological checkup if there are asymptomatic fibroids, or at a visit to investigate if the cause of symptoms you’re experiencing are consistent with fibroids.
- Typically an ultrasound is then used to confirm the presence of fibroids, as well as their size and location. This may be an abdominal ultrasound, similar to a pregnancy ultrasound, or a transvaginal ultrasound, in which a small probe is inserted into the vagina.
- If there are multiple fibroids, ultrasounds can be ineffective at identifying their size and position. In cases like these, another diagnosis method such as saline sonography (Saline Infusion Sonohysterogram) may be used. A saline sonogram uses sterile saline injected into the uterus through a catheter to highlight any abnormal masses. This can provide a better picture of the exact location(s) of the fibroids and whether it could complicate pregnancy.
- An MRI is commonly used for women approaching menopause (or those with a larger uterus) to reveal in more detail the size and location of fibroids. An MRI is also necessary for women opting for uterine fibroid embolization treatment.
- Finally, hysteroscopy is a valuable tool for evaluating fibroids in women experiencing both menstrual issues and infertility. The doctor inserts a small, lighted telescope through the cervix into the uterus, then injects saline into the uterus, allowing them to both see and remove, if necessary, the fibroids from inside the uterus.
Do I Need to Get Fibroids Treated?
Treatment is not always necessary. If you are asymptomatic, once the fibroids are confirmed by testing to be benign, often nothing further needs to be done.
However, you should seek treatment if fibroids are negatively affecting your quality of life and/or causing excessive bleeding, pain, or bladder problems.
How Are Fibroids Treated?
Lifestyle changes are the simplest and cheapest way to improve your symptoms, whether you ultimately need further treatment or not. Eating healthy foods, such as those on the Mediterranean diet (e.g. whole grains, vegetables, fish, fruits, nuts), and reducing processed foods, alcohol, sugar, and caffeine can improve symptoms and keep fibroids from worsening. Exercising, managing stress, and taking supplements such as iron can all be beneficial, as well.
Medications are also a treatment option. Over-the-counter painkillers such as ibuprofen may be used for abdominal pain from fibroids, while birth control pills may be prescribed to help control heavy bleeding. Medications called gonadotropin-releasing hormone (GnRH) agonists can be used temporarily to shrink fibroids before surgery, but not long-term as they can lead to irreversible bone loss.
Surgery is a treatment method for fibroids that includes the removal of the fibroids (myomectomy) or the entire uterus (hysterectomy). But for the many patients who prefer to avoid major surgery, uterine fibroid embolization (UFE) is an alternative.
A minimally invasive endovascular intervention, UFE allows you to preserve your uterus and usually your fertility and doesn’t result in unsightly scarring.
VasCare Provides Diagnosis and Treatment in Corpus Christi and South Texas
As leading UFE practitioners, we have seen the benefit to women of minimally invasive treatment with low risk of complications and a short recovery time.
If you’re experiencing fibroid symptoms in South Texas, come see us and hear how this exciting treatment can restore your quality of life.
