Uterine Fibroids
Common but benign growths that can be managed with confidence
What is uterine fibroids
Uterine fibroids are benign tumors that develop within the muscular wall of the uterus. Made of smooth muscle and connective tissue, they most commonly affect women of reproductive age. In many cases, fibroids are asymptomatic and discovered incidentally. However, depending on their size and location, they can cause heavy periods, pelvic pressure, or fertility difficulties.
Fibroids are not associated with cancer, and in the vast majority of cases, they remain non-threatening. Regular monitoring and a tailored treatment plan ensure safety and quality of life.
Types and locations of fibroids
Intramural fibroids
Located within the uterine wall and are the most common type.
Submucosal fibroids
Protrude into the uterine cavity and can lead to heavy bleeding and issues with implantation.
Subserosal fibroids
Extend outward from the uterus and may press on nearby organs like the bladder or bowel.
Pedunculated fibroids
Attached by a stalk to the uterus and may twist, causing acute pain.
Most common symptoms
Fibroids often cause no symptoms, especially when small.
However, when symptoms are present, they may include heavy or prolonged menstrual bleeding, pelvic pressure or bloating, fertility difficulties, and frequent urination or constipation due to pressure on adjacent organs.
How fibroids are diagnosed
Transvaginal ultrasound
The first-line method to detect fibroids and assess their size and position.
Magnetic Resonance Imaging (MRI)
Used for detailed mapping, particularly before surgical planning.
Hysteroscopy
In cases of suspected submucosal fibroids, allows direct visualization of the uterine cavity.
Pelvic examination
May reveal an enlarged or irregular uterus during routine check-ups.
Treatment and management options
Management is individualized based on symptoms, fibroid size and location, age, and desire for future pregnancy.
Options include conservative monitoring, medical therapy to manage symptoms, hysteroscopic removal of submucosal fibroids, and surgical approaches such as myomectomy or hysterectomy.
Fertility and quality of life
Fibroids are a common part of many women’s reproductive journey. With proper monitoring, expert guidance, and personalized treatment, they can be managed effectively—allowing every woman to maintain her health, fertility, and peace of mind.