Blog

Uterine fibroids are a common health concern among women of reproductive age. Despite their prevalence, many women are unaware of what fibroids are, their symptoms, and the available treatment options. This article aims to provide comprehensive information about uterine fibroids to help women make informed decisions about their health.

What Are Uterine Fibroids?

Uterine fibroids, also known as leiomyomas or myomas, are non-cancerous growths that develop in or on the uterus. They vary in size, ranging from tiny seedlings undetectable by the human eye to large masses that can distort and enlarge the uterus. According to the National Institutes of Health (NIH), up to 80% of women develop fibroids by the age of 50.

Symptoms of Uterine Fibroids

Many women with fibroids experience no symptoms at all. However, when symptoms are present, they can include:

• Heavy menstrual bleeding
• Menstrual periods lasting more than a week
• Pelvic pressure or pain
• Frequent urination
• Difficulty emptying the bladder
• Constipation
• Backache or leg pains

If you're experiencing any of these symptoms, it's important to consult a healthcare professional for proper diagnosis and management.

Causes and Risk Factors

The exact cause of uterine fibroids is unknown, but several factors may contribute to their development:

• Hormones: Estrogen and progesterone appear to promote the growth of fibroids.
• Genetic Changes: Many fibroids contain alterations in genes that differ from those in normal uterine muscle cells.
• Family History: If your mother or sister had fibroids, you're at increased risk.
• Ethnicity: African-American women are more likely to develop fibroids and at a younger age than women of other racial groups.

Diagnosis

Uterine fibroids are often discovered during a routine pelvic exam. If fibroids are suspected, your doctor may recommend imaging tests such as:

• Ultrasound: Uses sound waves to create a picture of the uterus.
• MRI: Provides detailed images to determine the size and location of fibroids.
• Hysterosonography: Involves injecting saline into the uterine cavity to get clearer images.
• Hysterosalpingography: An X-ray test using a dye to highlight the uterine cavity and fallopian tubes.

Treatment Options

Treatment for uterine fibroids depends on various factors, including the severity of symptoms, size and location of the fibroids, age, and plans for future pregnancies. Options include:

• Medications: Drugs like gonadotropin-releasing hormone (Gn-RH) agonists can shrink fibroids.
• Minimally Invasive Procedures: Uterine artery embolization cuts off blood supply to fibroids, causing them to shrink.
• Surgical Options:some text
  • Myomectomy: Surgical removal of fibroids while preserving the uterus.
  • Hysterectomy: Complete removal of the uterus; a permanent solution for fibroids.

It's essential to discuss with your healthcare provider the best treatment plan tailored to your individual needs.

When to Seek Medical Advice

If you have symptoms suggestive of uterine fibroids, don't hesitate to seek medical advice. Early diagnosis and intervention can significantly improve your quality of life.

At Maryland Women's Center, our experienced team is dedicated to providing personalized care for women dealing with uterine fibroids. Contact us today to schedule an appointment and explore your treatment options.