The cause of fibroids is not known. Black women are more likely to develop fibroids than other women, they are diagnosed at younger ages and they more often require treatment. It is not clearly understood why fibroids disproportionately affect Black women. It is common that women who have fibroids do not experience any noticeable symptoms.
Other women with fibroids experience severe symptoms that interfere with their daily lives. Common fibroid symptoms include:.
In rare cases, women with fibroids need emergency treatment. You should seek emergency care if you have sharp, sudden pain in the abdomen that is unrelieved with pain medication, or severe vaginal bleeding with signs of anemia such as lightheadedness, extreme fatigue and weakness.
Fibroids are most often found during a routine pelvic exam. During this exam, your health care provider will press on your abdomen and may feel a firm, irregular mass that might indicate a fibroid. Our experts offer women experiencing fibroids a wide range of treatment options, including alternatives to hysterectomy. With this approach, the health care provider closely monitors your symptoms with frequent follow-up visits and ultrasounds to make sure there are no significant changes in your condition.
Treatment may be necessary if your fibroids cause significant symptoms. Treatment options include medicinal and surgical approaches.
Your doctor will recommend treatment based on your symptoms, location and size of the fibroids, your age and medical history, and your health goals such as a desire for pregnancy. In some cases, women also require treatment for iron-deficiency anemia due to heavy or prolonged periods, or because of abnormal bleeding between periods. Anti-inflammatory painkillers such as ibuprofen or naproxen may reduce menstrual bleeding caused by fibroids and provide pain relief.
This is the most conservative treatment method and is recommended for women with occasional pelvic pain or discomfort due to fibroids. Conservative surgical therapy. Myomectomy is a procedure during which the fibroids are removed but the uterus stays intact. This approach is recommended for women who want to preserve their fertility.
There are three primary myomectomy methods:. Uterine artery embolization UAE , also called uterine fibroid embolization, is a newer technique.
This minimally invasive procedure shrinks fibroids by cutting off their blood flow. An interventional radiologist performs UAE, using X-rays for guidance. Magnetic resonance guided focused ultrasound , also a newer technique, focuses sound waves on fibroids that are at the front of the uterus.
The potential effects on fertility are not yet understood. Radiofrequency ablation of fibroids is another newer technique, during which — under laparoscopic and ultrasound guidance — heat is applied into the fibroids to make them smaller and softer. The potential effects on fertility are not currently well understood.
During a hysterectomy , the entire uterus is removed. Fibroids are the 1 reason for hysterectomies in the U. Examples include:. Surgery to remove very large or multiple growths may be performed. This is known as a myomectomy.
An abdominal myomectomy involves making a large incision in the abdomen to access the uterus and remove the fibroids. The surgery can also be performed laparoscopically , using a few small incisions into which surgical tools and a camera are inserted.
Fibroids might grow back after surgery. If your condition worsens, or if no other treatments work, your physician may perform a hysterectomy. A newer and completely noninvasive surgical procedure is forced ultrasound surgery FUS.
You lie down inside a special MRI machine that allows doctors to visualize the inside of your uterus. High-energy, high-frequency sound waves are directed at the fibroids to ablate, or destroy, them.
Myolysis procedures such as Acessa shrink fibroids using heat sources like an electric current or laser, while cryomyolysis freezes the fibroids. Endometrial ablation involves inserting a special instrument into your uterus to destroy the uterine lining using heat, electric current, hot water, or extreme cold. Another nonsurgical option is uterine artery embolization.
Your prognosis will depend on the size and location of your fibroids. Speak with your doctor if you expect to become pregnant and have fibroids. For women, sexual health significantly impacts overall health. Practicing safe sex, using contraception properly, and getting screened regularly for…. There are several conditions that may cause cramps after menopause.
Take a closer look and find out what they are. Birth control pills are small tablets taken daily that contain hormones to prevent pregnancy. They essentially prevent ovulation. Both the birth control pill and the birth control shot, Depo-Provera, contain hormones. Learn more and decide if one is right for you. Hello Rory offers treatments for a wide range of health concerns, from skin issues to reproductive health and more.
Overall, reviews of Rory are quite…. Health Conditions Discover Plan Connect. Medically reviewed by Debra Rose Wilson, Ph. Seventy to 80 per cent of women over the age of 50 will have fibroids. Only 20 to 30 per cent will have symptoms from fibroids.
It is not exactly known why fibroids develop, but the sex hormones, oestrogen and progesterone, play key roles. Fibroids rarely grow in girls before puberty and women after menopause. Pre-existing fibroids stop growing and can even shrink in women after menopause. Mostly, fibroids do not cause any problems, but they are occasionally associated with infertility, miscarriage and premature labour. Other problems can include heavy, long and painful periods.
Treatment depends on the size, number and location of the fibroids, but can include medication, procedures done under local anaesthetic, ultrasound procedures and surgery. Fibroids rarely are cancerous. This page has been produced in consultation with and approved by:. Androgen deficiency in women and its treatment is controversial, and more research is needed. IVF in-vitro-fertilization and ICSI intracytoplasmic sperm injection are assisted reproductive treatment ART procedures in which fertilisation of an egg occurs outside the body.
Bacterial vaginosis BV is caused by an imbalance of the bacteria normally present in the vagina. Bladder prolapse is when the bladder bulges into the vagina. Breast implants are inserted under the skin to create larger breasts.
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